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See a sample rate comparisonCPT 66500 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.
Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Eye and Ocular Adnexa |
| Common Place of Service | 24 - Ambulatory Surgical Center 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66500 |
| Medicaid Fee Schedule | View Medicaid rates for 66500 |
National average reimbursement for CPT 66500 by major payers:
$529.50
$466.57
$513.10
$625.42
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CPT 66500
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Northwest, LLP, Memorial Hermann Surgery Center Greater Heights
Memorial Hermann Surgery Center Northwest LLP
$2,079.00Published rateGa Endoscopy Center, LLC
Ga Endoscopy Center LLC
$574.00Published rateMonterey Peninsula Surgery Center Munras Ave
Monterey Peninsula Surgery Center, LLC
$450.00Published rateGriffin Center For Pain And Spine
$175.00Published rateAllegany Ambulatory Surgery Center LLC
$52.00Published rate
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See a sample payer proposalCPT 66500 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66500 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 66500 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 |
|---|---|---|
| 66225-CPT | High | Repair The Surface Of The Eye, Surgery To Repair One Or More Blood Vessels Bulging Out Through The Tough White Outer Shell Of The Eye (Sclera). The Procedure May Involve Use Of A Graft. |
| 66250-CPT | Moderate | Revision Or Repair Of Operativ, Revision Or Repair Of Operative Wound Of Anterior Segmentany Type Early Or Late Major Or Minor Procedure |
| 66500-CPT | Moderate | Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball. |
| 66505-CPT | Moderate | Surgery On Iris To Drain Fluid, Surgery To Open Up The Colored Portion Of The Eye (Iris). The Procedure Drains Fluid That Is Increasing Pressure Inside The Eyeball. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66500 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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