$165.76–$183.42
Both involve the anterior chamber, but 66030 is for injected medication; 66020 is for air or nonmedicated liquid.
On this page
CMS RVU26D · Effective 2026-10-01
66020 Eye injection Medicare reimbursement rates in Pennsylvania
Reports an ophthalmologist’s placement of air or nonmedicated liquid into the eye’s anterior chamber to address an anterior-segment condition. Compare 66020 office and facility rates across CMS payment localities in Pennsylvania.
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 66020 in Pennsylvania?
Pennsylvania 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
$185.10–$204.23
2 of 2 localities have a supported rate.
Facility setting
$109.06–$118.00
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.
Ophthalmology procedure
About 66020: Anterior chamber air or liquid injection
Reports an ophthalmologist’s placement of air or nonmedicated liquid into the eye’s anterior chamber to address an anterior-segment condition.
An ophthalmologist uses this procedure to introduce air or a nonmedicated liquid into the anterior chamber, the space between the cornea and iris. The material may be placed to support or restore the chamber in an anterior-segment problem. The code identifies what is introduced, not an injection of medication. The service is typically performed by an ophthalmologist in an office, ambulatory surgical center, or hospital setting.
Select this code when the injected material is air or nonmedicated liquid; use 66030 when medication is injected into the anterior chamber. Document the eye treated, the material introduced, the indication, and the procedure performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 66020
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.60 · 27%
- Practice expense (office) RVU4.16 · 71%
- Malpractice RVU0.13 · 2%
2.3K
Medicare services in 2024 · #2369 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.
66020 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$108.80–$118.40
Use 67028 when medication is delivered into the vitreous. Code 66020 concerns air or nonmedicated liquid introduced into the anterior chamber.
$114.88–$124.99
Code 65800 describes aspiration from the anterior chamber. Code 66020 describes introducing air or nonmedicated liquid into it.
Compare 66020 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 Philadelphia →
Office / nonfacility
$204.23
Facility
$118.00
Rest Of Pennsylvania →
Office / nonfacility
$185.10
Facility
$109.06
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
66020 billing questions
How do I choose between 66020 and 66030?
Use 66020 for air or nonmedicated liquid placed in the anterior chamber. Use 66030 when the injected material is medication.
Does the 10-day global period include postoperative visits?
Yes. Related postoperative visits during the 10-day global period are included in this procedure’s payment.
How is 66020 handled when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction.
How should bilateral treatment be reported?
For bilateral performance, modifier 50 is paid at 150% under the CMS rule for this code.
Can an assistant or surgical team be reported?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted 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.
7,35765900,,Remove eye lesion,A,,12.20,12.25,NA,12.25,,0.99,25.44,25.44,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35865920,,Remove implant of eye,A,,9.74,9.86,NA,9.86,,0.79,20.39,20.39,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,35965930,,Remove blood clot from eye,A,,8.18,7.58,NA,7.58,,0.64,16.40,16.40,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36066020,,Injection treatment of eye,A,,1.60,4.16,,1.68,,0.13,5.89,3.41,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36166030,,Injection treatment of eye,A,,1.27,3.93,,1.56,,0.09,5.29,2.92,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36266130,,Remove eye lesion,A,,7.63,12.90,,6.02,,0.62,21.15,14.27,0,090,0.10,0.70,0.20,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36366150,,Glaucoma surgery,A,,10.27,11.70,NA,11.70,,0.82,22.79,22.79,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00