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See a sample rate comparisonCPT 66630 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.
Iridctomy W/ Corneoscleral Or Corneal Sect; Sector For Glaucom, Iridectomy With Corneoscleral Or Corneal Section; Sector For Glaucoma
| 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 66630 |
| Medicaid Fee Schedule | View Medicaid rates for 66630 |
National average reimbursement for CPT 66630 by major payers:
$698.13
$724.74
$777.30
$909.05
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CPT 66630
5 of 25 sample ratesHigher to lower in this preview
South Kansas City Surgical Center, Lc, South Kansas City Surgicenter
South Kansas City Surgical Center, LLC
$2,912.00Published rateMountain West Surgery Center, LLC
$1,446.00Published rateBanner Estrella Surgery Center LLC
$928.00Published rateReeves Eye Surgery Center LLC
$486.00Published rateMei Surgery Center LLC, Michigan Eye Surgery Center
Mei Surgery Center LLC
$370.00Published rate
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See a sample payer proposalCPT 66630 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66630 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 66630 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 |
|---|---|---|
| 66600-CPT | High | Iridctomy W/ Corneoscleral Or Corneal Sect; For Remval Of Lesi, Iridectomy With Corneoscleral Or Corneal Section; For Removal Of Lesi |
| 66605-CPT | High | Removal Of Iris, Removal Of Iris And Eyelid Border To Improve Eye Fluid Flow With Removal Of Part Of The Ciliary Muscle Or Body |
| 66625-CPT | Moderate | Iridctomy W/ Corneoscleral Or Corneal Sect; Periphral For Glau, Iridectomy With Corneoscleral Or Corneal Section; Peripheral For Glau |
| 66630-CPT | Moderate | Iridctomy W/ Corneoscleral Or Corneal Sect; Sector For Glaucom, Iridectomy With Corneoscleral Or Corneal Section; Sector For Glaucoma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66630 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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