No office rate
Both involve an aqueous shunt to an extraocular reservoir; choose 66180 when a graft is used to cover the tube and 66179 when the shunt is placed without a graft.
On this page
CMS RVU26D · Effective 2026-10-01
66180 Glaucoma shunt Medicare reimbursement rates in Utah
Reports glaucoma drainage-device placement to an extraocular reservoir with a graft covering the tube, typically for glaucoma requiring surgical pressure control. Compare 66180 office and facility rates across CMS payment localities in Utah.
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 66180 in Utah?
Utah 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
$940.07
1 of 1 localities have a supported rate.
Payment area: Utah
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 66180: Aqueous shunt with graft
Reports glaucoma drainage-device placement to an extraocular reservoir with a graft covering the tube, typically for glaucoma requiring surgical pressure control.
An ophthalmologist places a drainage tube into the eye and connects it to a reservoir positioned outside the eye to divert aqueous fluid and lower intraocular pressure. A graft covers the exposed tube. This operation is generally selected for glaucoma that needs a drainage implant, including cases in which other pressure-lowering treatment has not provided adequate control. It is commonly performed in a hospital outpatient department or ambulatory surgery center.
Report this code when the procedure includes both the aqueous shunt to an extraocular reservoir and the graft. The operative report should support the glaucoma indication, shunt placement, and graft use; a shunt placement without a graft is distinguished by 66179. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 66180
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 50%
- Practice expense (office) RVU13.26 · 46%
- Malpractice RVU1.17 · 4%
14.9K
Medicare services in 2024 · #1255 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.
66180 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
66183 is for an anterior-segment drainage device without an extraocular reservoir. 66180 involves a shunt connected to an extraocular reservoir and includes a graft.
No office rate
66184 is for revision of an existing aqueous shunt, not initial shunt placement with a graft.
No office rate
66185 is for revision of an existing aqueous shunt with a graft; 66180 reports placement of a shunt with a graft.
Compare 66180 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
Utah →
Office / nonfacility
Unavailable
Facility
$940.07
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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 66180 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,371
- Code
- 66180
- Physician work
- 14.63
- Practice expense
- 13.26
- Malpractice
- 1.17
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.000 | 14.6300 |
| Practice expense | 13.26 | × 0.940 | 12.4644 |
| Malpractice | 1.17 | × 0.898 | 1.0507 |
| Total RVUs | 28.1451 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$940.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1 |
| Practice expense | 13.26 | 0.94 |
| Malpractice | 1.17 | 0.898 |
(14.63 × 1 + 13.26 × 0.94 + 1.17 × 0.898) × $33.4009 = $940.07
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.
66180 billing questions
How does 66180 differ from 66179?
66180 describes aqueous shunt placement with a graft covering the tube. Use 66179 for the corresponding shunt procedure without a graft.
Is the graft separately reported?
The graft is included in 66180 when used as part of the shunt operation. The operative report should document its use and placement.
When is 66183 a better fit?
66183 describes placement of an anterior-segment drainage device without an extraocular reservoir. 66180 is for a shunt connected to an extraocular reservoir with a graft.
How should bilateral surgery be reported?
Report bilateral surgery with modifier 50. CMS pays this bilateral procedure at 150%.
What postoperative care is included?
The 90-day 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.
7,36866174,,Trluml dil aq o/f can w/o st,A,,7.43,8.17,NA,8.17,,0.58,16.18,16.18,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,36966175,,Trluml dil aq o/f can w/st,A,,9.11,8.74,NA,8.74,,0.72,18.57,18.57,0,090,0.10,0.70,0.20,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37066179,,Aqueous shunt eye w/o graft,A,,13.65,12.91,NA,12.91,,1.09,27.65,27.65,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37166180,,Aqueous shunt eye w/graft,A,,14.63,13.26,NA,13.26,,1.17,29.06,29.06,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37266183,,Insert ant drainage device,A,,12.87,12.48,NA,12.48,,1.04,26.39,26.39,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37366184,,Revision of aqueous shunt,A,,9.34,10.47,NA,10.47,,0.75,20.56,20.56,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,37466185,,Revise aqueous shunt eye,A,,10.32,10.81,NA,10.81,,0.83,21.96,21.96,0,090,0.10,0.70,0.20,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985