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CPT code 66762: Iris laser, photocoagulation reshaping2026 Medicare rate & RVUs in Puerto Rico

Reports laser reshaping of the iris, commonly for persistent appositional angle closure when iris contour contributes to impaired drainage.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In Puerto Rico, Medicare pays $484.65 for 66762 in the office and $368.82 when it’s performed in a hospital or facility.

$484.65Office (non-facility)
$368.82Hospital or facility
+0.6%vs the national office rate ($481.64)

Check a contract rate as a % of Medicare · 66762 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 66762 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 66762 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 66762 covers

An ophthalmologist uses laser photocoagulation to alter the contour of the iris, commonly with peripheral laser iridoplasty for persistent appositional angle closure or plateau iris after a patent iridotomy. The treatment targets iris configuration rather than creating an opening through the iris or treating the ciliary body. It is typically performed in an ophthalmology setting with a slit lamp and a contact lens used to focus the laser.

Report the procedure when the documented treatment reshapes iris tissue with photocoagulation; an iridotomy that creates an opening is a different service. The record should identify the clinical reason, treated eye, and laser treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 Puerto Rico compares for 66762

Across 109 of 109 payment localities, the office rate for 66762 runs from $433.63 in Arkansas to $623.60 in San Benito County, CA. Puerto Rico pays $484.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

66762 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$484.65
  2. Los Angeles, CA · California$537.60+$52.95
  3. Washington, DC area · District of Columbia$544.72+$60.07
  4. Miami, FL · Florida$515.07+$30.42
  5. Chicago, IL · Illinois$502.50+$17.85
  6. Manhattan, NY · New York$548.43+$63.78
  7. Alaska · Alaska$582.02+$97.37

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

Every other payment area

66762 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$439.02$338.78
ArkansasArkansas$433.63$335.22
ArizonaArizona$470.56$359.55
Bakersfield, CACalifornia$507.54$381.98
Chico, CACalifornia$506.17$380.61
El Centro, CACalifornia$506.24$380.68
Fresno, CACalifornia$506.17$380.61
Hanford, CACalifornia$506.17$380.61

66762 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.

$433.63

$582.02

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

View every state and territory as a table
66762 office rate range by state
State / territoryOffice rate rangeLocalities
AK$582.021
AL$439.021
AR$433.631
AZ$470.561
CA$506.17–$623.6029
CO$499.381
CT$510.601
DC$544.721
DE$477.591
FL$475.84–$515.073
GA$452.77–$489.662
GU$515.771
HI$515.771
IA$448.341
ID$450.871
IL$464.11–$502.504
IN$453.101
KS$446.631
KY$448.011
LA$447.44–$466.312
MA$497.09–$543.992
MD$485.75–$544.723
ME$452.96–$473.832
MI$458.02–$481.042
MN$480.241
MO$440.94–$467.643
MS$437.361
MT$481.611
NC$457.001
ND$473.311
NE$450.411
NH$491.871
NJ$516.90–$540.402
NM$460.201
NV$479.591
NY$462.86–$560.125
OH$456.331
OK$447.241
OR$476.31–$513.302
PA$456.90–$499.492
PR$484.651
RI$493.101
SC$457.331
SD$472.331
TN$448.551
TX$454.34–$497.348
UT$462.671
VA$472.55–$544.722
VI$484.651
VT$471.791
WA$496.06–$554.182
WI$459.661
WV$449.401
WY$477.991

See 66762 in every payment locality

How the 66762 rate is calculated

Each of 66762’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 · 66762

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.25

5.25 RVUs× 1.000 GPCI

Practice expense8.75

8.75 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

14.4200

Conversion factor

$33.4009

Medicare rate

$481.64

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,393

Code
66762
Physician work
5.25
Practice expense
8.75
Malpractice
0.42

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 66762 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work5.25× 1.0005.2500
Practice expense8.75× 1.0118.8462
Malpractice0.42× 0.9850.4137
Total RVUs14.5099
Conversion factor× 33.4009

Office rate, Puerto Rico$484.65

Office: (5.25 × 1 + 8.75 × 1.011 + 0.42 × 0.985) × $33.4009 = $484.65

Facility: (5.25 × 1 + 5.32 × 1.011 + 0.42 × 0.985) × $33.4009 = $368.82

Open 66762 in the RVU calculator

Payment rules and modifiers for 66762

66762 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66762

Iris laser, photocoagulation reshaping

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 · 66762

Iris laser, photocoagulation reshaping

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

66762 without 50 · national office

$481.64

Iris laser, photocoagulation reshaping

66762-50 · Bilateral: 150%

$722.46

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 66762

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

Codes related to 66762
CodeHow it relatesOffice range, Puerto Rico
Used instead
66761Laser iridotomy, peripheral iris openingLaser iridotomy creates an iris opening; use when that, rather than contour reshaping, is performed.$301.30
66625Iridectomy, peripheral, for glaucomaSurgical peripheral iridectomy for glaucoma; removes iris tissue rather than reshaping it with laser.No office rate
65820Goniotomy, angle incisionGoniotomy treats the trabecular outflow pathway in a different angle-management situation.No office rate

How 66762 has changed in Puerto Rico

66762 · Office / nonfacility

$484.65

Effective 2026-10-01

The base rate is $24.33 higher than on 2025-10-01, moving from $460.32 to $484.65 (5.3%).

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

    $460.32changed to$484.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.38 changed to 5.25
    • Practice expense RVU 8.37 changed to 8.75
    • Malpractice RVU 0.43 changed to 0.42
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $476.07changed to$460.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.46 changed to 8.37
    • Malpractice RVU 0.41 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $468.30changed to$476.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $480.52changed to$468.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.33 changed to 8.46
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $478.49changed to$480.52

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $483.42changed to$478.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.12 changed to 8.33
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $487.77changed to$483.42

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $489.63changed to$487.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.73 changed to 8.12
    • Malpractice RVU 0.40 changed to 0.42
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $490.88changed to$489.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.80 changed to 7.73
    • Malpractice RVU 0.39 changed to 0.40
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $490.71changed to$490.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.82 changed to 7.80
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $437.69changed to$490.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.67 changed to 7.82
    • Malpractice RVU 0.39 changed to 0.38
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $390.07changed to$437.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.66 changed to 7.67
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $391.12changed to$390.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.65 changed to 7.66
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $389.18changed to$391.12

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $388.18changed to$389.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.63 changed to 7.65
    • Malpractice RVU 0.65 changed to 0.38
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $381.42changed to$388.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.35 changed to 7.63
    • Malpractice RVU 0.68 changed to 0.65
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $381.42

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$484.65$368.82RVU26D
2026-07-01$484.65$368.82RVU26C
2026-04-01$484.65$368.82RVU26B
2026-01-01$484.65$368.82RVU26A
2025-10-01$460.32$410.48RVU25D
2025-07-01$460.32$410.48RVU25C
2025-04-01$460.32$410.48RVU25B
2025-01-01$460.32$410.48RVU25A
2024-10-01$476.07$421.77RVU24D
2024-07-01$476.07$421.77RVU24C
2024-04-01$476.07$421.77RVU24B
2024-03-09$476.07$421.77RVU24AR
2024-01-01$468.30$414.89RVU24A
2023-10-01$480.52$424.85RVU23D
2023-07-01$478.49$423.25RVU23C
2023-04-01$478.49$423.25RVU23B
2023-01-01$478.49$423.25RVU23A
2022-10-01$483.42$426.56RVU22D
2022-07-01$483.42$426.56RVU22C
2022-04-01$483.42$426.56RVU22B
2022-01-01$483.42$426.56RVU22A
2021-10-01$487.77$429.39RVU21D
2021-07-01$487.77$429.39RVU21C
2021-04-01$487.77$429.39RVU21B
2021-01-01$487.77$429.39RVU21A
2020-10-01$489.63$435.06RVU20D
2020-07-01$489.63$435.06RVU20C
2020-04-01$489.63$435.06RVU20B
2020-01-01$489.63$435.06RVU20A
2019-10-01$490.88$437.17RVU19D
2019-07-01$490.88$437.17RVU19C
2019-04-01$490.88$437.17RVU19B
2019-01-01$490.88$437.17RVU19A
2018-10-01$490.71$438.87RVU18D
2018-07-01$490.71$438.87RVU18C
2018-04-01$490.71$438.87RVU18B
2018-01-01$490.71$438.87RVU18AR1
2017-10-01$437.69$396.22RVU17D
2017-07-01$437.69$396.22RVU17C
2017-04-01$437.69$396.22RVU17B
2017-01-01$437.69$396.22RVU17A
2016-10-01$390.07$356.00RVU16D
2016-07-01$390.07$356.00RVU16C
2016-04-01$390.07$356.00RVU16B
2016-01-01$390.07$356.00RVU16A
2015-10-01$391.12$356.42RVU15D
2015-07-01$391.12$356.42RVU15C
2015-04-01$389.18$354.64RVU15B
2015-01-01$389.18$354.64RVU15A
2014-10-01$388.18$354.96RVU14D
2014-07-01$388.18$354.96RVU14C
2014-04-01$388.18$354.96RVU14B
2014-01-01$388.18$354.96RVU14A
2013-10-01$381.42$346.82RVU13D
2013-07-01$381.42$346.82RVU13C
2013-04-01$381.42$346.82RVU13B
2013-01-01$381.42$346.82RVU13AR

Price 66762 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

66762 billing questions

How is this different from laser iridotomy?

Iridoplasty reshapes the iris with photocoagulation. Iridotomy creates an opening through the iris, often to relieve pupillary block.

What documentation supports reporting this procedure?

Document the indication for reshaping, the eye treated, and the laser treatment performed. The record should distinguish iris contour treatment from creation of an iris opening.

How should bilateral treatment be reported?

When both eyes are treated, report modifier 50; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 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 billed?

CMS does not pay an assistant at surgery for this procedure. 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 66762PPRRVU2026_Oct_nonQPP.csv, line 7,393 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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