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See a sample rate comparisonCPT 66175 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.
Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 66175 |
| Medicaid Fee Schedule | View Medicaid rates for 66175 |
National average reimbursement for CPT 66175 by major payers:
$1,246.13
$1,382.01
$1,212.60
$1,449.99
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CPT 66175
5 of 25 sample ratesHigher to lower in this preview
Medical City Surgery Center North Texas, LLC
$7,124.00Published rateDeerbrook Surgery Center LLC, Kingwood Endoscopy
Deerbrook Surgery Center LLC
$3,100.00Published rateVista Surgery Center LLC
$2,280.00Published rateScottsdale Eye Surgery Center, P.C
Scottsdale Eye Surgery Center
$1,700.00Published ratePrinceton Endoscopy Center LLC
$1,116.00Published rate
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See a sample payer proposalCPT 66175 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66175 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 66175 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 |
|---|---|---|
| 66174-CPT | High | Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged. |
| 66175-CPT | High | Relieve Pressure In Eye, Enlargement (Dilation) Of The Canal That Drains Fluid From The Eye. The Procedure Can Relieve Pressure In The Eye Associated With Glaucoma. A Support Device (Stent) May Be Left In Place To Keep The Canal Enlarged. |
| 66179-CPT | High | Place Eye Shunt (Drainage), Surgery To Create A Shunt (Tube That Drains Fluid From One Part Of The Body To Another) To Drain Fluid From Within The Eye. |
| 66180-CPT | High | Place Eye Shunt (Drainage), Surgery To Create A Shunt (Tube That Drains Fluid From One Part Of The Body To Another) To Drain Fluid From Within 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 66175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66175 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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