No office rate
66825 restores the position of the existing implant. 66986 applies when the existing implant is removed and another intraocular lens is exchanged into place.
On this page
CMS RVU26D · Effective 2026-10-01
66825 Lens repositioning Medicare reimbursement rates in Delaware
Report surgical repositioning when an implanted intraocular lens has shifted and the ophthalmologist restores its position through an incision rather than replacing it. Compare 66825 office and facility rates across CMS payment localities in Delaware.
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 66825 in Delaware?
Delaware 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
$724.32
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Ophthalmology surgery
About 66825: Surgical intraocular lens repositioning
Report surgical repositioning when an implanted intraocular lens has shifted and the ophthalmologist restores its position through an incision rather than replacing it.
This service corrects a malpositioned or displaced intraocular lens implant by surgically restoring its position. An ophthalmologist typically performs the procedure in an operating room or other surgical setting when the implant’s position requires operative correction. The key distinction is that the existing lens is repositioned, not removed and exchanged for another implant.
Report the service when the operative documentation identifies the implanted lens and describes its displacement and repositioning. The CMS global period is 90 days; the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. For bilateral services, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 66825
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.78 · 40%
- Practice expense (office) RVU12.39 · 57%
- Malpractice RVU0.69 · 3%
5.7K
Medicare services in 2024 · #1790 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.
66825 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 66985 to insert a secondary intraocular lens when an implant is absent; use 66825 when an existing implant is repositioned.
$332.47
66821 treats secondary cataract with laser capsulotomy. It does not reposition a displaced intraocular lens implant.
Compare 66825 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
Delaware →
Office / nonfacility
Unavailable
Facility
$724.32
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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 66825 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,397
- Code
- 66825
- Physician work
- 8.78
- Practice expense
- 12.39
- Malpractice
- 0.69
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.005 | 8.8239 |
| Practice expense | 12.39 | × 0.988 | 12.2413 |
| Malpractice | 0.69 | × 0.899 | 0.6203 |
| Total RVUs | 21.6855 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$724.32
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.78 | 1.005 |
| Practice expense | 12.39 | 0.988 |
| Malpractice | 0.69 | 0.899 |
(8.78 × 1.005 + 12.39 × 0.988 + 0.69 × 0.899) × $33.4009 = $724.32
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.
66825 billing questions
How is repositioning different from exchanging an intraocular lens?
Use 66825 when the existing implant is surgically moved back into position. If the implant is removed and replaced, consider 66986 instead.
What documentation supports reporting 66825?
Document the existing implant’s displacement or malposition and the operative work performed to reposition it. The record should make clear that the implant was repositioned rather than exchanged.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How should bilateral repositioning be reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
7,39466770,,Removal of inner eye lesion,A,,5.98,9.54,,5.99,,0.47,15.99,12.44,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39566820,,Incision secondary cataract,A,,3.91,8.41,NA,8.41,,0.29,12.61,12.61,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39666821,,After cataract laser surgery,A,,3.33,6.46,,4.66,,0.25,10.04,8.24,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39766825,,Reposition intraocular lens,A,,8.78,12.39,NA,12.39,,0.69,21.86,21.86,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39866830,,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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503