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 Lens extraction Medicare reimbursement rates in Colorado
Reports manual extracapsular removal of the crystalline lens without concurrent intraocular lens implantation, typically during cataract surgery. Compare 66940 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 66940 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$685.56
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Colorado, 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.
Compare 66940 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$685.56
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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 Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,404
- Code
- 66940
- Physician work
- 10.11
- Practice expense
- 9.08
- Malpractice
- 0.81
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.11 | × 1.012 | 10.2313 |
| Practice expense | 9.08 | × 1.064 | 9.6611 |
| Malpractice | 0.81 | × 0.781 | 0.6326 |
| Total RVUs | 20.5251 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$685.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.11 | 1.012 |
| Practice expense | 9.08 | 1.064 |
| Malpractice | 0.81 | 0.781 |
(10.11 × 1.012 + 9.08 × 1.064 + 0.81 × 0.781) × $33.4009 = $685.56
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.
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899