Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| 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 66680 |
| Medicaid Fee Schedule | View Medicaid rates for 66680 |
National average reimbursement for CPT 66680 by major payers:

$657.56

$660.62

$718.20

$843.39
Choose a payer to see a sample of rates for CPT 66680.
Medical City Specialty Surgicenter Of Dallas LLC
Woodland Surgery Center, LLC
Eye Care And Surgery Center Of Ft Lauderdale LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 66680 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66680 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 66680 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 |
|---|---|---|
| 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) |
| 66700-CPT | Moderate | Surgery To Destroy Eye Tissue, Surgery To Destroy The Eye Tissue That Forms The Ciliary Body. This Tissue Squeezes The Eye To Change The Shape Of The Lens As Well As Producing Fluid For The Front Of 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 66680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66680 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.
Bring your top codes (like CPT 66680) and we'll show you how you compare in 15 minutes or less.