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See a sample rate comparisonCPT 66185 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Adjust Eye Shunt (Drainage), Surgery To Adjust Shunt (Tube That Drains Fluid From One Part Of The Body To Another) That Drains Fluid From Within 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66185 |
| Medicaid Fee Schedule | View Medicaid rates for 66185 |
National average reimbursement for CPT 66185 by major payers:
$982.24
$1,036.35
$1,125.55
$1,324.36
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CPT 66185
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC
$7,871.00Published rateNorthwest Ambulatory Surgery Center LLC, Northwest Ambulatory Surgery Center
Northwest Ambulatory Surgery Center LLC
$2,646.00Published rateSurgcenter Of Northern Baltimore, LLC
Surgcenter Of Northern Baltimore LLC
$1,877.00Published rateDayton Eye Surgery Center L.L.C., Dayton Eye Surgery Center
Dayton Eye Surgery Center
$1,187.00Published rateEndoscopy Center Of Topeka Lp, The Endoscopy And Surgery Center Of Topeka
The Endoscopy Center Of Topeka L
$577.00Published rate
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See a sample payer proposalCPT 66185 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66185 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 66185 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 |
|---|---|---|
| 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. |
| 66184-CPT | Moderate | Adjust Eye Shunt (Drainage), Surgery To Adjust Shunt (Tube That Drains Fluid From One Part Of The Body To Another) That Drains Fluid From Within The Eye. |
| 66185-CPT | Moderate | Adjust Eye Shunt (Drainage), Surgery To Adjust Shunt (Tube That Drains Fluid From One Part Of The Body To Another) That Drains 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 66185. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66185 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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