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See a sample rate comparisonCPT 66635 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; Optical (Sepa P, Iridectomy With Corneoscleral Or Corneal Section; Optical (Separate P
| 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 | 59 - Distinct Procedural Service LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66635 |
| Medicaid Fee Schedule | View Medicaid rates for 66635 |
National average reimbursement for CPT 66635 by major payers:
$731.37
$725.82
$786.55
$912.52
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CPT 66635
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$5,729.00Published rateMidwest Surgery Center, LLC, Midwest Surgery Center- Woodbury
Midwest Surgery Center
$1,990.00Published rateJames Trice Md PA, Digestive Disease Center
$1,168.00Published rateBoise Endoscopy Center, LLC, Canyon County Endoscopy Center
Boise Endoscopy Center LLC
$760.00Published ratePalmetto Endoscopy Center LLC
$534.00Published rate
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See a sample payer proposalCPT 66635 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66635 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 66635 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 |
|---|---|---|
| 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 |
| 66635-CPT | Moderate | Iridctomy W/ Corneoscleral Or Corneal Sect; Optical (Sepa P, Iridectomy With Corneoscleral Or Corneal Section; Optical (Separate P |
| 66680-CPT | Moderate | Repair Iris/Ciliary Body |
| 66682-CPT | Moderate | Suture Of Iris Ciliary Body (, Suture Of Iris Ciliary Body (Separate Procedure) Withretrieval Of Suture Through Small Incision (Eg Mccannel Suture) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66635 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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