No office rate
66984 represents routine cataract surgery with lens implantation. 66990 is an add-on for qualifying ophthalmic endoscope use and cannot replace the cataract procedure code.
On this page
CMS RVU26D · Effective 2026-10-01
66990 Ophthalmic endoscopy Medicare reimbursement rates in Massachusetts
Reports use of an ophthalmic endoscope as an adjunct to a primary eye procedure, such as when endoscopic visualization or treatment is performed. Compare 66990 office and facility rates across CMS payment localities in Massachusetts.
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 66990 in Massachusetts?
Massachusetts 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
$71.37–$75.42
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 66990: Ophthalmic endoscope use during surgery
Reports use of an ophthalmic endoscope as an adjunct to a primary eye procedure, such as when endoscopic visualization or treatment is performed.
This add-on identifies use of an ophthalmic endoscope during another eye operation, such as to visualize or deliver treatment to structures that are difficult to see directly. Ophthalmic surgeons may use it for endoscopic photocoagulation or other endoscope-assisted work during procedures involving the anterior segment or ciliary body. It describes the endoscope use, not the primary operation itself.
Report 66990 only with a qualifying primary procedure; it is not a standalone service. The operative report should identify the primary procedure and explain the endoscope’s use and the tissue or treatment target. CMS treats payment for this add-on as within the primary procedure’s global period. Do not use it to separately represent work already included in the primary procedure’s description.
CMS billing rules for 66990
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.47 · 70%
- Practice expense (office) RVU0.52 · 25%
- Malpractice RVU0.12 · 6%
86
Medicare services in 2024 · #4994 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.
66990 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
66982 represents complex cataract surgery with lens implantation. Use 66990 only when endoscope use is also documented as a separately reportable adjunct.
66988
No office rateXcapsl ctrc rmvl w/ecp
66988 describes cataract surgery with endoscopic cyclophotocoagulation. Distinguish that defined combined service from other primary procedures involving separately reportable endoscope use.
66987
No office rateXcapsl ctrc rmvl cplx w/ecp
66987 is the complex cataract-surgery counterpart to 66988, with endoscopic cyclophotocoagulation included in the combined service. It is not interchangeable with the endoscope-use add-on.
Compare 66990 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$75.42
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$71.37
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66990 billing questions
Can 66990 be billed by itself?
No. It is an add-on and must be reported with a primary procedure.
What should the operative note show?
Document the primary operation, that an ophthalmic endoscope was used, and its role in visualization or treatment.
Is 66990 the cataract procedure code?
No. A cataract procedure such as 66984 or 66982 represents the primary surgery; 66990 identifies qualifying endoscope use in addition to that procedure.
How does the global period affect payment?
CMS pays 66990 within the global period of the primary procedure with which it is reported.
Is endoscopic cyclophotocoagulation always reported with 66990?
No. Choose codes based on the actual procedure performed and the applicable code description; document whether endoscope use is separately represented by the primary procedure.
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.
7,41066987,,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
7,41667005,,Partial removal of eye fluid,A,,5.74,6.19,NA,6.19,,0.45,12.38,12.38,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00