$293.81–$339.93
66761 is laser iridotomy, which makes an opening through the iris. Report 66762 when photocoagulation reshapes iris contour instead.
On this page
CMS RVU26D · Effective 2026-10-01
66762 Iris laser Medicare reimbursement rates in Virginia
Reports laser reshaping of the iris, commonly for persistent appositional angle closure when iris contour contributes to impaired drainage. Compare 66762 office and facility rates across CMS payment localities in Virginia.
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 66762 in Virginia?
Virginia 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
$472.55–$544.72
2 of 2 localities have a supported rate.
Facility setting
$359.93–$409.76
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 66762: Laser peripheral iris reshaping
Reports laser reshaping of the iris, commonly for persistent appositional angle closure when iris contour contributes to impaired drainage.
An ophthalmologist uses laser photocoagulation to alter the contour of the iris, commonly with peripheral laser iridoplasty for persistent appositional angle closure or plateau iris after a patent iridotomy. The treatment targets iris configuration rather than creating an opening through the iris or treating the ciliary body. It is typically performed in an ophthalmology setting with a slit lamp and a contact lens used to focus the laser.
Report the procedure when the documented treatment reshapes iris tissue with photocoagulation; an iridotomy that creates an opening is a different service. The record should identify the clinical reason, treated eye, and laser treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other 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 treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 66762
- 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 RVU5.25 · 36%
- Practice expense (office) RVU8.75 · 61%
- Malpractice RVU0.42 · 3%
1.7K
Medicare services in 2024 · #2588 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.
66762 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
66625 is a surgical peripheral iridectomy for glaucoma. It removes iris tissue through a surgical approach rather than reshaping the iris with laser.
No office rate
65820 is goniotomy, which treats the trabecular outflow pathway. It is not an iris photocoagulation procedure.
Compare 66762 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
Dc + Md/Va Suburbs →
Office / nonfacility
$544.72
Facility
$409.76
Virginia →
Office / nonfacility
$472.55
Facility
$359.93
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66762 billing questions
How is this different from laser iridotomy?
Iridoplasty reshapes the iris with photocoagulation. Iridotomy creates an opening through the iris, often to relieve pupillary block.
What documentation supports reporting this procedure?
Document the indication for reshaping, the eye treated, and the laser treatment performed. The record should distinguish iris contour treatment from creation of an iris opening.
How should bilateral treatment be reported?
When both eyes are treated, report modifier 50; CMS pays the 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.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this procedure. 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.
7,39066720,,Destruction ciliary body,A,,4.63,9.18,,5.83,,0.37,14.18,10.83,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39166740,,Destruction ciliary body,A,,5.01,7.87,,4.63,,0.40,13.28,10.04,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39266761,,Revision of iris,A,,2.93,5.81,,2.90,,0.22,8.96,6.05,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39366762,,Revision of iris,A,,5.25,8.75,,5.32,,0.42,14.42,10.99,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39466770,,Removal of inner eye lesion,A,,5.98,9.54,,5.99,,0.47,15.99,12.44,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39566820,,Incision secondary cataract,A,,3.91,8.41,NA,8.41,,0.29,12.61,12.61,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,39666821,,After cataract laser surgery,A,,3.33,6.46,,4.66,,0.25,10.04,8.24,0,090,0.10,0.70,0.20,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00