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CMS RVU26D · Effective 2026-10-01

66175 Canal dilation Medicare reimbursement rates in Connecticut

Reports glaucoma surgery that dilates the aqueous outflow canal and leaves a stent or other device in place to support drainage. Compare 66175 office and facility rates across CMS payment localities in Connecticut.

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 66175 in Connecticut?

Connecticut 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

$653.87

1 of 1 localities have a supported rate.

Payment area: Connecticut

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.

Find 66175 in your payment locality →

Glaucoma surgery

About 66175: Transluminal canal dilation with stent

Reports glaucoma surgery that dilates the aqueous outflow canal and leaves a stent or other device in place to support drainage.

An ophthalmic surgeon treats impaired aqueous drainage by passing an instrument through the outflow canal, dilating it, and leaving a stent or other device in place. The procedure is used for glaucoma when improving flow through the eye’s natural drainage pathway is the surgical goal. It is generally performed in an operating room, often with gonioscopic visualization, and may be done during the same session as cataract surgery.

Report 66175 when canal dilation includes retention of a device or stent; documentation should identify the treated eye, the dilation procedure, and the retained device. Dilation without a retained device is reported with 66174. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 66175

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 may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU9.11 · 49%
  • Practice expense (office) RVU8.74 · 47%
  • Malpractice RVU0.72 · 4%

470

Medicare services in 2024 · #3618 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.

66175 compared with similar codes

Office rates for Connecticut, from the same CMS release.

66174

Canaloplasty

Without retained stent

No office rate

Both codes describe transluminal dilation of the aqueous outflow canal. Choose 66175 when a device or stent remains in place; choose 66174 when none is retained.

66183

Drainage device

Without extraocular reservoir

No office rate

66183 describes insertion of an anterior drainage device. 66175 is for dilation of the aqueous outflow canal with a device or stent retained there.

66179

Glaucoma shunt

Without graft

No office rate

66179 describes aqueous shunt surgery without a graft. Choose it for shunt placement rather than canal dilation with a retained stent.

66180

Glaucoma shunt

With graft

No office rate

66180 describes aqueous shunt surgery with a graft. It is a different drainage procedure from dilation of the outflow canal under 66175.

Compare 66175 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

Office and facility base rates · shared scale starting at $0

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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 66175 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

7,369

Code
66175
Physician work
9.11
Practice expense
8.74
Malpractice
0.72

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 66175 in Connecticut
ComponentRVULocality factorAdjusted
Physician work9.11× 1.0209.2922
Practice expense8.74× 1.0779.4130
Malpractice0.72× 1.2100.8712
Total RVUs19.5764
Conversion factor× 33.4009

Facility rate, Connecticut$653.87

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.111.02
Practice expense8.741.077
Malpractice0.721.21

(9.11 × 1.02 + 8.74 × 1.077 + 0.72 × 1.21) × $33.4009 = $653.87

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.

66175 billing questions

How do I choose between 66175 and 66174?

Use 66175 when a stent or other device is left in place after canal dilation. Use 66174 for canal dilation without a retained device.

Is the retained stent separately reported?

The retained device is part of the service represented by 66175. Do not report a separate code just for leaving that device in place.

Can 66175 be reported with cataract surgery?

It may be performed during the same session as cataract extraction. Document each procedure performed and apply the applicable same-session coding rules.

What supports reporting 66175?

The operative report should identify the treated eye, canal dilation, and the device or stent left in place. Those details distinguish this service from dilation without retained hardware.

How is bilateral 66175 reported under the CMS facts?

Use modifier 50 for a bilateral procedure; CMS pays it at 150%.

Does the 90-day global include related follow-up?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 66175PPRRVU2026_Oct_nonQPP.csv, line 7,369 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)