CPT code 66770: Intraocular lesion removal, ciliary body lesion2026 Medicare rate & RVUs in North Dakota

Report 66770 when an ophthalmologist surgically excises a lesion of the ciliary body rather than destroying ciliary tissue to treat glaucoma.

CMS RVU26DEffective Oct 1, 2026One payment locality12 Medicare services in 2024

In North Dakota, Medicare pays $524.76 for 66770 in the office and $406.18 when it’s performed in a hospital or facility.

$524.76Office (non-facility)
$406.18Hospital or facility
−1.7%vs the national office rate ($534.08)

Check a contract rate as a % of Medicare · 66770 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 66770 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 66770 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 66770 covers

CPT 66770 describes surgical removal of a lesion involving the ciliary body, the structure inside the eye that produces aqueous humor. An ophthalmologist typically performs the procedure in an operating room, using an approach suited to the lesion’s location and extent. It is distinct from procedures that destroy ciliary tissue to lower intraocular pressure; those treat glaucoma rather than excise a lesion.

Select the code when the operative record supports excision of a ciliary body lesion. Documentation should identify the lesion’s site and describe the excision performed and the treated eye. 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 is restricted; 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 North Dakota compares for 66770

Across 109 of 109 payment localities, the office rate for 66770 runs from $481.54 in Arkansas to $689.61 in San Benito County, CA. North Dakota pays $524.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

66770 in North Dakota vs other payment areas
  1. North Dakota · this page$524.76
  2. Los Angeles, CA · California$595.31+$70.55
  3. Washington, DC area · District of Columbia$603.36+$78.60
  4. Miami, FL · Florida$571.15+$46.39
  5. Chicago, IL · Illinois$557.40+$32.64
  6. Manhattan, NY · New York$607.68+$82.92
  7. Alaska · Alaska$647.61+$122.85

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

Every other payment area

66770 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$487.44$383.69
ArkansasArkansas$481.54$379.68
ArizonaArizona$521.94$407.04
Bakersfield, CACalifornia$562.33$432.37
Chico, CACalifornia$560.78$430.83
El Centro, CACalifornia$560.86$430.90
Fresno, CACalifornia$560.78$430.83
Hanford, CACalifornia$560.78$430.83

66770 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.

$481.54

$647.61

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

View every state and territory as a table
66770 office rate range by state
State / territoryOffice rate rangeLocalities
AK$647.611
AL$487.441
AR$481.541
AZ$521.941
CA$560.78–$689.6129
CO$553.431
CT$565.911
DC$603.361
DE$529.671
FL$527.96–$571.153
GA$502.68–$542.932
GU$571.131
HI$571.131
IA$497.531
ID$500.321
IL$515.20–$557.404
IN$502.751
KS$495.701
KY$497.381
LA$496.78–$517.422
MA$550.98–$602.362
MD$538.61–$603.363
ME$502.65–$525.422
MI$508.38–$533.702
MN$532.271
MO$489.70–$518.823
MS$485.691
MT$534.051
NC$507.061
ND$524.761
NE$499.781
NH$545.181
NJ$572.91–$598.712
NM$510.791
NV$531.781
NY$513.49–$620.545
OH$506.481
OK$496.481
OR$528.14–$568.632
PA$507.09–$553.772
PR$537.351
RI$546.701
SC$507.511
SD$523.661
TN$497.821
TX$504.29–$551.178
UT$513.361
VA$524.05–$603.362
VI$537.351
VT$523.141
WA$549.81–$613.532
WI$509.831
WV$499.101
WY$530.001

See 66770 in every payment locality

How the 66770 rate is calculated

Each of 66770’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 · 66770

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.98

5.98 RVUs× 1.000 GPCI

Practice expense9.54

9.54 RVUs× 1.000 GPCI

Malpractice0.47

0.47 RVUs× 1.000 GPCI

Adjusted RVUs

15.9900

Conversion factor

$33.4009

Medicare rate

$534.08

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,394

Code
66770
Physician work
5.98
Practice expense
9.54
Malpractice
0.47

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 66770 in North Dakota
ComponentRVULocality factorAdjusted
Physician work5.98× 1.0005.9800
Practice expense9.54× 1.0009.5400
Malpractice0.47× 0.4060.1908
Total RVUs15.7108
Conversion factor× 33.4009

Office rate, North Dakota$524.76

Office: (5.98 × 1 + 9.54 × 1 + 0.47 × 0.406) × $33.4009 = $524.76

Facility: (5.98 × 1 + 5.99 × 1 + 0.47 × 0.406) × $33.4009 = $406.18

Open 66770 in the RVU calculator

Payment rules and modifiers for 66770

66770 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66770

Intraocular lesion removal, ciliary body lesion

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 · 66770

Intraocular lesion removal, ciliary body lesion

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

66770 without 50 · national office

$534.08

Intraocular lesion removal, ciliary body lesion

66770-50 · Bilateral: 150%

$801.12

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 66770 has changed in North Dakota

66770 · Office / nonfacility

$524.76

Effective 2026-10-01

The base rate is $23.11 higher than on 2025-10-01, moving from $501.65 to $524.76 (4.6%).

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

    $501.65changed to$524.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.13 changed to 5.98
    • Practice expense RVU 9.12 changed to 9.54
    • Malpractice RVU 0.50 changed to 0.47
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $518.72changed to$501.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.21 changed to 9.12
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $510.25changed to$518.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $521.80changed to$510.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.05 changed to 9.21
    • Malpractice RVU 0.46 changed to 0.47
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $524.42changed to$521.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.83 changed to 9.05
    • Malpractice RVU 0.45 changed to 0.46
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $528.42changed to$524.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.82 changed to 8.83

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $533.16changed to$528.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.42 changed to 8.82
    • Malpractice RVU 0.46 changed to 0.45
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $535.81changed to$533.16

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.50 changed to 8.42
    • Malpractice RVU 0.44 changed to 0.46
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $535.42changed to$535.81

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $528.86changed to$535.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.36 changed to 8.50
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $527.01changed to$528.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.34 changed to 8.36
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $529.28changed to$527.01

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.35 changed to 8.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $526.64changed to$529.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $526.39changed to$526.64

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.40 changed to 0.45
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $525.90changed to$526.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.11 changed to 8.35
    • Malpractice RVU 0.42 changed to 0.40
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $525.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$524.76$406.18RVU26D
2026-07-01$524.76$406.18RVU26C
2026-04-01$524.76$406.18RVU26B
2026-01-01$524.76$406.18RVU26A
2025-10-01$501.65$456.04RVU25D
2025-07-01$501.65$456.04RVU25C
2025-04-01$501.65$456.04RVU25B
2025-01-01$501.65$456.04RVU25A
2024-10-01$518.72$469.12RVU24D
2024-07-01$518.72$469.12RVU24C
2024-04-01$518.72$469.12RVU24B
2024-03-09$518.72$469.12RVU24AR
2024-01-01$510.25$461.46RVU24A
2023-10-01$521.80$471.30RVU23D
2023-07-01$521.80$471.30RVU23C
2023-04-01$521.80$471.30RVU23B
2023-01-01$521.80$471.30RVU23A
2022-10-01$524.42$471.82RVU22D
2022-07-01$524.42$471.82RVU22C
2022-04-01$524.42$471.82RVU22B
2022-01-01$524.42$471.82RVU22A
2021-10-01$528.42$475.38RVU21D
2021-07-01$528.42$475.38RVU21C
2021-04-01$528.42$475.38RVU21B
2021-01-01$528.42$475.38RVU21A
2020-10-01$533.16$483.35RVU20D
2020-07-01$533.16$483.35RVU20C
2020-04-01$533.16$483.35RVU20B
2020-01-01$533.16$483.35RVU20A
2019-10-01$535.81$486.80RVU19D
2019-07-01$535.81$486.80RVU19C
2019-04-01$535.81$486.80RVU19B
2019-01-01$535.81$486.80RVU19A
2018-10-01$535.42$488.26RVU18D
2018-07-01$535.42$488.26RVU18C
2018-04-01$535.42$488.26RVU18B
2018-01-01$535.42$488.26RVU18AR1
2017-10-01$528.86$485.08RVU17D
2017-07-01$528.86$485.08RVU17C
2017-04-01$528.86$485.08RVU17B
2017-01-01$528.86$485.08RVU17A
2016-10-01$527.01$483.33RVU16D
2016-07-01$527.01$483.33RVU16C
2016-04-01$527.01$483.33RVU16B
2016-01-01$527.01$483.33RVU16A
2015-10-01$529.28$484.72RVU15D
2015-07-01$529.28$484.72RVU15C
2015-04-01$526.64$482.31RVU15B
2015-01-01$526.64$482.31RVU15A
2014-10-01$526.39$482.69RVU14D
2014-07-01$526.39$482.69RVU14C
2014-04-01$526.39$482.69RVU14B
2014-01-01$526.39$482.69RVU14A
2013-10-01$525.90$479.97RVU13D
2013-07-01$525.90$479.97RVU13C
2013-04-01$525.90$479.97RVU13B
2013-01-01$525.90$479.97RVU13AR

Price 66770 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

66770 billing questions

How is 66770 different from excision of an iris lesion?

66770 is for a lesion involving the ciliary body. Use the iris-lesion procedure when the excised lesion is confined to the iris.

Can 66770 be reported with a ciliary body destruction procedure?

They describe different treatment goals: 66770 removes a lesion, while ciliary body destruction procedures treat conditions such as glaucoma. Report both only when the operative documentation supports distinct services in the same session.

What postoperative care is included?

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

How does Medicare handle bilateral reporting?

CMS lists this as a bilateral procedure; reporting modifier 50 is paid at 150%.

Can an assistant or co-surgeon be paid for this operation?

Assistant-at-surgery payment is restricted. CMS does not permit co-surgeons or team surgery for this code.

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 66770PPRRVU2026_Oct_nonQPP.csv, line 7,394 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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