CPT code 66989: Cataract surgery, complex with drainage device2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $721.55 for 66989 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 66989 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 66989 covers

An ophthalmologist removes the cataract, places an intraocular lens during the same procedure, and inserts an aqueous drainage device internally into the trabecular meshwork to improve aqueous outflow. The cataract portion must be complex, involving a device or technique not generally used in routine surgery; examples include an iris expansion device, suture support for the lens implant, or primary posterior capsulorrhexis. These combined procedures are typically performed in an operating room at an ambulatory surgery center or hospital.

Report this code when both the complex cataract procedure and the specified trabecular drainage-device insertion are performed. The operative record should support the complex technique or device and document the lens implantation and drainage-device placement. CMS assigns a 90-day major-surgery 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 others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to statutory nonpayment; 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 Puerto Rico compares for 66989

Across 109 of 109 payment localities, the facility rate for 66989 runs from $662.58 in Arkansas to $921.60 in Alaska. Puerto Rico pays $721.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

66989 rates by state

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

See 66989 in every payment locality

How the 66989 rate is calculated

Each of 66989’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 66989

66989 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 66989

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

How 66989 has changed in Puerto Rico

Price 66989 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