CPT code 66985: Lens implantation, secondary implant2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $661.65 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.

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 Puerto Rico 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. Puerto Rico pays $661.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66985 rates by state

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

See 66985 in every payment locality

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.

Payment rules and modifiers for 66985

66985 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 66985

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

How 66985 has changed in Puerto Rico

Price 66985 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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