CPT code 66920: Lens extraction, intracapsular technique2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $637.62 for 66920 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 66920 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 66920 covers

An ophthalmologist removes the crystalline lens together with its capsule using an intracapsular technique. This is a cataract operation, generally performed in an operating room or other surgical facility. The operative report should identify the extraction method and establish that the capsule was removed with the lens, rather than left in place as in an extracapsular approach. Code 66920 represents the extraction service, not the one-stage intracapsular extraction with lens implant described by code 66983.

Choose the code from the procedure actually performed, not simply the diagnosis of cataract. Medicare 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. For bilateral surgery reported with modifier 50, payment is at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon payment requires supporting documentation, and team surgery is 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 66920

Across 109 of 109 payment localities, the facility rate for 66920 runs from $582.88 in Arkansas to $806.21 in Alaska. Puerto Rico pays $637.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66920 rates by state

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

See 66920 in every payment locality

How the 66920 rate is calculated

Each of 66920’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 66920

66920 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 66920

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

How 66920 has changed in Puerto Rico

Price 66920 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

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