No office rate
66840 describes lens-material removal by aspiration; 66852 is selected when the surgeon uses the pars plana approach.
On this page
CMS RVU26D · Effective 2026-10-01
66852 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$725.38
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Ophthalmology surgery
About 66852: Pars plana lens-material removal
Reports posterior-approach removal of lens material, often retained fragments after cataract surgery, with vitrectomy performed when needed.
An ophthalmologist, often a vitreoretinal surgeon, uses a pars plana approach to remove lens material from inside the eye. A common situation is retained or dropped cataract fragments that require posterior-segment access; vitrectomy may be performed as part of that removal. The procedure is typically done in an operating room or ambulatory surgery center, rather than as routine cataract extraction through an anterior approach.
Select this code for lens-material removal by the pars plana route, not based solely on whether vitrectomy was performed. The operative report should identify the lens material removed and the approach; vitrectomy needed for that removal is included. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is not permitted.
CMS billing rules for 66852
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.12 · 52%
- Practice expense (office) RVU9.25 · 44%
- Malpractice RVU0.89 · 4%
1.2K
Medicare services in 2024 · #2818 by national volume
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.
66852 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
66850 describes removal using phacofragmentation with aspiration. Use 66852 for pars plana removal of lens material.
No office rate
66830 addresses removal of a secondary membranous cataract, not retained lens material removed through a pars plana approach.
No office rate
67036 describes pars plana vitrectomy. With 66852, vitrectomy performed as part of lens-material removal is included; 67036 concerns vitrectomy work without that lens-material removal.
The same code, a different location
How does Austin compare?
66852 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 66852
Office
Unavailable
Facility
$691.46
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 66852
Office
Unavailable
Facility
$771.88
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 66852
Office
Unavailable
Facility
$788.51
No comparable office rate is available.
Miami
Florida · 66852
Office
Unavailable
Facility
$768.22
No comparable office rate is available.
Chicago
Illinois · 66852
Office
Unavailable
Facility
$752.74
No comparable office rate is available.
Manhattan
New York · 66852
Office
Unavailable
Facility
$801.35
No comparable office rate is available.
Alaska*
Alaska · 66852
Office
Unavailable
Facility
$902.55
No comparable office rate is available.
Alabama
Alabama · 66852
Office
Unavailable
Facility
$658.58
No comparable office rate is available.
Arkansas
Arkansas · 66852
Office
Unavailable
Facility
$652.12
No comparable office rate is available.
Arizona
Arizona · 66852
Office
Unavailable
Facility
$696.24
No comparable office rate is available.
Bakersfield
California · 66852
Office
Unavailable
Facility
$735.20
No comparable office rate is available.
Chico
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
El Centro
California · 66852
Office
Unavailable
Facility
$732.43
No comparable office rate is available.
Fresno
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Hanford-Corcoran
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Madera
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Merced
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Modesto
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Napa
California · 66852
Office
Unavailable
Facility
$817.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 66852
Office
Unavailable
Facility
$765.53
No comparable office rate is available.
Redding
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Rest Of California
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 66852
Office
Unavailable
Facility
$742.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 66852
Office
Unavailable
Facility
$760.04
No comparable office rate is available.
Salinas
California · 66852
Office
Unavailable
Facility
$756.95
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 66852
Office
Unavailable
Facility
$768.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 66852
Office
Unavailable
Facility
$855.98
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 66852
Office
Unavailable
Facility
$854.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 66852
Office
Unavailable
Facility
$873.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 66852
Office
Unavailable
Facility
$869.59
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 66852
Office
Unavailable
Facility
$745.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 66852
Office
Unavailable
Facility
$770.54
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 66852
Office
Unavailable
Facility
$758.00
No comparable office rate is available.
Santa Rosa-Petaluma
California · 66852
Office
Unavailable
Facility
$777.89
No comparable office rate is available.
Stockton
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Vallejo
California · 66852
Office
Unavailable
Facility
$815.67
No comparable office rate is available.
Visalia
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Yuba City
California · 66852
Office
Unavailable
Facility
$732.28
No comparable office rate is available.
Colorado
Colorado · 66852
Office
Unavailable
Facility
$727.82
No comparable office rate is available.
Connecticut
Connecticut · 66852
Office
Unavailable
Facility
$747.56
No comparable office rate is available.
Delaware
Delaware · 66852
Office
Unavailable
Facility
$705.25
No comparable office rate is available.
Fort Lauderdale
Florida · 66852
Office
Unavailable
Facility
$738.14
No comparable office rate is available.
Rest Of Florida
Florida · 66852
Office
Unavailable
Facility
$711.46
No comparable office rate is available.
Atlanta
Georgia · 66852
Office
Unavailable
Facility
$722.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 66852
Office
Unavailable
Facility
$682.44
No comparable office rate is available.
Hawaii, Guam
Hawaii · 66852
Office
Unavailable
Facility
$739.92
No comparable office rate is available.
Iowa
Iowa · 66852
Office
Unavailable
Facility
$665.92
No comparable office rate is available.
Idaho
Idaho · 66852
Office
Unavailable
Facility
$669.72
No comparable office rate is available.
East St. Louis
Illinois · 66852
Office
Unavailable
Facility
$715.53
No comparable office rate is available.
Rest Of Illinois
Illinois · 66852
Office
Unavailable
Facility
$699.96
No comparable office rate is available.
Suburban Chicago
Illinois · 66852
Office
Unavailable
Facility
$743.99
No comparable office rate is available.
Indiana
Indiana · 66852
Office
Unavailable
Facility
$672.27
No comparable office rate is available.
Kansas
Kansas · 66852
Office
Unavailable
Facility
$665.70
No comparable office rate is available.
Kentucky
Kentucky · 66852
Office
Unavailable
Facility
$673.28
No comparable office rate is available.
New Orleans
Louisiana · 66852
Office
Unavailable
Facility
$695.92
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 66852
Office
Unavailable
Facility
$673.32
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 66852
Office
Unavailable
Facility
$782.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 66852
Office
Unavailable
Facility
$726.39
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 66852
Office
Unavailable
Facility
$745.65
No comparable office rate is available.
Rest Of Maryland
Maryland · 66852
Office
Unavailable
Facility
$715.09
No comparable office rate is available.
Rest Of Maine
Maine · 66852
Office
Unavailable
Facility
$674.15
No comparable office rate is available.
Southern Maine
Maine · 66852
Office
Unavailable
Facility
$696.35
No comparable office rate is available.
Detroit
Michigan · 66852
Office
Unavailable
Facility
$719.68
No comparable office rate is available.
Rest Of Michigan
Michigan · 66852
Office
Unavailable
Facility
$687.06
No comparable office rate is available.
Minnesota
Minnesota · 66852
Office
Unavailable
Facility
$698.14
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 66852
Office
Unavailable
Facility
$690.57
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 66852
Office
Unavailable
Facility
$695.33
No comparable office rate is available.
Rest Of Missouri
Missouri · 66852
Office
Unavailable
Facility
$666.69
No comparable office rate is available.
Mississippi
Mississippi · 66852
Office
Unavailable
Facility
$659.40
No comparable office rate is available.
Montana**
Montana · 66852
Office
Unavailable
Facility
$710.04
No comparable office rate is available.
North Carolina
North Carolina · 66852
Office
Unavailable
Facility
$678.67
No comparable office rate is available.
North Dakota**
North Dakota · 66852
Office
Unavailable
Facility
$692.45
No comparable office rate is available.
Nebraska
Nebraska · 66852
Office
Unavailable
Facility
$667.82
No comparable office rate is available.
New Hampshire
New Hampshire · 66852
Office
Unavailable
Facility
$719.05
No comparable office rate is available.
Northern Nj
New Jersey · 66852
Office
Unavailable
Facility
$784.96
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 66852
Office
Unavailable
Facility
$756.27
No comparable office rate is available.
New Mexico
New Mexico · 66852
Office
Unavailable
Facility
$690.43
No comparable office rate is available.
Nevada**
Nevada · 66852
Office
Unavailable
Facility
$705.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 66852
Office
Unavailable
Facility
$817.74
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 66852
Office
Unavailable
Facility
$762.41
No comparable office rate is available.
Queens
New York · 66852
Office
Unavailable
Facility
$803.24
No comparable office rate is available.
Rest Of New York
New York · 66852
Office
Unavailable
Facility
$685.83
No comparable office rate is available.
Ohio
Ohio · 66852
Office
Unavailable
Facility
$683.46
No comparable office rate is available.
Oklahoma
Oklahoma · 66852
Office
Unavailable
Facility
$670.42
No comparable office rate is available.
Portland
Oregon · 66852
Office
Unavailable
Facility
$742.73
No comparable office rate is available.
Rest Of Oregon
Oregon · 66852
Office
Unavailable
Facility
$700.04
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 66852
Office
Unavailable
Facility
$735.19
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 66852
Office
Unavailable
Facility
$683.13
No comparable office rate is available.
Puerto Rico
Puerto Rico · 66852
Office
Unavailable
Facility
$713.06
No comparable office rate is available.
Rhode Island
Rhode Island · 66852
Office
Unavailable
Facility
$724.15
No comparable office rate is available.
South Carolina
South Carolina · 66852
Office
Unavailable
Facility
$682.16
No comparable office rate is available.
South Dakota**
South Dakota · 66852
Office
Unavailable
Facility
$690.36
No comparable office rate is available.
Tennessee
Tennessee · 66852
Office
Unavailable
Facility
$668.22
No comparable office rate is available.
Utah
Utah · 66852
Office
Unavailable
Facility
$688.53
No comparable office rate is available.
Virginia
Virginia · 66852
Office
Unavailable
Facility
$696.11
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 66852
Office
Unavailable
Facility
$713.06
No comparable office rate is available.
Vermont
Vermont · 66852
Office
Unavailable
Facility
$692.33
No comparable office rate is available.
Rest Of Washington
Washington · 66852
Office
Unavailable
Facility
$724.20
No comparable office rate is available.
Seattle (King Cnty)
Washington · 66852
Office
Unavailable
Facility
$793.37
No comparable office rate is available.
Wisconsin
Wisconsin · 66852
Office
Unavailable
Facility
$676.56
No comparable office rate is available.
West Virginia
West Virginia · 66852
Office
Unavailable
Facility
$682.44
No comparable office rate is available.
Wyoming**
Wyoming · 66852
Office
Unavailable
Facility
$702.37
No comparable office rate is available.
See how rates vary across the country
66852 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 66852 in Austin
Multiple payment areas
- 66852 in Barton Creek
- 66852 in Bee Cave
- 66852 in Briarcliff
- 66852 in Cedar Park
Multiple payment areas
- 66852 in Creedmoor
Multiple payment areas
- 66852 in Elgin
Multiple payment areas
- 66852 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 66852 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$797.92
$725.38 × 110% = $797.92
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 66852 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,401
- Code
- 66852
- Physician work
- 11.12
- Practice expense
- 9.25
- Malpractice
- 0.89
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.12 | × 1.002 | 11.1422 |
| Practice expense | 9.25 | × 1.058 | 9.7865 |
| Malpractice | 0.89 | × 0.886 | 0.7885 |
| Total RVUs | 21.7173 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$725.38
Open 66852 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.12 | 1.002 |
| Practice expense | 9.25 | 1.058 |
| Malpractice | 0.89 | 0.886 |
(11.12 × 1.002 + 9.25 × 1.058 + 0.89 × 0.886) × $33.4009 = $725.38
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
66852 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $725.38 | RVU26D |
| 2026-07-01 | Not available in this setting | $725.38 | RVU26C |
| 2026-04-01 | Not available in this setting | $725.38 | RVU26B |
| 2026-01-01 | Not available in this setting | $725.38 | RVU26A |
| 2025-10-01 | Not available in this setting | $819.71 | RVU25D |
| 2025-07-01 | Not available in this setting | $819.71 | RVU25C |
| 2025-04-01 | Not available in this setting | $819.71 | RVU25B |
| 2025-01-01 | Not available in this setting | $819.71 | RVU25A |
66852 billing questions
When should 66852 be chosen over 66840 or 66850?
Choose 66852 when lens material is removed through a pars plana approach. Codes 66840 and 66850 describe other lens-material removal techniques; the operative approach and technique distinguish them.
Can vitrectomy be reported separately with 66852?
Vitrectomy performed as part of the pars plana lens-material removal is included, whether or not it is performed. Do not report a separate vitrectomy code solely for that work.
Does 66852 include postoperative visits?
Yes. Its 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How is bilateral 66852 reported?
Use modifier 50 for a bilateral procedure; Medicare pays the bilateral service at 150%.
What documentation supports assistant-at-surgery or co-surgeon payment?
The record must support medical necessity for an assistant at surgery. Co-surgeon payment also requires supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,39866830,,Removal of lens lesion,A,,9.23,8.11,NA,8.11,,0.72,18.06,18.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39966840,,Removal of lens material,A,,8.95,8.02,NA,8.02,,0.71,17.68,17.68,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40066850,,Removal of lens material,A,,10.29,8.95,NA,8.95,,0.82,20.06,20.06,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40166852,,Removal of lens material,A,,11.12,9.25,NA,9.25,,0.89,21.26,21.26,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40266920,,Extraction of lens,A,,9.88,8.34,NA,8.34,,0.79,19.01,19.01,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40366930,,Extraction of lens,A,,11.32,9.51,NA,9.51,,0.91,21.74,21.74,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40466940,,Extraction of lens,A,,10.11,9.08,NA,9.08,,0.81,20.00,20.00,0,090,0.10,0.70,0.20,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858