CPT code 66740: Ciliary body ablation, other operative method2026 Medicare rate & RVUs in Alabama

Ophthalmologists report this procedure when an uncommon method is used to ablate ciliary tissue to reduce aqueous production in difficult-to-control glaucoma.

CMS RVU26DEffective Oct 1, 2026One payment locality574 Medicare services in 2024

In Alabama, Medicare pays $404.91 for 66740 in the office and $310.22 when it’s performed in a hospital or facility.

$404.91Office (non-facility)
$310.22Hospital or facility
−8.7%vs the national office rate ($443.56)

Check a contract rate as a % of Medicare · 66740 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 66740 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 66740 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 66740 covers

An ophthalmologist uses this procedure to ablate ciliary body tissue by a method not represented by the separately identified diathermy, transscleral laser, endoscopic laser, or cryotherapy options. Reducing aqueous humor production can lower intraocular pressure in glaucoma that remains difficult to control despite other treatment. It is generally performed as an operative eye procedure in a facility; CMS utilization shows facility services rather than office services for 2024.

Report the code when the operative documentation identifies the ciliary-body destruction method and supports that it is not one of the specifically coded techniques. Record the treated eye, indication, and operative details; laterality supports bilateral reporting. This major surgery code carries a 90-day global period, including the day before surgery and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. In same-session multiple procedures, the highest-valued procedure is paid in full and additional procedures at 50%. Medicare does not pay an assistant at surgery for this code; 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 Alabama compares for 66740

Across 109 of 109 payment localities, the office rate for 66740 runs from $400.02 in Arkansas to $571.96 in San Benito County, CA. Alabama pays $404.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

66740 in Alabama vs other payment areas
  1. Alabama · this page$404.91
  2. Los Angeles, CA · California$494.04+$89.13
  3. Washington, DC area · District of Columbia$500.90+$95.99
  4. Miami, FL · Florida$474.77+$69.86
  5. Chicago, IL · Illinois$463.35+$58.44
  6. Manhattan, NY · New York$504.69+$99.78
  7. Alaska · Alaska$538.32+$133.41

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

66740 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$400.02$307.06
ArizonaArizona$433.49$328.63
Bakersfield, CACalifornia$466.75$348.15
Chico, CACalifornia$465.44$346.84
El Centro, CACalifornia$465.51$346.90
Fresno, CACalifornia$465.44$346.84
Hanford, CACalifornia$465.44$346.84
Madera, CACalifornia$465.44$346.84

66740 rates by state

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

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.

$400.02

$538.32

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

View every state and territory as a table
66740 office rate range by state
State / territoryOffice rate rangeLocalities
AK$538.321
AL$404.911
AR$400.021
AZ$433.491
CA$465.44–$571.9629
CO$459.471
CT$469.961
DC$500.901
DE$439.901
FL$438.72–$474.773
GA$417.74–$450.962
GU$473.951
HI$473.951
IA$413.161
ID$415.491
IL$428.22–$463.354
IN$417.511
KS$411.701
KY$413.251
LA$412.77–$429.872
MA$457.46–$499.952
MD$447.30–$500.903
ME$417.48–$436.272
MI$422.42–$443.532
MN$441.781
MO$406.94–$430.973
MS$403.541
MT$443.541
NC$421.131
ND$435.631
NE$415.011
NH$452.671
NJ$475.74–$497.072
NM$424.431
NV$441.601
NY$426.45–$515.405
OH$420.801
OK$412.461
OR$438.54–$472.002
PA$421.27–$459.932
PR$446.261
RI$453.981
SC$421.581
SD$434.691
TN$413.461
TX$418.96–$457.628
UT$426.431
VA$435.17–$500.902
VI$446.261
VT$434.341
WA$456.48–$509.162
WI$423.281
WV$414.891
WY$440.091

See 66740 in every payment locality

How the 66740 rate is calculated

Each of 66740’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 · 66740

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.01

5.01 RVUs× 1.000 GPCI

Practice expense7.87

7.87 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

13.2800

Conversion factor

$33.4009

Medicare rate

$443.56

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,391

Code
66740
Physician work
5.01
Practice expense
7.87
Malpractice
0.40

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 66740 in Alabama
ComponentRVULocality factorAdjusted
Physician work5.01× 1.0005.0100
Practice expense7.87× 0.8756.8863
Malpractice0.40× 0.5660.2264
Total RVUs12.1227
Conversion factor× 33.4009

Office rate, Alabama$404.91

Office: (5.01 × 1 + 7.87 × 0.875 + 0.4 × 0.566) × $33.4009 = $404.91

Facility: (5.01 × 1 + 4.63 × 0.875 + 0.4 × 0.566) × $33.4009 = $310.22

Open 66740 in the RVU calculator

Payment rules and modifiers for 66740

66740 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66740

Ciliary body ablation, other operative method

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)1Not paid (statutory restriction).
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 · 66740

Ciliary body ablation, other operative method

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

66740 without 50 · national office

$443.56

Ciliary body ablation, other operative method

66740-50 · Bilateral: 150%

$665.34

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

How 66740 has changed in Alabama

66740 · Office / nonfacility

$404.91

Effective 2026-10-01

The base rate is $19.55 higher than on 2025-10-01, moving from $385.36 to $404.91 (5.1%).

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

    $385.36changed to$404.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.14 changed to 5.01
    • Practice expense RVU 7.53 changed to 7.87
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $398.31changed to$385.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.59 changed to 7.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $391.81changed to$398.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $406.07changed to$391.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.47 changed to 7.59
    • Malpractice RVU 0.38 changed to 0.40
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $414.03changed to$406.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.27 changed to 7.47
    • Malpractice RVU 0.40 changed to 0.38
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $416.84changed to$414.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.26 changed to 7.27
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $417.47changed to$416.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.92 changed to 7.26
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $415.86changed to$417.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.98 changed to 6.92
    • Malpractice RVU 0.38 changed to 0.39
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $415.87changed to$415.86

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.00 changed to 6.98
    • Malpractice RVU 0.37 changed to 0.38

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$415.87

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$404.91$310.22RVU26D
2026-07-01$404.91$310.22RVU26C
2026-04-01$404.91$310.22RVU26B
2026-01-01$404.91$310.22RVU26A
2025-10-01$385.36$345.17RVU25D
2025-07-01$385.36$345.17RVU25C
2025-04-01$385.36$345.17RVU25B
2025-01-01$385.36$345.17RVU25A
2024-10-01$398.31$355.50RVU24D
2024-07-01$398.31$355.50RVU24C
2024-04-01$398.31$355.50RVU24B
2024-03-09$398.31$355.50RVU24AR
2024-01-01$391.81$349.69RVU24A
2023-10-01$406.07$361.74RVU23D
2023-07-01$406.07$361.74RVU23C
2023-04-01$406.07$361.74RVU23B
2023-01-01$406.07$361.74RVU23A
2022-10-01$414.03$368.55RVU22D
2022-07-01$414.03$368.55RVU22C
2022-04-01$414.03$368.55RVU22B
2022-01-01$414.03$368.55RVU22A
2021-10-01$416.84$370.36RVU21D
2021-07-01$416.84$370.36RVU21C
2021-04-01$416.84$370.36RVU21B
2021-01-01$416.84$370.36RVU21A
2020-10-01$417.47$373.84RVU20D
2020-07-01$417.47$373.84RVU20C
2020-04-01$417.47$373.84RVU20B
2020-01-01$417.47$373.84RVU20A
2019-10-01$415.86$373.20RVU19D
2019-07-01$415.86$373.20RVU19C
2019-04-01$415.86$373.20RVU19B
2019-01-01$415.86$373.20RVU19A
2018-10-01$415.87$374.54RVU18D
2018-07-01$415.87$374.54RVU18C
2018-04-01$415.87$374.54RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 66740 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

66740 billing questions

When should this code be selected instead of another ciliary-body destruction code?

Yes. The global period includes the day before surgery and 90 days of related postoperative care.

How is a bilateral procedure reported?

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

How does the multiple-procedure reduction work?

When procedures subject to the rule are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 66740PPRRVU2026_Oct_nonQPP.csv, line 7,391 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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