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CPT code 66700: Ciliary body destruction, diathermy2026 Medicare rate & RVUs in Washington, DC area

Ophthalmologists report this procedure when using diathermy to destroy ciliary body tissue, typically as a cyclodestructive treatment for glaucoma.

CMS RVU26DEffective Oct 1, 2026One payment locality21 Medicare services in 2024

In Washington, DC area, Medicare pays $516.24 for 66700 in the office and $373.42 when it’s performed in a hospital or facility.

$516.24Office (non-facility)
$373.42Hospital or facility
+13.1%vs the national office rate ($456.59)

Check a contract rate as a % of Medicare · 66700 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 66700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 66700 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 66700 covers

An ophthalmologist uses diathermy to destroy targeted ciliary body tissue, reducing aqueous humor production. This cyclodestructive procedure may be used for glaucoma that remains difficult to control, including when other pressure-lowering approaches have not achieved the clinical goal. It is generally performed in an operating room or other surgical setting, rather than as a routine office procedure.

Select this code when the operative method is diathermy; other ciliary body destruction methods have separate codes. The operative report should identify the treated eye, indication, and technique performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 66700

Across 109 of 109 payment localities, the office rate for 66700 runs from $411.21 in Arkansas to $590.74 in San Benito County, CA. Washington, DC area pays $516.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

66700 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$516.24
  2. Los Angeles, CA · California$509.45−$6.79
  3. Miami, FL · Florida$488.33−$27.91
  4. Chicago, IL · Illinois$476.44−$39.80
  5. Manhattan, NY · New York$519.82+$3.58
  6. Alaska · Alaska$552.19+$35.95
  7. Alabama · Alabama$416.31−$99.93

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

66700 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$411.21$307.06
ArizonaArizona$446.11$328.63
Bakersfield, CACalifornia$481.03$348.15
Chico, CACalifornia$479.72$346.84
El Centro, CACalifornia$479.79$346.90
Fresno, CACalifornia$479.72$346.84
Hanford, CACalifornia$479.72$346.84
Madera, CACalifornia$479.72$346.84

66700 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$411.21

$552.19

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
66700 office rate range by state
State / territoryOffice rate rangeLocalities
AK$552.191
AL$416.311
AR$411.211
AZ$446.111
CA$479.72–$590.7429
CO$473.331
CT$483.991
DC$516.241
DE$452.771
FL$451.17–$488.333
GA$429.36–$464.192
GU$488.761
HI$488.761
IA$425.081
ID$427.481
IL$440.11–$476.444
IN$429.581
KS$423.481
KY$424.831
LA$424.30–$442.132
MA$471.18–$515.502
MD$460.48–$516.243
ME$429.47–$449.182
MI$434.31–$456.102
MN$455.191
MO$418.17–$443.373
MS$414.751
MT$456.561
NC$433.281
ND$448.651
NE$427.041
NH$466.231
NJ$489.96–$512.182
NM$436.381
NV$454.641
NY$438.83–$530.895
OH$432.691
OK$424.091
OR$451.52–$486.472
PA$433.23–$473.492
PR$459.421
RI$467.431
SC$433.621
SD$447.721
TN$425.301
TX$430.81–$471.408
UT$438.671
VA$447.97–$516.242
VI$459.421
VT$447.231
WA$470.19–$525.142
WI$435.761
WV$426.211
WY$453.121

See 66700 in every payment locality

How the 66700 rate is calculated

Each of 66700’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 66700

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.01

5.01 RVUs× 1.000 GPCI

Practice expense8.26

8.26 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

13.6700

Conversion factor

$33.4009

Medicare rate

$456.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,387

Code
66700
Physician work
5.01
Practice expense
8.26
Malpractice
0.40

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 66700 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work5.01× 1.0545.2805
Practice expense8.26× 1.1789.7303
Malpractice0.40× 1.1130.4452
Total RVUs15.4560
Conversion factor× 33.4009

Office rate, Washington, DC area$516.24

Office: (5.01 × 1.054 + 8.26 × 1.178 + 0.4 × 1.113) × $33.4009 = $516.24

Facility: (5.01 × 1.054 + 4.63 × 1.178 + 0.4 × 1.113) × $33.4009 = $373.42

Open 66700 in the RVU calculator

Payment rules and modifiers for 66700

66700 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66700

Ciliary body destruction, diathermy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.70/0.20Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 66700

Ciliary body destruction, diathermy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

66700 without 50 · national office

$456.59

Ciliary body destruction, diathermy

66700-50 · Bilateral: 150%

$684.89

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 66700

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 66700
CodeHow it relatesOffice range, Washington, DC area
Same family
66710Ciliary body treatment, transscleral laserRelated ciliary body destruction procedure using transscleral cyclophotocoagulation.$502.87
66711Endoscopic cyclophotocoagulation, ciliary body destructionRelated ciliary body destruction procedure using endoscopic cyclophotocoagulation.No office rate
66720Ciliary body destruction, cyclocryotherapyRelated ciliary body destruction procedure using cryotherapy.$537.95

How 66700 has changed in Washington, DC area

66700 · Office / nonfacility

$516.24

Effective 2026-10-01

The base rate is $20.40 higher than on 2025-10-01, moving from $495.84 to $516.24 (4.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $495.84changed to$516.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.14 changed to 5.01
    • Practice expense RVU 7.91 changed to 8.26
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $513.04changed to$495.84

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.98 changed to 7.91

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $504.66changed to$513.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $522.73changed to$504.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.85 changed to 7.98
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $532.18changed to$522.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.64 changed to 7.85
    • Malpractice RVU 0.40 changed to 0.38
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $535.71changed to$532.18

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.63 changed to 7.64
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $533.36changed to$535.71

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.28 changed to 7.63
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $529.60changed to$533.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.34 changed to 7.28
    • Malpractice RVU 0.38 changed to 0.39
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $529.87changed to$529.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.37 changed to 7.34
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $522.87changed to$529.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.23 changed to 7.37
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $521.88changed to$522.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.22 changed to 7.23
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $523.33changed to$521.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.21 changed to 7.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $520.72changed to$523.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $523.65changed to$520.72

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.20 changed to 7.21
    • Malpractice RVU 0.47 changed to 0.37
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $523.06changed to$523.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.87 changed to 7.20
    • Malpractice RVU 0.49 changed to 0.47
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $523.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$516.24$373.42RVU26D
2026-07-01$516.24$373.42RVU26C
2026-04-01$516.24$373.42RVU26B
2026-01-01$516.24$373.42RVU26A
2025-10-01$495.84$426.05RVU25D
2025-07-01$495.84$426.05RVU25C
2025-04-01$495.84$426.05RVU25B
2025-01-01$495.84$426.05RVU25A
2024-10-01$513.04$438.84RVU24D
2024-07-01$513.04$438.84RVU24C
2024-04-01$513.04$438.84RVU24B
2024-03-09$513.04$438.84RVU24AR
2024-01-01$504.66$431.68RVU24A
2023-10-01$522.73$445.80RVU23D
2023-07-01$522.73$445.80RVU23C
2023-04-01$522.73$445.80RVU23B
2023-01-01$522.73$445.80RVU23A
2022-10-01$532.18$453.05RVU22D
2022-07-01$532.18$453.05RVU22C
2022-04-01$532.18$453.05RVU22B
2022-01-01$532.18$453.05RVU22A
2021-10-01$535.71$455.06RVU21D
2021-07-01$535.71$455.06RVU21C
2021-04-01$535.71$455.06RVU21B
2021-01-01$535.71$455.06RVU21A
2020-10-01$533.36$457.57RVU20D
2020-07-01$533.36$457.57RVU20C
2020-04-01$533.36$457.57RVU20B
2020-01-01$533.36$457.57RVU20A
2019-10-01$529.60$456.21RVU19D
2019-07-01$529.60$456.21RVU19C
2019-04-01$529.60$456.21RVU19B
2019-01-01$529.60$456.21RVU19A
2018-10-01$529.87$457.86RVU18D
2018-07-01$529.87$457.86RVU18C
2018-04-01$529.87$457.86RVU18B
2018-01-01$529.87$457.86RVU18AR1
2017-10-01$522.87$454.11RVU17D
2017-07-01$522.87$454.11RVU17C
2017-04-01$522.87$454.11RVU17B
2017-01-01$522.87$454.11RVU17A
2016-10-01$521.88$453.28RVU16D
2016-07-01$521.88$453.28RVU16C
2016-04-01$521.88$453.28RVU16B
2016-01-01$521.88$453.28RVU16A
2015-10-01$523.33$454.05RVU15D
2015-07-01$523.33$454.05RVU15C
2015-04-01$520.72$451.79RVU15B
2015-01-01$520.72$451.79RVU15A
2014-10-01$523.65$456.05RVU14D
2014-07-01$523.65$456.05RVU14C
2014-04-01$523.65$456.05RVU14B
2014-01-01$523.65$456.05RVU14A
2013-10-01$523.06$451.73RVU13D
2013-07-01$523.06$451.73RVU13C
2013-04-01$523.06$451.73RVU13B
2013-01-01$523.06$451.73RVU13AR

Price 66700 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

66700 billing questions

How is this code distinguished from other ciliary body destruction codes?

Use this code when the operative technique is diathermy. Transscleral or endoscopic cyclophotocoagulation and cryotherapy have separate codes.

What should the operative note document?

Document the glaucoma indication, treated eye, and that diathermy was used to destroy ciliary body tissue.

How is bilateral treatment reported?

Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.

Does the code include postoperative visits?

Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 66700PPRRVU2026_Oct_nonQPP.csv, line 7,387 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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