Billing code 66250: Eye wound repairMedicare rate & RVUs
Reports surgical revision or repair of a prior operative wound in the eye’s anterior segment, such as a leaking incision after cataract surgery.
Medicare pays $751.52 for 66250 nationally in the office and $477.97 in a hospital or facility. Local office rates run $671.83–$990.31.
Medicare rate · 66250
Eye wound repair
Swap in your local Medicare rate.
- Work RVUs
- 6.92
- Total RVUs
- 22.50
- Global days
- 090
National rate · 2026
$751.52
Office setting, before claim adjustments.
See every locality for 66250 → · Billed by an NP, PA or therapist? →
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 10 sections
What 66250 covers
66250 is used when a surgeon revises or repairs a prior surgical wound in the anterior segment, rather than performing a new primary operation or repairing a traumatic laceration. Typical cases include correcting a leaking or poorly healing incision after cataract or glaucoma surgery. An ophthalmologist performs the work in a surgical setting. The operative report should identify the prior procedure, the anterior-segment wound problem, and the corrective work performed.
CMS classifies this as major surgery with a 90-day global period: the day-before preoperative visit and related postoperative care during the 90 days are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral surgery reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; 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.
Where 66250 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$671.83 to $990.31
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $680.80 | $441.44 |
| Alaska* | $891.47 | $600.14 |
| Arizona | $733.31 | $468.24 |
| Arkansas | $671.83 | $436.84 |
| Atlanta | $763.94 | $486.01 |
| Austin | $779.01 | $489.59 |
| Bakersfield | $796.92 | $497.11 |
| Baltimore/Surr. Cntys | $796.22 | $502.70 |
| Beaumont | $705.03 | $456.10 |
| Brazoria | $744.81 | $473.72 |
| Chicago | $779.44 | $504.52 |
| Chico | $795.12 | $495.30 |
| Colorado | $782.40 | $491.34 |
| Connecticut | $798.66 | $504.04 |
| Dallas | $748.98 | $476.52 |
| Dc + Md/Va Suburbs | $855.44 | $533.19 |
| Delaware | $744.80 | $474.53 |
| Detroit | $746.55 | $482.57 |
| East St. Louis | $729.99 | $478.32 |
| El Centro | $795.21 | $495.40 |
| Fort Lauderdale | $772.89 | $495.78 |
| Fort Worth | $744.20 | $474.48 |
| Fresno | $795.12 | $495.30 |
| Galveston | $746.70 | $475.06 |
| Hanford-Corcoran | $795.12 | $495.30 |
| Hawaii, Guam | $812.56 | $501.53 |
| Houston | $756.76 | $485.12 |
| Idaho | $701.68 | $450.01 |
| Indiana | $705.43 | $451.85 |
| Iowa | $697.77 | $447.47 |
| Kansas | $694.21 | $446.92 |
| Kentucky | $694.24 | $451.05 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $846.69 | $523.08 |
| Madera | $795.12 | $495.30 |
| Manhattan | $858.40 | $540.54 |
| Merced | $795.12 | $495.30 |
| Metropolitan Boston | $856.37 | $529.74 |
| Metropolitan Kansas City | $720.47 | $463.61 |
| Metropolitan Philadelphia | $779.81 | $495.04 |
| Metropolitan St. Louis | $727.46 | $467.04 |
| Miami | $800.19 | $515.42 |
| Minnesota | $753.15 | $471.66 |
| Mississippi | $676.95 | $441.42 |
| Modesto | $795.12 | $495.30 |
| Montana** | $751.48 | $477.93 |
| Napa | $916.68 | $556.14 |
| Nebraska | $701.44 | $448.95 |
| Nevada** | $748.95 | $475.13 |
| New Hampshire | $769.81 | $485.04 |
| New Mexico | $713.55 | $462.70 |
| New Orleans | $724.40 | $466.99 |
| North Carolina | $711.25 | $456.03 |
| North Dakota** | $740.61 | $467.05 |
| Northern Nj | $847.65 | $530.33 |
| Nyc Suburbs/Long Island | $876.94 | $551.68 |
| Ohio | $707.99 | $458.24 |
| Oklahoma | $693.71 | $449.42 |
| Oxnard-Thousand Oaks-Ventura | $842.43 | $519.09 |
| Portland | $806.24 | $502.32 |
| Poughkpsie/N Nyc Suburbs | $813.47 | $513.93 |
| Puerto Rico | $756.77 | $480.20 |
| Queens | $865.80 | $542.46 |
| Redding | $795.12 | $495.30 |
| Rest Of California | $795.12 | $495.30 |
| Rest Of Florida | $738.67 | $477.15 |
| Rest Of Georgia | $700.83 | $456.82 |
| Rest Of Illinois | $718.19 | $468.43 |
| Rest Of Louisiana | $693.02 | $450.92 |
| Rest Of Maine | $704.41 | $452.75 |
| Rest Of Maryland | $758.35 | $481.51 |
| Rest Of Massachusetts | $778.10 | $490.04 |
| Rest Of Michigan | $710.21 | $460.46 |
| Rest Of Missouri | $681.76 | $445.96 |
| Rest Of New Jersey | $808.73 | $510.01 |
| Rest Of New York | $720.96 | $461.09 |
| Rest Of Oregon | $744.06 | $471.60 |
| Rest Of Pennsylvania | $709.34 | $458.22 |
| Rest Of Texas | $724.14 | $464.53 |
| Rest Of Washington | $776.74 | $488.69 |
| Rhode Island | $770.49 | $487.91 |
| Riverside-San Bernardino-Ontario | $801.17 | $501.36 |
| Sacramento-Roseville-Folsom | $833.15 | $515.00 |
| Salinas | $829.98 | $512.93 |
| San Diego-Chula Vista-Carlsbad | $848.44 | $521.27 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $969.37 | $583.66 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $968.74 | $583.03 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $990.31 | $595.85 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $987.76 | $593.29 |
| San Luis Obispo-Paso Robles | $816.71 | $505.13 |
| Santa Cruz-Watsonville | $855.78 | $523.42 |
| Santa Maria-Santa Barbara | $832.80 | $513.84 |
| Santa Rosa-Petaluma | $864.39 | $528.47 |
| Seattle (King Cnty) | $873.67 | $538.02 |
| South Carolina | $710.61 | $457.85 |
| South Dakota** | $739.32 | $465.77 |
| Southern Maine | $740.22 | $469.13 |
| Stockton | $795.12 | $495.30 |
| Suburban Chicago | $780.87 | $499.94 |
| Tennessee | $697.33 | $448.67 |
| Utah | $719.53 | $462.39 |
| Vallejo | $915.78 | $555.24 |
| Vermont | $737.43 | $466.61 |
| Virgin Islands | $756.77 | $480.20 |
| Virginia | $737.59 | $468.68 |
| Visalia | $795.12 | $495.30 |
| West Virginia | $693.67 | $455.96 |
| Wisconsin | $717.72 | $455.66 |
| Wyoming** | $746.74 | $473.19 |
| Yuba City | $795.12 | $495.30 |
66250 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.
$671.83
$892.71
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $891.47 | 1 |
| AL | $680.80 | 1 |
| AR | $671.83 | 1 |
| AZ | $733.31 | 1 |
| CA | $795.12–$990.31 | 29 |
| CO | $782.40 | 1 |
| CT | $798.66 | 1 |
| DC | $855.44 | 1 |
| DE | $744.80 | 1 |
| FL | $738.67–$800.19 | 3 |
| GA | $700.83–$763.94 | 2 |
| GU | $812.56 | 1 |
| HI | $812.56 | 1 |
| IA | $697.77 | 1 |
| ID | $701.68 | 1 |
| IL | $718.19–$780.87 | 4 |
| IN | $705.43 | 1 |
| KS | $694.21 | 1 |
| KY | $694.24 | 1 |
| LA | $693.02–$724.40 | 2 |
| MA | $778.10–$856.37 | 2 |
| MD | $758.35–$855.44 | 3 |
| ME | $704.41–$740.22 | 2 |
| MI | $710.21–$746.55 | 2 |
| MN | $753.15 | 1 |
| MO | $681.76–$727.46 | 3 |
| MS | $676.95 | 1 |
| MT | $751.48 | 1 |
| NC | $711.25 | 1 |
| ND | $740.61 | 1 |
| NE | $701.44 | 1 |
| NH | $769.81 | 1 |
| NJ | $808.73–$847.65 | 2 |
| NM | $713.55 | 1 |
| NV | $748.95 | 1 |
| NY | $720.96–$876.94 | 5 |
| OH | $707.99 | 1 |
| OK | $693.71 | 1 |
| OR | $744.06–$806.24 | 2 |
| PA | $709.34–$779.81 | 2 |
| PR | $756.77 | 1 |
| RI | $770.49 | 1 |
| SC | $710.61 | 1 |
| SD | $739.32 | 1 |
| TN | $697.33 | 1 |
| TX | $705.03–$779.01 | 8 |
| UT | $719.53 | 1 |
| VA | $737.59–$855.44 | 2 |
| VI | $756.77 | 1 |
| VT | $737.43 | 1 |
| WA | $776.74–$873.67 | 2 |
| WI | $717.72 | 1 |
| WV | $693.67 | 1 |
| WY | $746.74 | 1 |
How the 66250 rate is calculated
Each of 66250’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 · 66250
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.92Practice expense 15.03Malpractice 0.55
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 66250
66250 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 66250
Eye wound repair
| 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) | 0 | Not permitted. |
| 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 · 66250
Eye wound repair
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
66250 without 50 · national office
$751.52
Eye wound repair
66250-50 · Bilateral: 150%
$1,127.28
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).
66250 compared with similar codes
Compare codes
66250 vs 65285 vs 66172: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 65285Eye wound repair
- Choose 65285 for repair of a perforating corneal or scleral laceration. Choose 66250 when the wound being corrected is from prior surgery in the anterior segment.
- 66172Glaucoma surgery
- 66172 describes glaucoma filtration surgery in an eye with scarring from prior surgery or trauma. 66250 is for correcting a prior operative wound, not performing that glaucoma procedure.
66250 billing questions
When should 66250 be chosen instead of a traumatic wound repair code?
Use 66250 for revision or repair of a prior operative wound in the anterior segment. Traumatic corneal or scleral lacerations are reported with the applicable injury-repair code.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, as is the preoperative visit on the day before surgery.
How is bilateral repair handled?
When both eyes are treated and the service is reported with modifier 50, CMS pays 150%.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What if another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
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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