CPT code 66940: Lens extraction, extracapsular, no IOL2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $743.29 for 66940 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 66940 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 66940 covers

An ophthalmologist removes the crystalline lens through an incision while leaving the posterior capsule in place. This manual extracapsular approach is distinct from intracapsular removal and from cataract procedures that include placement of an intraocular lens. It is performed in an operating-room setting, commonly when the surgeon chooses a manual extraction rather than phacoemulsification. The code represents lens removal, not implantation of an IOL during the same procedure.

Select this code when the operative report supports extracapsular removal without concurrent IOL placement; document the extraction technique and lens disposition. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity, and co-surgeon payment requires supporting documentation. 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 Washington, DC area compares for 66940

Across 109 of 109 payment localities, the facility rate for 66940 runs from $612.13 in Arkansas to $844.43 in Alaska. Washington, DC area pays $743.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66940 rates by state

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

See 66940 in every payment locality

How the 66940 rate is calculated

Each of 66940’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 66940

66940 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 66940

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

How 66940 has changed in Washington, DC area

Price 66940 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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