CPT code 66940: Lens extraction, extracapsular, no IOL2026 Medicare rate & RVUs in Nevada

Reports manual extracapsular removal of the crystalline lens without concurrent intraocular lens implantation, typically during cataract surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality353 Medicare services in 2024

In Nevada, Medicare pays $663.80 for 66940 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$663.80Hospital or facility

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.

We’ll open 66940 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 66940 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 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 Nevada 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. Nevada pays $663.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

66940 in Nevada vs other payment areas
  1. Nevada · this page$663.80
  2. Los Angeles, CA · California$728.27+$64.47
  3. Washington, DC area · District of Columbia$743.29+$79.49
  4. Miami, FL · Florida$721.82+$58.02
  5. Chicago, IL · Illinois$706.93+$43.13
  6. Manhattan, NY · New York$754.62+$90.82
  7. Alaska · Alaska$844.43+$180.63

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

Every other payment area

66940 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$618.37
ArkansasArkansas—$612.13
ArizonaArizona—$654.72
Bakersfield, CACalifornia—$692.97
Chico, CACalifornia—$690.32
El Centro, CACalifornia—$690.46
Fresno, CACalifornia—$690.32
Hanford, CACalifornia—$690.32

66940 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
66940 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 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.

How the rate is built · 66940

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.11

10.11 RVUs× 1.000 GPCI

Practice expense9.08

9.08 RVUs× 1.000 GPCI

Malpractice0.81

0.81 RVUs× 1.000 GPCI

Adjusted RVUs

20.0000

Conversion factor

$33.4009

Medicare rate

$668.02

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,404

Code
66940
Physician work
10.11
Practice expense
9.08
Malpractice
0.81

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 66940 in Nevada
ComponentRVULocality factorAdjusted
Physician work10.11× 1.00010.1100
Practice expense9.08× 1.0019.0891
Malpractice0.81× 0.8330.6747
Total RVUs19.8738
Conversion factor× 33.4009

Facility rate, Nevada$663.80

Facility: (10.11 × 1 + 9.08 × 1.001 + 0.81 × 0.833) × $33.4009 = $663.80

Open 66940 in the RVU calculator

Payment rules and modifiers for 66940

66940 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66940

Lens extraction, extracapsular, no IOL

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)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 66940

Lens extraction, extracapsular, no IOL

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

66940 without 50 · national facility

$668.02

Lens extraction, extracapsular, no IOL

66940-50 · Bilateral: 150%

$1,002.03

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 66940 has changed in Nevada

66940 · 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$663.80RVU26D
2026-07-01Not available in this setting$663.80RVU26C
2026-04-01Not available in this setting$663.80RVU26B
2026-01-01Not available in this setting$663.80RVU26A
2025-10-01Not available in this setting$747.97RVU25D
2025-07-01Not available in this setting$747.97RVU25C
2025-04-01Not available in this setting$747.97RVU25B
2025-01-01Not available in this setting$747.97RVU25A
2024-10-01Not available in this setting$771.39RVU24D
2024-07-01Not available in this setting$771.39RVU24C
2024-04-01Not available in this setting$771.39RVU24B
2024-03-09Not available in this setting$771.39RVU24AR
2024-01-01Not available in this setting$758.80RVU24A
2023-10-01Not available in this setting$783.72RVU23D
2023-07-01Not available in this setting$783.72RVU23C
2023-04-01Not available in this setting$783.72RVU23B
2023-01-01Not available in this setting$783.72RVU23A
2022-10-01Not available in this setting$797.30RVU22D
2022-07-01Not available in this setting$797.30RVU22C
2022-04-01Not available in this setting$797.30RVU22B
2022-01-01Not available in this setting$797.30RVU22A
2021-10-01Not available in this setting$799.70RVU21D
2021-07-01Not available in this setting$799.70RVU21C
2021-04-01Not available in this setting$799.70RVU21B
2021-01-01Not available in this setting$799.70RVU21A
2020-10-01Not available in this setting$804.90RVU20D
2020-07-01Not available in this setting$804.90RVU20C
2020-04-01Not available in this setting$804.90RVU20B
2020-01-01Not available in this setting$804.90RVU20A
2019-10-01Not available in this setting$806.24RVU19D
2019-07-01Not available in this setting$806.24RVU19C
2019-04-01Not available in this setting$806.24RVU19B
2019-01-01Not available in this setting$806.24RVU19A
2018-10-01Not available in this setting$807.92RVU18D
2018-07-01Not available in this setting$807.92RVU18C
2018-04-01Not available in this setting$807.92RVU18B
2018-01-01Not available in this setting$807.92RVU18AR1
2017-10-01Not available in this setting$809.20RVU17D
2017-07-01Not available in this setting$809.20RVU17C
2017-04-01Not available in this setting$809.20RVU17B
2017-01-01Not available in this setting$809.20RVU17A
2016-10-01Not available in this setting$814.93RVU16D
2016-07-01Not available in this setting$814.93RVU16C
2016-04-01Not available in this setting$814.93RVU16B
2016-01-01Not available in this setting$814.93RVU16A
2015-10-01Not available in this setting$816.36RVU15D
2015-07-01Not available in this setting$816.36RVU15C
2015-04-01Not available in this setting$812.30RVU15B
2015-01-01Not available in this setting$812.30RVU15A
2014-10-01Not available in this setting$855.30RVU14D
2014-07-01Not available in this setting$855.30RVU14C
2014-04-01Not available in this setting$855.30RVU14B
2014-01-01Not available in this setting$855.30RVU14A
2013-10-01Not available in this setting$856.63RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 66940 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

66940 billing questions

How is 66940 different from 66984?

66940 reports extracapsular lens removal without concurrent IOL placement. Use the applicable cataract extraction code that includes IOL insertion when a lens implant is placed during the same operation.

How do I distinguish 66940 from 66920?

The key distinction is the extraction approach: 66940 is extracapsular, with the capsule retained, while 66920 represents intracapsular removal.

Does 66940 include an IOL?

No. It reports lens removal without concurrent IOL implantation. The operative note should establish whether an implant was placed and which procedure was performed.

What documentation supports 66940?

Document the manual extracapsular extraction, the operative approach, and whether an IOL was implanted. The record should support choosing this procedure rather than an intracapsular or extraction-with-IOL code.

Can 66940 be reported bilaterally?

For bilateral procedures, CMS pays 150% when modifier 50 is used, subject to the applicable claim reporting requirements.

What is included in the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

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 66940PPRRVU2026_Oct_nonQPP.csv, line 7,404 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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