CPT code 66825: Lens repositioning, intraocular lens implant2026 Medicare rate & RVUs in Florida
Report surgical repositioning when an implanted intraocular lens has shifted and the ophthalmologist restores its position through an incision rather than replacing it.
CMS doesn’t publish an office rate for 66825 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 66825 covers
This service corrects a malpositioned or displaced intraocular lens implant by surgically restoring its position. An ophthalmologist typically performs the procedure in an operating room or other surgical setting when the implant’s position requires operative correction. The key distinction is that the existing lens is repositioned, not removed and exchanged for another implant.
Report the service when the operative documentation identifies the implanted lens and describes its displacement and repositioning. The CMS global period is 90 days; the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. For bilateral services, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of 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.
Where 66825 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $754.15 |
| Miami, FL | Unavailable | $782.35 |
| Rest of Florida | Unavailable | $723.53 |
How the 66825 rate is calculated
Each of 66825’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 · 66825
RVUs × geographic indexes × conversion factor
Work8.78
8.78 RVUs× 1.000 GPCI
Practice expense12.39
12.39 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
21.8600
Conversion factor
$33.4009
Medicare rate
$730.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 66825
66825 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66825
Lens repositioning, intraocular lens implant
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.70/0.20 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 66825
Lens repositioning, intraocular lens implant
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
66825 without 50 · national facility
$730.14
Lens repositioning, intraocular lens implant
66825-50 · Bilateral: 150%
$1,095.21
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).
66825 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 66986Lens exchangeRemoval and replacement
- 66825 restores the position of the existing implant. 66986 applies when the existing implant is removed and another intraocular lens is exchanged into place.
- 66985Lens implantationSecondary implant
- Use 66985 to insert a secondary intraocular lens when an implant is absent; use 66825 when an existing implant is repositioned.
- 66821YAG laser capsulotomyLaser discission of secondary membrane
- 66821 treats secondary cataract with laser capsulotomy. It does not reposition a displaced intraocular lens implant.
66825 billing questions
How is repositioning different from exchanging an intraocular lens?
Use 66825 when the existing implant is surgically moved back into position. If the implant is removed and replaced, consider 66986 instead.
What documentation supports reporting 66825?
Document the existing implant’s displacement or malposition and the operative work performed to reposition it. The record should make clear that the implant was repositioned rather than exchanged.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How should bilateral repositioning be reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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
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