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See a sample rate comparisonCPT 66920 Fee Schedule
Last Verified: September 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, Surgery To Remove A Cataract (Clouded Lens) And The Lens Capsule. A Replacement Lens May Be Implanted In The Same Procedure.
| 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 66920 |
| Medicaid Fee Schedule | View Medicaid rates for 66920 |
National average reimbursement for CPT 66920 by major payers:
$947.16
$955.17
$1,026.53
$1,193.40
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CPT 66920
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$4,781.00Published rateMid-State Endoscopy Center LLC
Midstate Endoscopy Center LLC
$2,353.00Published rateNorthwest Renal Clinic, Inc., Northwest Dialysis Access Center
Northwest Renal Clinic, PC
$1,260.00Published rateSan Fernando Valley Surgery Center, Lp
San Fernando Valley Surgery Center Lp
$922.00Published rateFour Corners Ambulatory Surgical Center LLC
$475.00Published rate
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See a sample payer proposalCPT 66920 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66920 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 66920 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 |
|---|---|---|
| 66920-CPT | Moderate | Eye Surgery For Cataract, Surgery To Remove A Cataract (Clouded Lens) And The Lens Capsule. A Replacement Lens May Be Implanted In The Same Procedure. |
| 66930-CPT | High | Extr.Lens W/Wo Irid;Intracap,Disloc |
| 66940-CPT | Moderate | Surgery To Remove Cataract, Surgery To Remove A Cataract (Clouded Lens) Including The Front Part Of The Lens Capsule. The Back Of The Lens Capsule Is Left In Place. |
| 66982-CPT | High | Xcapsl Ctrc Rmvl Cplx Wo Ecp, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification Complex Requiring Devices Or Techniques Not Generally Used In Routine Cataract Surgery Eg Iris Expansion Device Suture Support For Intraocular Lens Or Primary Posterior Capsulorrhexis Or Performed On Patients In The Amblyogenic Developmental Stage Without Endoscopic Cyclophotocoagulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66920 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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