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See a sample rate comparisonCPT 66172 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 66172 |
| Medicaid Fee Schedule | View Medicaid rates for 66172 |
National average reimbursement for CPT 66172 by major payers:
$1,559.06
$1,639.73
$1,702.37
$1,999.16
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CPT 66172
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$7,810.00Published rateThe Metrohealth System, Metrohealth System Parma Ambulatory Surgery Center
$2,667.00Published rateVenture Ambulatory Surgery Center LLC
$1,518.00Published rateThe Alexandria Ophthalmology Asc LLC, Wallace Laser And Surgery Center
$1,172.00Published rateAdvanced Laser & Surgicenter Of Arizona, PC
$750.00Published rate
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See a sample payer proposalCPT 66172 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66172 code is part of the Surgery services used for Surgical Procedures on the Eye and Ocular Adnexa. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 66172 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 66150-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66155-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66160-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
| 66172-CPT | High | Drain Fluid From Eye, Surgery To Drain Fluid From The Eye. The Excess Has Caused Glaucoma Where The Internal Eye Pressure Increases. The Surgery Creates A Drain From The Fluid Chamber Behind The Iris To The Front Of The Eye. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66172. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66172 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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