No office rate
66600 applies when the iris excision includes removal of a lesion. This code is for peripheral iridectomy for glaucoma.
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CMS RVU26D · Effective 2026-10-01
66625 Iridectomy Medicare reimbursement rates in Texas
Reports surgical removal of peripheral iris for glaucoma, creating an alternate route for aqueous flow when an excisional iridectomy is performed. Compare 66625 office and facility rates across CMS payment localities in Texas.
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 66625 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 66625 pays more and less in Texas
Ophthalmology surgery
About 66625: Surgical peripheral iridectomy for glaucoma
Reports surgical removal of peripheral iris for glaucoma, creating an alternate route for aqueous flow when an excisional iridectomy is performed.
An ophthalmologist performs this surgical peripheral iridectomy to remove a portion of iris and create an alternate pathway for aqueous flow, commonly in treating angle-closure glaucoma. The procedure is performed in an operating room through a corneoscleral incision; it is distinct from creating an opening with a laser. The operative report should establish the glaucoma indication and document the iris tissue removed and surgical approach.
Report the code for the documented surgical iridectomy rather than a laser procedure or an iris excision that includes removal of a lesion. Medicare 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 the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 66625
- 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 RVU5.17 · 47%
- Practice expense (office) RVU5.52 · 50%
- Malpractice RVU0.41 · 4%
710
Medicare services in 2024 · #3249 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.
66625 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
66630 describes an iridectomy performed with trabeculectomy; this code describes the peripheral glaucoma iridectomy without that combined operation.
$281.29–$309.89
66761 is a laser procedure that creates an opening in the iris. This code is for surgical excision of peripheral iris.
Compare 66625 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $380.23 |
| Beaumont | Office Unavailable | Facility $353.18 |
| Brazoria | Office Unavailable | Facility $367.46 |
| Dallas | Office Unavailable | Facility $369.62 |
| Fort Worth | Office Unavailable | Facility $367.96 |
| Galveston | Office Unavailable | Facility $368.49 |
| Houston | Office Unavailable | Facility $375.99 |
| Rest Of Texas | Office Unavailable | Facility $360.02 |
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66625 billing questions
How does this differ from a laser peripheral iridotomy?
This code describes surgical excision of peripheral iris through an incision. A laser-created opening is reported with the laser iridotomy code, 66761.
When should 66600 be considered instead?
Use 66600 when the surgical iris excision includes removal of a lesion. This code describes a peripheral iridectomy for glaucoma.
Are related postoperative visits separately reported?
The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
How is bilateral surgery reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
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.
7,37866505,,Incision of iris,A,,4.11,7.01,NA,7.01,,0.34,11.46,11.46,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37966600,,Remove iris and lesion,A,,9.87,13.03,NA,13.03,,0.79,23.69,23.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,38066605,,Removal of iris,A,,13.86,12.77,NA,12.77,,1.11,27.74,27.74,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,38166625,,Removal of iris,A,,5.17,5.52,NA,5.52,,0.41,11.10,11.10,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,38266630,,Removal of iris,A,,7.10,6.90,NA,6.90,,0.56,14.56,14.56,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,38366635,,Removal of iris,A,,7.19,6.93,NA,6.93,,0.57,14.69,14.69,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,38466680,,Repair iris & ciliary body,A,,7.77,6.81,NA,6.81,,0.61,15.19,15.19,0,090,0.10,0.70,0.20,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00