No office rate
Both combine cataract surgery with internal trabecular drainage-device insertion. Choose 66989 only when the cataract portion meets complex criteria.
On this page
CMS RVU26D · Effective 2026-10-01
66989 Cataract surgery Medicare reimbursement rates in Georgia
Reports complex cataract removal with intraocular lens placement combined with internal insertion of an aqueous drainage device into the trabecular meshwork. Compare 66989 office and facility rates across CMS payment localities in Georgia.
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 66989 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$693.05–$730.84
2 of 2 localities have a supported rate.
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 66989: Complex cataract surgery with trabecular device
Reports complex cataract removal with intraocular lens placement combined with internal insertion of an aqueous drainage device into the trabecular meshwork.
An ophthalmologist removes the cataract, places an intraocular lens during the same procedure, and inserts an aqueous drainage device internally into the trabecular meshwork to improve aqueous outflow. The cataract portion must be complex, involving a device or technique not generally used in routine surgery; examples include an iris expansion device, suture support for the lens implant, or primary posterior capsulorrhexis. These combined procedures are typically performed in an operating room at an ambulatory surgery center or hospital.
Report this code when both the complex cataract procedure and the specified trabecular drainage-device insertion are performed. The operative record should support the complex technique or device and document the lens implantation and drainage-device placement. CMS assigns a 90-day major-surgery 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 others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are subject to statutory nonpayment; co-surgeons and team surgery are not permitted.
CMS billing rules for 66989
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.83 · 55%
- Practice expense (office) RVU8.77 · 41%
- Malpractice RVU0.92 · 4%
17.1K
Medicare services in 2024 · #1204 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.
66989 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
This code covers complex cataract removal with lens implantation but not the trabecular drainage-device insertion included in 66989.
66987
No office rateXcapsl ctrc rmvl cplx w/ecp
Both involve complex cataract surgery, but 66987 combines it with endoscopic cyclophotocoagulation rather than trabecular drainage-device insertion.
No office rate
66984 is for routine cataract removal with lens implantation; 66989 includes complex-cataract criteria and trabecular drainage-device insertion.
Compare 66989 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$730.84
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$693.05
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66989 billing questions
When should this code be chosen over 66991?
Use 66989 when the cataract procedure meets the complex criteria and the trabecular drainage device is inserted. Code 66991 describes the corresponding combined procedure without the complex-cataract criteria.
Can the cataract removal and drainage-device insertion be billed separately?
The code represents the combined complex cataract and trabecular drainage-device procedure. Do not separately report the cataract portion as though the combined service had not been performed.
What documentation supports the complex designation?
Document the specific device or technique that made cataract surgery complex, such as an iris expansion device, suture support for the lens implant, or primary posterior capsulorrhexis.
How is bilateral surgery reported under the CMS rules?
For bilateral procedures reported with modifier 50, CMS pays 150% under the rule supplied for this code.
What postoperative care is included?
The 90-day major-surgery 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.
7,40966986,,Exchange lens prosthesis,A,,11.95,9.98,NA,9.98,,0.95,22.88,22.88,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41066987,,Xcapsl ctrc rmvl cplx w/ecp,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.70,0.20,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41166988,,Xcapsl ctrc rmvl w/ecp,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.70,0.20,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41266989,,Xcpsl ctrc rmvl cplx insj 1+,A,,11.83,8.77,NA,8.77,,0.92,21.52,21.52,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41366990,,Ophthalmic endoscope add-on,A,,1.47,0.52,NA,0.52,,0.12,2.11,2.11,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41466991,,Xcapsl ctrc rmvl insj 1+,A,,9.00,7.74,NA,7.74,,0.69,17.43,17.43,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,41566999,,Unlisted px ant segment eye,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00