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See a sample rate comparisonCPT 66820 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.
Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery.
| 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 | LT - Left side of body None RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66820 |
| Medicaid Fee Schedule | View Medicaid rates for 66820 |
National average reimbursement for CPT 66820 by major payers:
$539.62
$537.69
$589.12
$719.75
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CPT 66820
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
$6,623.00Published rateHarbor Heights Surgery Center, LLC
Harbor Heights Surgery Center LLC
$566.00Published rateResearch Surgical Center, LLC
Research Surgical Center LLC
$208.00Published rateNovamed Eye Surgery Center Of North County, LLC, Woodcrest Surgery Center
Novamed Eye Surgery Center Of North County LLC
$131.00Published rateNortheast Ambulatory Center Inc
Northeast Ambulatory Center, Inc.
$50.00Published rate
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See a sample payer proposalCPT 66820 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66820 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 66820 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 |
|---|---|---|
| 66820-CPT | Moderate | Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery. |
| 66821-CPT | Moderate | Eye Surgery For Cataract, Laser Surgery For A Complicated (Secondary) Cataract. The Cataract Is Secondary To Another Eye Disease Or There Is Remaining Cataract After Previous Cataract Surgery. |
| 66825-CPT | Moderate | Rposition Of Ntraocular Lens Prosthes Requir An Ncision (S, Repositioning Of Intraocular Lens Prosthesis Requiring An Incision (S |
| 66830-CPT | Moderate | Removal Of Lens Lesion, Removal Of Secondary Membranous Cataract Opacified Posterior Lens Capsule And Or Anterior Hyaloid With Corneo Scleral Section With Or Without Iridectomy Iridocapsulotomy Iridocapsulectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66820 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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