No office rate
66920 is for intracapsular lens removal; 66940 is for extracapsular removal, leaving the posterior capsule in place.
On this page
CMS RVU26D · Effective 2026-10-01
66940 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$690.32
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.
Ophthalmic surgery
About 66940: Manual extracapsular lens removal
Reports manual extracapsular removal of the crystalline lens without concurrent intraocular lens implantation, typically during cataract surgery.
An ophthalmologist removes the crystalline lens through an incision while leaving the posterior capsule in place. This manual extracapsular approach is distinct from intracapsular removal and from cataract procedures that include placement of an intraocular lens. It is performed in an operating-room setting, commonly when the surgeon chooses a manual extraction rather than phacoemulsification. The code represents lens removal, not implantation of an IOL during the same procedure.
Select this code when the operative report supports extracapsular removal without concurrent IOL placement; document the extraction technique and lens disposition. The service has a 90-day 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 other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity, and co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 66940
- 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 RVU10.11 · 51%
- Practice expense (office) RVU9.08 · 45%
- Malpractice RVU0.81 · 4%
353
Medicare services in 2024 · #3850 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.
66940 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
66930 identifies intracapsular removal for a dislocated lens. 66940 describes extracapsular removal, not that dislocation-specific procedure.
No office rate
66984 includes cataract extraction with IOL placement during the same procedure. 66940 reports extracapsular lens removal without concurrent IOL implantation.
No office rate
66982 is for complex cataract extraction with IOL placement. 66940 is the extracapsular removal service without a concurrent implant.
The same code, a different location
How does Madera compare?
66940 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Modesto
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Napa
California · 66940
Office
Unavailable
Facility
$772.42
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 66940
Office
Unavailable
Facility
$722.47
No comparable office rate is available.
Redding
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Rest Of California
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 66940
Office
Unavailable
Facility
$699.23
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 66940
Office
Unavailable
Facility
$717.06
No comparable office rate is available.
Salinas
California · 66940
Office
Unavailable
Facility
$714.15
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 66940
Office
Unavailable
Facility
$725.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 66940
Office
Unavailable
Facility
$809.81
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 66940
Office
Unavailable
Facility
$808.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 66940
Office
Unavailable
Facility
$826.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 66940
Office
Unavailable
Facility
$822.90
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 66940
Office
Unavailable
Facility
$703.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 66940
Office
Unavailable
Facility
$727.76
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 66940
Office
Unavailable
Facility
$715.26
No comparable office rate is available.
Santa Rosa-Petaluma
California · 66940
Office
Unavailable
Facility
$734.74
No comparable office rate is available.
Stockton
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Vallejo
California · 66940
Office
Unavailable
Facility
$771.10
No comparable office rate is available.
Visalia
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Yuba City
California · 66940
Office
Unavailable
Facility
$690.32
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 66940
Office
Unavailable
Facility
$743.29
No comparable office rate is available.
Miami
Florida · 66940
Office
Unavailable
Facility
$721.82
No comparable office rate is available.
Chicago
Illinois · 66940
Office
Unavailable
Facility
$706.93
No comparable office rate is available.
Manhattan
New York · 66940
Office
Unavailable
Facility
$754.62
No comparable office rate is available.
Alaska*
Alaska · 66940
Office
Unavailable
Facility
$844.43
No comparable office rate is available.
Alabama
Alabama · 66940
Office
Unavailable
Facility
$618.37
No comparable office rate is available.
Arkansas
Arkansas · 66940
Office
Unavailable
Facility
$612.13
No comparable office rate is available.
Arizona
Arizona · 66940
Office
Unavailable
Facility
$654.72
No comparable office rate is available.
Colorado
Colorado · 66940
Office
Unavailable
Facility
$685.56
No comparable office rate is available.
Connecticut
Connecticut · 66940
Office
Unavailable
Facility
$703.81
No comparable office rate is available.
Delaware
Delaware · 66940
Office
Unavailable
Facility
$663.33
No comparable office rate is available.
Fort Lauderdale
Florida · 66940
Office
Unavailable
Facility
$693.82
No comparable office rate is available.
Rest Of Florida
Florida · 66940
Office
Unavailable
Facility
$668.28
No comparable office rate is available.
Atlanta
Georgia · 66940
Office
Unavailable
Facility
$679.32
No comparable office rate is available.
Rest Of Georgia
Georgia · 66940
Office
Unavailable
Facility
$640.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 66940
Office
Unavailable
Facility
$698.18
No comparable office rate is available.
Iowa
Iowa · 66940
Office
Unavailable
Facility
$625.93
No comparable office rate is available.
Idaho
Idaho · 66940
Office
Unavailable
Facility
$629.50
No comparable office rate is available.
East St. Louis
Illinois · 66940
Office
Unavailable
Facility
$671.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 66940
Office
Unavailable
Facility
$656.86
No comparable office rate is available.
Suburban Chicago
Illinois · 66940
Office
Unavailable
Facility
$699.46
No comparable office rate is available.
Indiana
Indiana · 66940
Office
Unavailable
Facility
$631.97
No comparable office rate is available.
Kansas
Kansas · 66940
Office
Unavailable
Facility
$625.48
No comparable office rate is available.
Kentucky
Kentucky · 66940
Office
Unavailable
Facility
$632.05
No comparable office rate is available.
New Orleans
Louisiana · 66940
Office
Unavailable
Facility
$653.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 66940
Office
Unavailable
Facility
$632.00
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 66940
Office
Unavailable
Facility
$737.72
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 66940
Office
Unavailable
Facility
$684.00
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 66940
Office
Unavailable
Facility
$701.97
No comparable office rate is available.
Rest Of Maryland
Maryland · 66940
Office
Unavailable
Facility
$672.82
No comparable office rate is available.
Rest Of Maine
Maine · 66940
Office
Unavailable
Facility
$633.53
No comparable office rate is available.
Southern Maine
Maine · 66940
Office
Unavailable
Facility
$655.31
No comparable office rate is available.
Detroit
Michigan · 66940
Office
Unavailable
Facility
$675.96
No comparable office rate is available.
Rest Of Michigan
Michigan · 66940
Office
Unavailable
Facility
$645.12
No comparable office rate is available.
Minnesota
Minnesota · 66940
Office
Unavailable
Facility
$657.77
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 66940
Office
Unavailable
Facility
$648.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 66940
Office
Unavailable
Facility
$653.51
No comparable office rate is available.
Rest Of Missouri
Missouri · 66940
Office
Unavailable
Facility
$625.46
No comparable office rate is available.
Mississippi
Mississippi · 66940
Office
Unavailable
Facility
$618.80
No comparable office rate is available.
Montana**
Montana · 66940
Office
Unavailable
Facility
$667.96
No comparable office rate is available.
North Carolina
North Carolina · 66940
Office
Unavailable
Facility
$637.93
No comparable office rate is available.
North Dakota**
North Dakota · 66940
Office
Unavailable
Facility
$651.95
No comparable office rate is available.
Nebraska
Nebraska · 66940
Office
Unavailable
Facility
$627.84
No comparable office rate is available.
New Hampshire
New Hampshire · 66940
Office
Unavailable
Facility
$677.07
No comparable office rate is available.
Northern Nj
New Jersey · 66940
Office
Unavailable
Facility
$739.66
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 66940
Office
Unavailable
Facility
$712.05
No comparable office rate is available.
New Mexico
New Mexico · 66940
Office
Unavailable
Facility
$648.28
No comparable office rate is available.
Nevada**
Nevada · 66940
Office
Unavailable
Facility
$663.80
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 66940
Office
Unavailable
Facility
$770.14
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 66940
Office
Unavailable
Facility
$717.71
No comparable office rate is available.
Queens
New York · 66940
Office
Unavailable
Facility
$756.78
No comparable office rate is available.
Rest Of New York
New York · 66940
Office
Unavailable
Facility
$644.82
No comparable office rate is available.
Ohio
Ohio · 66940
Office
Unavailable
Facility
$641.85
No comparable office rate is available.
Oklahoma
Oklahoma · 66940
Office
Unavailable
Facility
$629.53
No comparable office rate is available.
Portland
Oregon · 66940
Office
Unavailable
Facility
$700.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 66940
Office
Unavailable
Facility
$658.77
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 66940
Office
Unavailable
Facility
$691.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 66940
Office
Unavailable
Facility
$641.66
No comparable office rate is available.
Puerto Rico
Puerto Rico · 66940
Office
Unavailable
Facility
$670.95
No comparable office rate is available.
Rhode Island
Rhode Island · 66940
Office
Unavailable
Facility
$681.52
No comparable office rate is available.
South Carolina
South Carolina · 66940
Office
Unavailable
Facility
$640.91
No comparable office rate is available.
South Dakota**
South Dakota · 66940
Office
Unavailable
Facility
$650.05
No comparable office rate is available.
Tennessee
Tennessee · 66940
Office
Unavailable
Facility
$627.89
No comparable office rate is available.
Austin
Texas · 66940
Office
Unavailable
Facility
$683.20
No comparable office rate is available.
Beaumont
Texas · 66940
Office
Unavailable
Facility
$638.80
No comparable office rate is available.
Brazoria
Texas · 66940
Office
Unavailable
Facility
$662.04
No comparable office rate is available.
Dallas
Texas · 66940
Office
Unavailable
Facility
$666.00
No comparable office rate is available.
Fort Worth
Texas · 66940
Office
Unavailable
Facility
$663.32
No comparable office rate is available.
Galveston
Texas · 66940
Office
Unavailable
Facility
$663.94
No comparable office rate is available.
Houston
Texas · 66940
Office
Unavailable
Facility
$678.77
No comparable office rate is available.
Rest Of Texas
Texas · 66940
Office
Unavailable
Facility
$649.93
No comparable office rate is available.
Utah
Utah · 66940
Office
Unavailable
Facility
$647.06
No comparable office rate is available.
Virginia
Virginia · 66940
Office
Unavailable
Facility
$654.91
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 66940
Office
Unavailable
Facility
$670.95
No comparable office rate is available.
Vermont
Vermont · 66940
Office
Unavailable
Facility
$651.62
No comparable office rate is available.
Rest Of Washington
Washington · 66940
Office
Unavailable
Facility
$682.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 66940
Office
Unavailable
Facility
$748.80
No comparable office rate is available.
Wisconsin
Wisconsin · 66940
Office
Unavailable
Facility
$636.56
No comparable office rate is available.
West Virginia
West Virginia · 66940
Office
Unavailable
Facility
$639.95
No comparable office rate is available.
Wyoming**
Wyoming · 66940
Office
Unavailable
Facility
$660.98
No comparable office rate is available.
See how rates vary across the country
66940 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 66940 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$759.35
$690.32 × 110% = $759.35
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 66940 in Madera.
PPRRVU2026_Oct_nonQPP.csv
7,404
- Code
- 66940
- Physician work
- 10.11
- Practice expense
- 9.08
- Malpractice
- 0.81
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.11 | × 1.017 | 10.2819 |
| Practice expense | 9.08 | × 1.096 | 9.9517 |
| Malpractice | 0.81 | × 0.536 | 0.4342 |
| Total RVUs | 20.6677 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$690.32
Open 66940 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.11 | 1.017 |
| Practice expense | 9.08 | 1.096 |
| Malpractice | 0.81 | 0.536 |
(10.11 × 1.017 + 9.08 × 1.096 + 0.81 × 0.536) × $33.4009 = $690.32
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
66940 · 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 | $690.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $690.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $690.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $690.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $781.53 | RVU25D |
| 2025-07-01 | Not available in this setting | $781.53 | RVU25C |
| 2025-04-01 | Not available in this setting | $781.53 | RVU25B |
| 2025-01-01 | Not available in this setting | $781.53 | RVU25A |
66940 billing questions
How is 66940 different from 66984?
66940 reports extracapsular lens removal without concurrent IOL placement. Use the applicable cataract extraction code that includes IOL insertion when a lens implant is placed during the same operation.
How do I distinguish 66940 from 66920?
The key distinction is the extraction approach: 66940 is extracapsular, with the capsule retained, while 66920 represents intracapsular removal.
Does 66940 include an IOL?
No. It reports lens removal without concurrent IOL implantation. The operative note should establish whether an implant was placed and which procedure was performed.
What documentation supports 66940?
Document the manual extracapsular extraction, the operative approach, and whether an IOL was implanted. The record should support choosing this procedure rather than an intracapsular or extraction-with-IOL code.
Can 66940 be reported bilaterally?
For bilateral procedures, CMS pays 150% when modifier 50 is used, subject to the applicable claim reporting requirements.
What is included in the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
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.
7,40166852,,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
7,40566982,,Xcapsl ctrc rmvl cplx wo ecp,A,,9.99,8.10,NA,8.10,,0.79,18.88,18.88,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40666983,,Cataract surg w/iol 1 stage,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,40766984,,Xcapsl ctrc rmvl w/o ecp,A,,7.17,6.14,NA,6.14,,0.54,13.85,13.85,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508