CPT code 66984: Cataract surgery, standard, without ECP or drainage device2026 Medicare rate & RVUs in Montana

Report 66984 for standard extracapsular cataract removal with intraocular lens implantation when complex techniques, endoscopic cyclophotocoagulation, and qualifying drainage-device insertion are absent.

CMS RVU26DEffective Oct 1, 2026One payment locality8.3M Medicare services in 2024

In Montana, Medicare pays $462.57 for 66984 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$462.57Hospital or facility

Check a contract rate as a % of Medicare · 66984 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 66984 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 66984 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 66984 covers

Ophthalmologists typically perform this operation in ambulatory surgery centers or hospital outpatient departments. The surgeon removes the cloudy lens while retaining the capsule needed to support an intraocular lens, usually using phacoemulsification, and implants the lens in the same session. Capsulorrhexis, irrigation and aspiration, viscoelastic use, and wound construction are part of the operation. The operative report should identify the eye treated, lens implantation, and any devices or techniques used.

Report 66984 when the case does not require the devices or techniques that define complex cataract surgery under 66982. Identify a unilateral eye with RT or LT; use modifier 79 for surgery on the other eye during the first eye’s global period. The 90-day global includes the day-before preoperative visit and related postoperative care. Surgical care and transferred postoperative care can be split with modifiers 54 and 55. Same-session bilateral surgery with modifier 50 is paid at 150%. For other same-session procedures, CMS pays the highest-valued procedure in full and reduces others to 50%. Assistant surgery is statutorily unpaid; 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.

How Montana compares for 66984

Across 109 of 109 payment localities, the facility rate for 66984 runs from $424.94 in Arkansas to $587.58 in Alaska. Montana pays $462.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

66984 in Montana vs other payment areas
  1. Montana · this page$462.57
  2. Los Angeles, CA · California$503.89+$41.32
  3. Washington, DC area · District of Columbia$514.08+$51.51
  4. Miami, FL · Florida$498.59+$36.02
  5. Chicago, IL · Illinois$488.66+$26.09
  6. Manhattan, NY · New York$521.72+$59.15
  7. Alaska · Alaska$587.58+$125.01

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

Every other payment area

66984 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$429.14
ArkansasArkansas—$424.94
ArizonaArizona—$453.65
Bakersfield, CACalifornia—$479.79
Chico, CACalifornia—$477.99
El Centro, CACalifornia—$478.08
Fresno, CACalifornia—$477.99
Hanford, CACalifornia—$477.99

66984 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
66984 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 66984 in every payment locality

How the 66984 rate is calculated

Each of 66984’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 · 66984

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.17

7.17 RVUs× 1.000 GPCI

Practice expense6.14

6.14 RVUs× 1.000 GPCI

Malpractice0.54

0.54 RVUs× 1.000 GPCI

Adjusted RVUs

13.8500

Conversion factor

$33.4009

Medicare rate

$462.60

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,407

Code
66984
Physician work
7.17
Practice expense
6.14
Malpractice
0.54

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 66984 in Montana
ComponentRVULocality factorAdjusted
Physician work7.17× 1.0007.1700
Practice expense6.14× 1.0006.1400
Malpractice0.54× 0.9980.5389
Total RVUs13.8489
Conversion factor× 33.4009

Facility rate, Montana$462.57

Facility: (7.17 × 1 + 6.14 × 1 + 0.54 × 0.998) × $33.4009 = $462.57

Open 66984 in the RVU calculator

Payment rules and modifiers for 66984

66984 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 66984

Cataract surgery, standard, without ECP or drainage device

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 · 66984

Cataract surgery, standard, without ECP or drainage device

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

66984 without 50 · national facility

$462.60

Cataract surgery, standard, without ECP or drainage device

66984-50 · Bilateral: 150%

$693.90

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 66984 has changed in Montana

66984 · 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$462.57RVU26D
2026-07-01Not available in this setting$462.57RVU26C
2026-04-01Not available in this setting$462.57RVU26B
2026-01-01Not available in this setting$462.57RVU26A
2025-10-01Not available in this setting$521.36RVU25D
2025-07-01Not available in this setting$521.36RVU25C
2025-04-01Not available in this setting$521.36RVU25B
2025-01-01Not available in this setting$521.36RVU25A
2024-10-01Not available in this setting$536.86RVU24D
2024-07-01Not available in this setting$536.86RVU24C
2024-04-01Not available in this setting$536.86RVU24B
2024-03-09Not available in this setting$536.86RVU24AR
2024-01-01Not available in this setting$528.10RVU24A
2023-10-01Not available in this setting$541.45RVU23D
2023-07-01Not available in this setting$541.45RVU23C
2023-04-01Not available in this setting$541.45RVU23B
2023-01-01Not available in this setting$541.45RVU23A
2022-10-01Not available in this setting$544.26RVU22D
2022-07-01Not available in this setting$544.26RVU22C
2022-04-01Not available in this setting$544.26RVU22B
2022-01-01Not available in this setting$544.26RVU22A
2021-10-01Not available in this setting$547.75RVU21D
2021-07-01Not available in this setting$547.75RVU21C
2021-04-01Not available in this setting$547.75RVU21B
2021-01-01Not available in this setting$547.75RVU21A
2020-10-01Not available in this setting$563.40RVU20D
2020-07-01Not available in this setting$563.40RVU20C
2020-04-01Not available in this setting$563.40RVU20B
2020-01-01Not available in this setting$563.40RVU20A
2019-10-01Not available in this setting$668.11RVU19D
2019-07-01Not available in this setting$668.11RVU19C
2019-04-01Not available in this setting$668.11RVU19B
2019-01-01Not available in this setting$668.11RVU19A
2018-10-01Not available in this setting$669.90RVU18D
2018-07-01Not available in this setting$669.90RVU18C
2018-04-01Not available in this setting$669.90RVU18B
2018-01-01Not available in this setting$669.90RVU18AR1
2017-10-01Not available in this setting$660.41RVU17D
2017-07-01Not available in this setting$660.41RVU17C
2017-04-01Not available in this setting$660.41RVU17B
2017-01-01Not available in this setting$660.41RVU17A
2016-10-01Not available in this setting$653.35RVU16D
2016-07-01Not available in this setting$653.35RVU16C
2016-04-01Not available in this setting$653.35RVU16B
2016-01-01Not available in this setting$653.35RVU16A
2015-10-01Not available in this setting$655.35RVU15D
2015-07-01Not available in this setting$655.35RVU15C
2015-04-01Not available in this setting$652.09RVU15B
2015-01-01Not available in this setting$652.09RVU15A
2014-10-01Not available in this setting$680.68RVU14D
2014-07-01Not available in this setting$680.68RVU14C
2014-04-01Not available in this setting$680.68RVU14B
2014-01-01Not available in this setting$680.68RVU14A
2013-10-01Not available in this setting$672.57RVU13D
2013-07-01Not available in this setting$672.57RVU13C
2013-04-01Not available in this setting$672.57RVU13B
2013-01-01Not available in this setting$672.57RVU13AR

Price 66984 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

66984 billing questions

When should 66982 be reported instead of 66984?

Use 66982 when the operative report documents qualifying complex techniques or devices, such as an iris expansion device, capsular tension ring, sutured IOL support, or primary posterior capsulorrhexis. A dense cataract or small pupil alone does not establish that those techniques were used.

How is the second eye billed when surgery is done a few weeks after the first?

Report the second eye’s surgery with the appropriate eye modifier and modifier 79 because it is unrelated to the first eye’s postoperative care. The second eye has its own global period.

How is postoperative care shared with an optometrist?

The surgeon reports 66984 with modifier 54 for surgical care, and the comanaging optometrist reports 66984 with modifier 55 for transferred postoperative care. Both providers should document the transfer and its effective date.

Can a trabecular bypass device or ECP be billed separately with 66984?

For a qualifying internal-approach aqueous drainage device without an external reservoir, use combined code 66991 instead of adding the device insertion to 66984. For cataract surgery combined with endoscopic cyclophotocoagulation, use 66988 instead of 66984.

Can an assistant surgeon be billed for this case?

CMS does not pay an assistant at surgery for 66984 because of a statutory restriction. Co-surgeons and team surgery are not permitted.

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 66984PPRRVU2026_Oct_nonQPP.csv, line 7,407 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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