CPT code 66985: Lens implantation, secondary implant2026 Medicare rate & RVUs in Ohio
Reports placement of an intraocular lens in an aphakic eye after the natural lens was removed in an earlier procedure.
In Ohio, Medicare pays $632.14 for 66985 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 66985 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 66985 covers
An ophthalmologist uses this service to place an intraocular lens in an eye that lacks its natural lens, typically after cataract extraction or other prior lens removal. It represents a later implant procedure, rather than lens placement during the same operation as cataract removal. The procedure is commonly performed in an operating room or ambulatory surgery center; the surgeon documents the eye’s lens status and the method used to position and secure the implant.
Report the code for the secondary implant, with laterality supported in the operative record. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted by statute; 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 Ohio compares for 66985
Across 109 of 109 payment localities, the facility rate for 66985 runs from $602.54 in Arkansas to $829.29 in Alaska. Ohio pays $632.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$632.14
- Los Angeles, CA · California$719.36+$87.22
- Washington, DC area · District of Columbia$733.89+$101.75
- Miami, FL · Florida$711.61+$79.47
- Chicago, IL · Illinois$696.65+$64.51
- Manhattan, NY · New York$744.71+$112.57
- Alaska · Alaska$829.29+$197.15
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $608.80 |
| ArkansasArkansas | — | $602.54 |
| ArizonaArizona | — | $645.34 |
| Bakersfield, CACalifornia | — | $684.02 |
| Chico, CACalifornia | — | $681.45 |
| El Centro, CACalifornia | — | $681.58 |
| Fresno, CACalifornia | — | $681.45 |
| Hanford, CACalifornia | — | $681.45 |
| Madera, CACalifornia | — | $681.45 |
| Merced, CACalifornia | — | $681.45 |
| Modesto, CACalifornia | — | $681.45 |
| Napa, CACalifornia | — | $763.88 |
| Oxnard, CACalifornia | — | $713.74 |
| Redding, CACalifornia | — | $681.45 |
| Rest of CaliforniaCalifornia | — | $681.45 |
| Riverside, CACalifornia | — | $690.14 |
| Sacramento, CACalifornia | — | $708.21 |
| Salinas, CACalifornia | — | $705.36 |
| San Diego, CACalifornia | — | $716.56 |
| Marin County, CACalifornia | — | $801.25 |
| San Francisco, CACalifornia | — | $800.36 |
| San Benito County, CACalifornia | — | $817.99 |
| Santa Clara County, CACalifornia | — | $814.32 |
| San Luis Obispo, CACalifornia | — | $694.66 |
| Santa Cruz, CACalifornia | — | $719.31 |
| Santa Maria, CACalifornia | — | $706.53 |
| Santa Rosa, CACalifornia | — | $726.23 |
| Stockton, CACalifornia | — | $681.45 |
| Vallejo, CACalifornia | — | $762.58 |
| Visalia, CACalifornia | — | $681.45 |
| Yuba City, CACalifornia | — | $681.45 |
| ColoradoColorado | — | $676.45 |
| ConnecticutConnecticut | — | $694.37 |
| DelawareDelaware | — | $653.94 |
| Fort Lauderdale, FLFlorida | — | $683.98 |
| Rest of FloridaFlorida | — | $658.42 |
| Atlanta, GAGeorgia | — | $669.86 |
| Rest of GeorgiaGeorgia | — | $630.54 |
| Hawaii, Guam, HIHawaii | — | $689.66 |
| IowaIowa | — | $616.64 |
| IdahoIdaho | — | $620.18 |
| East St. Louis, ILIllinois | — | $660.84 |
| Rest of IllinoisIllinois | — | $646.79 |
| Suburban Chicago, ILIllinois | — | $689.61 |
| IndianaIndiana | — | $622.67 |
| KansasKansas | — | $616.08 |
| KentuckyKentucky | — | $622.31 |
| New Orleans, LALouisiana | — | $644.12 |
| Rest of LouisianaLouisiana | — | $622.22 |
| Metropolitan Boston, MAMassachusetts | — | $728.70 |
| Rest of MassachusettsMassachusetts | — | $674.80 |
| Baltimore area, MDMaryland | — | $692.55 |
| Rest of MarylandMaryland | — | $663.44 |
| Rest of MaineMaine | — | $624.11 |
| Southern Maine, MEMaine | — | $646.16 |
| Detroit, MIMichigan | — | $666.01 |
| Rest of MichiganMichigan | — | $635.34 |
| MinnesotaMinnesota | — | $649.00 |
| Metropolitan Kansas City, MOMissouri | — | $639.31 |
| Metropolitan St. Louis, MOMissouri | — | $643.97 |
| Rest of MissouriMissouri | — | $615.57 |
| MississippiMississippi | — | $609.07 |
| MontanaMontana | — | $658.61 |
| North CarolinaNorth Carolina | — | $628.55 |
| North DakotaNorth Dakota | — | $642.99 |
| NebraskaNebraska | — | $618.59 |
| New HampshireNew Hampshire | — | $667.97 |
| Northern New JerseyNew Jersey | — | $730.10 |
| Rest of New JerseyNew Jersey | — | $702.50 |
| New MexicoNew Mexico | — | $638.46 |
| NevadaNevada | — | $654.57 |
| NYC suburbs and Long Island, NYNew York | — | $760.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $708.02 |
| Queens, NYNew York | — | $747.05 |
| Rest of New YorkNew York | — | $635.46 |
| OklahomaOklahoma | — | $619.90 |
| Portland, OROregon | — | $691.22 |
| Rest of OregonOregon | — | $649.60 |
| Metropolitan Philadelphia, PAPennsylvania | — | $682.21 |
| Rest of PennsylvaniaPennsylvania | — | $632.02 |
| Puerto RicoPuerto Rico | — | $661.65 |
| Rhode IslandRhode Island | — | $672.13 |
| South CarolinaSouth Carolina | — | $631.35 |
| South DakotaSouth Dakota | — | $641.14 |
| TennesseeTennessee | — | $618.49 |
| Austin, TXTexas | — | $674.13 |
| Beaumont, TXTexas | — | $629.14 |
| Brazoria, TXTexas | — | $652.70 |
| Dallas, TXTexas | — | $656.61 |
| Fort Worth, TXTexas | — | $653.88 |
| Galveston, TXTexas | — | $654.58 |
| Houston, TXTexas | — | $669.04 |
| Rest of TexasTexas | — | $640.43 |
| UtahUtah | — | $637.54 |
| VirginiaVirginia | — | $645.68 |
| Virgin Islands, VIUnited States Virgin Islands | — | $661.65 |
| VermontVermont | — | $642.56 |
| Rest of WashingtonWashington | — | $672.87 |
| King County, WAWashington | — | $739.84 |
| WisconsinWisconsin | — | $627.50 |
| West VirginiaWest Virginia | — | $629.78 |
| WyomingWyoming | — | $651.81 |
66985 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 66985 rate is calculated
Each of 66985’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 · 66985
RVUs × geographic indexes × conversion factor
Work9.73
9.73 RVUs× 1.000 GPCI
Practice expense9.20
9.20 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
19.7200
Conversion factor
$33.4009
Medicare rate
$658.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,408
- Code
- 66985
- Physician work
- 9.73
- Practice expense
- 9.20
- Malpractice
- 0.79
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.73 | × 1.000 | 9.7300 |
| Practice expense | 9.20 | × 0.913 | 8.3996 |
| Malpractice | 0.79 | × 1.008 | 0.7963 |
| Total RVUs | 18.9259 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$632.14
Facility: (9.73 × 1 + 9.2 × 0.913 + 0.79 × 1.008) × $33.4009 = $632.14
Payment rules and modifiers for 66985
66985 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66985
Lens implantation, secondary implant
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 66985
Lens implantation, secondary implant
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
66985 without 50 · national facility
$658.67
Lens implantation, secondary implant
66985-50 · Bilateral: 150%
$988.01
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).
How 66985 has changed in Ohio
66985 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $632.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $632.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $632.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $632.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $704.30 | RVU25D |
| 2025-07-01 | Not available in this setting | $704.30 | RVU25C |
| 2025-04-01 | Not available in this setting | $704.30 | RVU25B |
| 2025-01-01 | Not available in this setting | $704.30 | RVU25A |
| 2024-10-01 | Not available in this setting | $725.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $725.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $725.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $725.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $713.77 | RVU24A |
| 2023-10-01 | Not available in this setting | $732.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $732.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $732.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $732.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $738.50 | RVU22D |
| 2022-07-01 | Not available in this setting | $738.50 | RVU22C |
| 2022-04-01 | Not available in this setting | $738.50 | RVU22B |
| 2022-01-01 | Not available in this setting | $738.50 | RVU22A |
| 2021-10-01 | Not available in this setting | $741.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $741.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $741.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $741.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $751.33 | RVU20D |
| 2020-07-01 | Not available in this setting | $751.33 | RVU20C |
| 2020-04-01 | Not available in this setting | $751.33 | RVU20B |
| 2020-01-01 | Not available in this setting | $751.33 | RVU20A |
| 2019-10-01 | Not available in this setting | $754.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $754.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $754.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $754.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $757.00 | RVU18D |
| 2018-07-01 | Not available in this setting | $757.00 | RVU18C |
| 2018-04-01 | Not available in this setting | $757.00 | RVU18B |
| 2018-01-01 | Not available in this setting | $757.00 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $750.31 | RVU17D |
| 2017-07-01 | Not available in this setting | $750.31 | RVU17C |
| 2017-04-01 | Not available in this setting | $750.31 | RVU17B |
| 2017-01-01 | Not available in this setting | $750.31 | RVU17A |
| 2016-10-01 | Not available in this setting | $748.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $748.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $748.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $748.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $749.47 | RVU15D |
| 2015-07-01 | Not available in this setting | $749.47 | RVU15C |
| 2015-04-01 | Not available in this setting | $745.74 | RVU15B |
| 2015-01-01 | Not available in this setting | $745.74 | RVU15A |
| 2014-10-01 | Not available in this setting | $774.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $774.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $774.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $774.74 | RVU14A |
| 2013-10-01 | Not available in this setting | $775.91 | RVU13D |
| 2013-07-01 | Not available in this setting | $775.91 | RVU13C |
| 2013-04-01 | Not available in this setting | $775.91 | RVU13B |
| 2013-01-01 | Not available in this setting | $775.91 | RVU13AR |
Where the Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
66985 billing questions
How is this different from 66984?
66985 is for implanting a lens after the natural lens was removed in an earlier procedure. 66984 describes cataract removal with lens implantation during the same operation.
When would 66986 be considered instead?
66986 is for exchanging an existing intraocular lens. Use 66985 when the eye needs a secondary implant rather than replacement of an implant already in place.
What documentation supports 66985?
Document the eye’s aphakic status, the reason for secondary implantation, laterality, and operative details of lens placement and fixation.
How does the bilateral payment rule work?
CMS pays 150% when the bilateral procedure is reported with modifier 50. The operative documentation should support treatment of both eyes.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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