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

Reports surgical removal of crystalline lens material through a pars plana approach, commonly for retained or dropped fragments after complicated cataract surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In Nebraska, Medicare pays $629.97 for 66850 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$629.97Hospital or facility

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.

We’ll open 66850 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 66850 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 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 Nebraska 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. Nebraska pays $629.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

66850 in Nebraska vs other payment areas
  1. Nebraska · this page$629.97
  2. Los Angeles, CA · California$729.62+$99.65
  3. Washington, DC area · District of Columbia$744.89+$114.92
  4. Miami, FL · Florida$724.16+$94.19
  5. Chicago, IL · Illinois$709.39+$79.42
  6. Manhattan, NY · New York$756.50+$126.53
  7. Alaska · Alaska$849.00+$219.03

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

Every other payment area

66850 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$620.77
ArkansasArkansas—$614.59
ArizonaArizona—$656.81
Bakersfield, CACalifornia—$694.54
Chico, CACalifornia—$691.85
El Centro, CACalifornia—$691.99
Fresno, CACalifornia—$691.85
Hanford, CACalifornia—$691.85

66850 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.

View every state and territory as a table
66850 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 66850

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.29

10.29 RVUs× 1.000 GPCI

Practice expense8.95

8.95 RVUs× 1.000 GPCI

Malpractice0.82

0.82 RVUs× 1.000 GPCI

Adjusted RVUs

20.0600

Conversion factor

$33.4009

Medicare rate

$670.02

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

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,400

Code
66850
Physician work
10.29
Practice expense
8.95
Malpractice
0.82

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 66850 in Nebraska
ComponentRVULocality factorAdjusted
Physician work10.29× 1.00010.2900
Practice expense8.95× 0.9238.2608
Malpractice0.82× 0.3780.3100
Total RVUs18.8608
Conversion factor× 33.4009

Facility rate, Nebraska$629.97

Facility: (10.29 × 1 + 8.95 × 0.923 + 0.82 × 0.378) × $33.4009 = $629.97

Open 66850 in the RVU calculator

Payment rules and modifiers for 66850

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

CMS payment indicators · 66850

Lens removal, pars plana approach

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 · 66850

Lens removal, pars plana approach

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

66850 without 50 · national facility

$670.02

Lens removal, pars plana approach

66850-50 · Bilateral: 150%

$1,005.03

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 66850 has changed in Nebraska

66850 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$629.97RVU26D
2026-07-01Not available in this setting$629.97RVU26C
2026-04-01Not available in this setting$629.97RVU26B
2026-01-01Not available in this setting$629.97RVU26A
2025-10-01Not available in this setting$705.26RVU25D
2025-07-01Not available in this setting$705.26RVU25C
2025-04-01Not available in this setting$705.26RVU25B
2025-01-01Not available in this setting$705.26RVU25A
2024-10-01Not available in this setting$726.69RVU24D
2024-07-01Not available in this setting$726.69RVU24C
2024-04-01Not available in this setting$726.69RVU24B
2024-03-09Not available in this setting$726.69RVU24AR
2024-01-01Not available in this setting$714.83RVU24A
2023-10-01Not available in this setting$730.19RVU23D
2023-07-01Not available in this setting$730.19RVU23C
2023-04-01Not available in this setting$730.19RVU23B
2023-01-01Not available in this setting$730.19RVU23A
2022-10-01Not available in this setting$731.31RVU22D
2022-07-01Not available in this setting$731.31RVU22C
2022-04-01Not available in this setting$731.31RVU22B
2022-01-01Not available in this setting$731.31RVU22A
2021-10-01Not available in this setting$736.57RVU21D
2021-07-01Not available in this setting$736.57RVU21C
2021-04-01Not available in this setting$736.57RVU21B
2021-01-01Not available in this setting$736.57RVU21A
2020-10-01Not available in this setting$750.81RVU20D
2020-07-01Not available in this setting$750.81RVU20C
2020-04-01Not available in this setting$750.81RVU20B
2020-01-01Not available in this setting$750.81RVU20A
2019-10-01Not available in this setting$756.56RVU19D
2019-07-01Not available in this setting$756.56RVU19C
2019-04-01Not available in this setting$756.56RVU19B
2019-01-01Not available in this setting$756.56RVU19A
2018-10-01Not available in this setting$758.35RVU18D
2018-07-01Not available in this setting$758.35RVU18C
2018-04-01Not available in this setting$758.35RVU18B
2018-01-01Not available in this setting$758.35RVU18AR1
2017-10-01Not available in this setting$751.97RVU17D
2017-07-01Not available in this setting$751.97RVU17C
2017-04-01Not available in this setting$751.97RVU17B
2017-01-01Not available in this setting$751.97RVU17A
2016-10-01Not available in this setting$749.56RVU16D
2016-07-01Not available in this setting$749.56RVU16C
2016-04-01Not available in this setting$749.56RVU16B
2016-01-01Not available in this setting$749.56RVU16A
2015-10-01Not available in this setting$750.95RVU15D
2015-07-01Not available in this setting$750.95RVU15C
2015-04-01Not available in this setting$747.22RVU15B
2015-01-01Not available in this setting$747.22RVU15A
2014-10-01Not available in this setting$756.96RVU14D
2014-07-01Not available in this setting$756.96RVU14C
2014-04-01Not available in this setting$756.96RVU14B
2014-01-01Not available in this setting$756.96RVU14A
2013-10-01Not available in this setting$747.09RVU13D
2013-07-01Not available in this setting$747.09RVU13C
2013-04-01Not available in this setting$747.09RVU13B
2013-01-01Not available in this setting$747.09RVU13AR

Price 66850 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

66850 billing questions

How is this code distinguished from 66840?

This code identifies removal through a pars plana approach. Code 66840 describes removal using an aspiration technique, so the operative approach and method guide selection.

When is 66852 used instead?

Use 66852 when the pars plana lens-material removal is performed with vitrectomy. The operative report should support the vitrectomy service.

Does the 90-day global include postoperative care?

Yes. Related postoperative care during the 90-day period is included, as is the day-before preoperative visit.

How does CMS handle bilateral reporting?

When the procedure is performed bilaterally and reported with modifier 50, CMS pays 150%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted 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 66850PPRRVU2026_Oct_nonQPP.csv, line 7,400 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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