CPT code 66985: Lens implantation, secondary implant2026 Medicare rate & RVUs in South Dakota

Reports placement of an intraocular lens in an aphakic eye after the natural lens was removed in an earlier procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality5.4K Medicare services in 2024

In South Dakota, Medicare pays $641.14 for 66985 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$641.14Hospital or facility

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.

We’ll open 66985 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 66985 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 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 South Dakota 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. South Dakota pays $641.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

66985 in South Dakota vs other payment areas
  1. South Dakota · this page$641.14
  2. Los Angeles, CA · California$719.36+$78.22
  3. Washington, DC area · District of Columbia$733.89+$92.75
  4. Miami, FL · Florida$711.61+$70.47
  5. Chicago, IL · Illinois$696.65+$55.51
  6. Manhattan, NY · New York$744.71+$103.57
  7. Alaska · Alaska$829.29+$188.15

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

Every other payment area

66985 in every other Medicare payment locality
Payment localityOfficeFacility
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

66985 rates by state

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

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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
66985 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 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.

How the rate is built · 66985

RVUs × geographic indexes × conversion factor

Office or facility?

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 66985 in South Dakota
ComponentRVULocality factorAdjusted
Physician work9.73× 1.0009.7300
Practice expense9.20× 1.0009.2000
Malpractice0.79× 0.3360.2654
Total RVUs19.1954
Conversion factor× 33.4009

Facility rate, South Dakota$641.14

Facility: (9.73 × 1 + 9.2 × 1 + 0.79 × 0.336) × $33.4009 = $641.14

Open 66985 in the RVU calculator

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

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)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 · 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.

  • 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

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).

When to use modifier 50

How 66985 has changed in South Dakota

66985 · 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$641.14RVU26D
2026-07-01Not available in this setting$641.14RVU26C
2026-04-01Not available in this setting$641.14RVU26B
2026-01-01Not available in this setting$641.14RVU26A
2025-10-01Not available in this setting$722.35RVU25D
2025-07-01Not available in this setting$722.35RVU25C
2025-04-01Not available in this setting$722.35RVU25B
2025-01-01Not available in this setting$722.35RVU25A
2024-10-01Not available in this setting$744.78RVU24D
2024-07-01Not available in this setting$744.78RVU24C
2024-04-01Not available in this setting$744.78RVU24B
2024-03-09Not available in this setting$744.78RVU24AR
2024-01-01Not available in this setting$732.62RVU24A
2023-10-01Not available in this setting$750.03RVU23D
2023-07-01Not available in this setting$750.03RVU23C
2023-04-01Not available in this setting$750.03RVU23B
2023-01-01Not available in this setting$750.03RVU23A
2022-10-01Not available in this setting$753.28RVU22D
2022-07-01Not available in this setting$753.28RVU22C
2022-04-01Not available in this setting$753.28RVU22B
2022-01-01Not available in this setting$753.28RVU22A
2021-10-01Not available in this setting$756.72RVU21D
2021-07-01Not available in this setting$756.72RVU21C
2021-04-01Not available in this setting$756.72RVU21B
2021-01-01Not available in this setting$756.72RVU21A
2020-10-01Not available in this setting$767.44RVU20D
2020-07-01Not available in this setting$767.44RVU20C
2020-04-01Not available in this setting$767.44RVU20B
2020-01-01Not available in this setting$767.44RVU20A
2019-10-01Not available in this setting$772.18RVU19D
2019-07-01Not available in this setting$772.18RVU19C
2019-04-01Not available in this setting$772.18RVU19B
2019-01-01Not available in this setting$772.18RVU19A
2018-10-01Not available in this setting$774.93RVU18D
2018-07-01Not available in this setting$774.93RVU18C
2018-04-01Not available in this setting$774.93RVU18B
2018-01-01Not available in this setting$774.93RVU18AR1
2017-10-01Not available in this setting$767.68RVU17D
2017-07-01Not available in this setting$767.68RVU17C
2017-04-01Not available in this setting$767.68RVU17B
2017-01-01Not available in this setting$767.68RVU17A
2016-10-01Not available in this setting$765.42RVU16D
2016-07-01Not available in this setting$765.42RVU16C
2016-04-01Not available in this setting$765.42RVU16B
2016-01-01Not available in this setting$765.42RVU16A
2015-10-01Not available in this setting$766.75RVU15D
2015-07-01Not available in this setting$766.75RVU15C
2015-04-01Not available in this setting$762.93RVU15B
2015-01-01Not available in this setting$762.93RVU15A
2014-10-01Not available in this setting$774.55RVU14D
2014-07-01Not available in this setting$774.55RVU14C
2014-04-01Not available in this setting$774.55RVU14B
2014-01-01Not available in this setting$774.55RVU14A
2013-10-01Not available in this setting$770.53RVU13D
2013-07-01Not available in this setting$770.53RVU13C
2013-04-01Not available in this setting$770.53RVU13B
2013-01-01Not available in this setting$770.53RVU13AR

Price 66985 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 66985PPRRVU2026_Oct_nonQPP.csv, line 7,408 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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