CPT code 66930: Lens extraction, dislocated lens2026 Medicare rate & RVUs in Missouri
Reports intracapsular surgical extraction of a dislocated lens, rather than routine cataract removal or extraction of a lens that remains in place.
CMS doesn’t publish an office rate for 66930 in Missouri.
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 66930 covers
This code describes intracapsular removal of a crystalline lens that has become dislocated. Ophthalmic surgeons may perform the procedure when the lens has shifted from its normal position and requires surgical extraction; it is distinct from routine cataract surgery on a lens in its usual position. The operative report should establish the dislocation and document the extraction technique and surgical details.
Select this code for the dislocated-lens indication and intracapsular approach, not by the amount of lens material removed alone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 multiple-procedure reduction. Bilateral reporting with 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 66930 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $706.06 |
| Metropolitan St. Louis, MO | Unavailable | $710.95 |
| Rest of Missouri | Unavailable | $681.51 |
How the 66930 rate is calculated
Each of 66930’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 · 66930
RVUs × geographic indexes × conversion factor
Work11.32
11.32 RVUs× 1.000 GPCI
Practice expense9.51
9.51 RVUs× 1.000 GPCI
Malpractice0.91
0.91 RVUs× 1.000 GPCI
Adjusted RVUs
21.7400
Conversion factor
$33.4009
Medicare rate
$726.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 66930
66930 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66930
Lens extraction, dislocated lens
| 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 · 66930
Lens extraction, dislocated lens
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
66930 without 50 · national facility
$726.14
Lens extraction, dislocated lens
66930-50 · Bilateral: 150%
$1,089.21
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).
66930 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 66920Lens extractionIntracapsular technique
- Both are intracapsular lens extractions. Choose 66930 when the lens is dislocated; 66920 describes intracapsular extraction without that indication.
- 66940Lens extractionExtracapsular, no IOL
- 66940 is for extracapsular lens extraction. Use 66930 when the dislocated lens is removed intracapsularly.
- 66984Cataract surgeryStandard, without ECP or drainage device
- 66984 describes routine extracapsular cataract removal with intraocular lens insertion. 66930 is for intracapsular extraction of a dislocated lens.
66930 billing questions
How does 66930 differ from 66920?
Both describe intracapsular lens extraction, but 66930 is for a dislocated lens. Use 66920 when intracapsular extraction is performed without the dislocated-lens indication.
How does 66930 differ from 66940?
66930 describes intracapsular extraction for a dislocated lens; 66940 describes extracapsular lens extraction. The operative technique and indication support the code choice.
Is 66930 a routine cataract surgery code?
No. It is for intracapsular extraction of a dislocated lens, not routine cataract removal such as the procedure represented by 66984.
What documentation supports 66930?
Document that the lens was dislocated, the clinical reason for extraction, and the intracapsular technique performed. The operative report should make the indication and method clear.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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
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