CPT 66825 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 66825 by major payers:
$981.16
$998.06
$1,075.82
$1,324.88
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 66825 | ||||||
United | 66825 | $1126.00 | 1386618783 - LEWES DE ENDOSCOPY ASC LLC, SEASIDE ENDOSCOPY PAVILION | 562299727 - (DE) LEWES DE ENDOSCOPY ASC LLC | DE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $936.00 | 1629404918 - CENTRAL ARKANSAS SURGERY CENTER, LLC | 462585307 - (AR) CENTRAL ARKANSAS SURGERY CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $2040.00 | 1548712227 - ARKANSAS OUTPATIENT SURGERY CENTER, LLC | 474672200 - (AR) ARKANSAS OUTPATIENT SURGERY CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $1211.00 | 1134590912 - SLENT INVESTMENTS, LLC, SLENT SURGERY CENTER | 472307119 - (LA) SLENT INVESTMENTS LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $1751.00 | 1649393695 - COLUMBIA MD ORTHOPAEDIC ASC, LLC, HICKORY RIDGE SURGERY CENTER | 522377233 - (MD) COLUMBIA MD ORTHOPAEDIC ASC LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $835.00 | 1790786218 - FORT WASHINGTON SURGERY CENTER, LLC, THE SURGERY CENTER AT FORT WASHINGTON | 731594870 - (PA) FOUNDATION SURGERY AFFILIATES OF FORT WASHINGTON, LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $1648.00 | 1477526689 - THE BLUE RIDGE CLEMSON ORTHOPAEDIC ASC LLC, BLUE RIDGE SURGERY CENTER | 621821015 - (SC) THE BLUE RIDGE CLEMSON ORTHOPAEDIC ASC LLC | SC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $920.00 | 1750612446 - BAY SURGERY CENTERS, CLEARWAY SURGERY CENTER OF GLEN BURNIE | 271271303 - (MD) BAY SURGERY CENTERS | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $1040.00 | 1689311938 - HURON GASTRO ENDOSCOPY CENTER LLC, HURON GASTRO CENTER FOR DIGESTIVE CARE | 853580801 - (MI) HURON GASTRO ENDOSCOPY CENTER LLC | MI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $900.00 | 1922075969 - SAINT MARY'S AMBULATORY SURGERY | 550837980 - (NJ) SAINT MARYS AMBULATORY SURGERY | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $865.00 | 1285603100 - MEMPHIS EYE AND CATARACT AMBULATORY SURGERY CENTER INC, MECA LASER AND SURGERY CENTER | 621244331 - (TN) MEMPHIS EYE AND CATARACT AMBULATORY SURGERY CENTER INC | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $2353.00 | 1538126362 - WINTER HAVEN AMBULATORY SURGICAL CENTER LLC | 593659906 - (FL) WINTER HAVEN AMBULATORY SURGICAL CENTER, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $850.00 | 1154593481 - RANCHO MIRAGE SURGERY CENTER, LLC, RANCHO MIRAGE SURGERY CENTER | 262136928 - (CA) RANCHO MIRAGE SURGERY CENTER, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $891.00 | 1548582463 - CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER, LLC, NONE | 271867311 - (VA) CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER LLC | VA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66825 | $500.00 | 1861496564 - DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER | 582406657 | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 66825 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66825 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 66825 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 | Moderate | Discission Of Secondary Membranous Cataract (Opacified Posterior Lens Capsule And/Or Anterior Hyaloid); Stab Incision Technique (Ziegler Or Wheeler Knife) |
| 66821 | Moderate | Discission Of Secondary Membranous Cataract (Opacified Posterior Lens Capsule And/Or Anterior Hyaloid); Laser Surgery (Eg Yag Laser) (One Or More Stages) |
| 66825 | Moderate | Reposit Iol Prosth W/Incision |
| 66830 | Moderate | 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 66825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66825 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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