CPT code 66850: Lens removal, pars plana approach2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $653.75 for 66850 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 66850 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 66850 covers

An ophthalmologist, often a vitreoretinal surgeon, removes crystalline lens material through a pars plana approach. A common setting is surgery to retrieve lens fragments that have moved into the vitreous after a complicated cataract extraction; trauma may also leave lens material requiring surgical removal. The operative report should identify the material removed and the surgical approach, and clarify whether vitrectomy was performed so the service can be distinguished from the related code for lens removal with vitrectomy.

This major surgery carries a 90-day global period: 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 other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting 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 66850

Across 109 of 109 payment localities, the facility rate for 66850 runs from $614.59 in Arkansas to $849.00 in Alaska. North Dakota pays $653.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66850 rates by state

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

See 66850 in every payment locality

How the 66850 rate is calculated

Each of 66850’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.

Payment rules and modifiers for 66850

66850 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 66850

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

How 66850 has changed in North Dakota

Price 66850 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

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

Open CMS sourceHow we calculate rates