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

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 Baltimore area, MD, Medicare pays $468.60 for 66740 in the office and $352.48 when it’s performed in a hospital or facility.

$468.60Office (non-facility)
$352.48Hospital or facility
+5.6%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 Baltimore area, MD
  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 Baltimore area, MD 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. Baltimore area, MD pays $468.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

66740 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$468.60
  2. Rest of Maryland · Maryland$447.30−$21.30
  3. Los Angeles, CA · California$494.04+$25.44
  4. Washington, DC area · District of Columbia$500.90+$32.30
  5. Miami, FL · Florida$474.77+$6.17
  6. Chicago, IL · Illinois$463.35−$5.25
  7. Manhattan, NY · New York$504.69+$36.09

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

Every other payment area

66740 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$538.32$423.07
AlabamaAlabama$404.91$310.22
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

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 Baltimore area, MD 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

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 66740 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work5.01× 1.0165.0902
Practice expense7.87× 1.0738.4445
Malpractice0.40× 1.2370.4948
Total RVUs14.0295
Conversion factor× 33.4009

Office rate, Baltimore area, MD$468.60

Office: (5.01 × 1.016 + 7.87 × 1.073 + 0.4 × 1.237) × $33.4009 = $468.60

Facility: (5.01 × 1.016 + 4.63 × 1.073 + 0.4 × 1.237) × $33.4009 = $352.48

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 Baltimore area, MD

66740 · Office / nonfacility

$468.60

Effective 2026-10-01

The base rate is $19.51 higher than on 2025-10-01, moving from $449.09 to $468.60 (4.3%).

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

    $449.09changed to$468.60

    • 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
    • Work GPCI 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $464.31changed to$449.09

    • 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

    $456.73changed to$464.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $470.40changed to$456.73

    • 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
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309
  5. January 1, 2023

    RVU23A

    $476.77changed to$470.40

    • 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
    • Work GPCI 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $479.88changed to$476.77

    • 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

    $482.14changed to$479.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.92 changed to 7.26
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $482.69changed to$482.14

    • 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
    • Work GPCI 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $482.48changed to$482.69

    • 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. January 1, 2018

    RVU18AR1

    $474.59changed to$482.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.85 changed to 7.00
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $473.35changed to$474.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.86 changed to 6.85
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $474.27changed to$473.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.84 changed to 6.86

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $471.91changed to$474.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $472.04changed to$471.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.85 changed to 6.84
    • Malpractice RVU 0.33 changed to 0.37
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $473.14changed to$472.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.48 changed to 6.85
    • Malpractice RVU 0.35 changed to 0.33
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $473.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$468.60$352.48RVU26D
2026-07-01$468.60$352.48RVU26C
2026-04-01$468.60$352.48RVU26B
2026-01-01$468.60$352.48RVU26A
2025-10-01$449.09$399.23RVU25D
2025-07-01$449.09$399.23RVU25C
2025-04-01$449.09$399.23RVU25B
2025-01-01$449.09$399.23RVU25A
2024-10-01$464.31$411.20RVU24D
2024-07-01$464.31$411.20RVU24C
2024-04-01$464.31$411.20RVU24B
2024-03-09$464.31$411.20RVU24AR
2024-01-01$456.73$404.49RVU24A
2023-10-01$470.40$415.52RVU23D
2023-07-01$470.40$415.52RVU23C
2023-04-01$470.40$415.52RVU23B
2023-01-01$470.40$415.52RVU23A
2022-10-01$476.77$420.64RVU22D
2022-07-01$476.77$420.64RVU22C
2022-04-01$476.77$420.64RVU22B
2022-01-01$476.77$420.64RVU22A
2021-10-01$479.88$422.52RVU21D
2021-07-01$479.88$422.52RVU21C
2021-04-01$479.88$422.52RVU21B
2021-01-01$479.88$422.52RVU21A
2020-10-01$482.14$428.40RVU20D
2020-07-01$482.14$428.40RVU20C
2020-04-01$482.14$428.40RVU20B
2020-01-01$482.14$428.40RVU20A
2019-10-01$482.69$430.20RVU19D
2019-07-01$482.69$430.20RVU19C
2019-04-01$482.69$430.20RVU19B
2019-01-01$482.69$430.20RVU19A
2018-10-01$482.48$431.63RVU18D
2018-07-01$482.48$431.63RVU18C
2018-04-01$482.48$431.63RVU18B
2018-01-01$482.48$431.63RVU18AR1
2017-10-01$474.59$426.60RVU17D
2017-07-01$474.59$426.60RVU17C
2017-04-01$474.59$426.60RVU17B
2017-01-01$474.59$426.60RVU17A
2016-10-01$473.35$425.04RVU16D
2016-07-01$473.35$425.04RVU16C
2016-04-01$473.35$425.04RVU16B
2016-01-01$473.35$425.04RVU16A
2015-10-01$474.27$425.39RVU15D
2015-07-01$474.27$425.39RVU15C
2015-04-01$471.91$423.28RVU15B
2015-01-01$471.91$423.28RVU15A
2014-10-01$472.04$424.09RVU14D
2014-07-01$472.04$424.09RVU14C
2014-04-01$472.04$424.09RVU14B
2014-01-01$472.04$424.09RVU14A
2013-10-01$473.14$422.38RVU13D
2013-07-01$473.14$422.38RVU13C
2013-04-01$473.14$422.38RVU13B
2013-01-01$473.14$422.38RVU13AR

Price 66740 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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 Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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