CPT 66984 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 66984 by major payers:
$775.69
$805.95
$856.16
$987.58
| 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 66984 | ||||||
United | 66984 | $856.84 | 1891358461 - RAYNATA RAMKHELAWAN | 141338544 - SAMARITAN HOSPITAL | NY | Family Medicine Physician (207Q00000X) |
United | 66984 | $728.21 | 1265430326 - DENNIS SILBER | 461177336 - ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC | NY | Medical Physician Assistant (363AM0700X) |
United | 66984 | $1098.93 | 1831640440 - ELANA RADIN | 141348692 - (NY) ST PETERS HOSPITAL | NY | Physician Assistant (363A00000X) |
United | 66984 | $1100.00 | 1588062400 - EAR NOSE AND THROAT SURGERY CENTER LLC | 464525209 - (NV) EAR NOSE AND THROAT SURGERY CENTER LLC | NV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $906.90 | 1841466356 - YUN JEONG KIM | 141348692 - (NY) ST PETERS HOSPITAL | NY | Internal Medicine Physician (207R00000X) |
United | 66984 | $831.40 | 1659525244 - KEVIN LEE | 141536357 - (NY) PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, PC | NY | Anesthesiology Physician (207L00000X) |
United | 66984 | $1663.64 | 1326567629 - ABDULLAH ALSAKKA | 42103586 - LAWRENCE GENERAL HOSPITAL | MA | Internal Medicine Physician (207R00000X) |
United | 66984 | $1044.48 | 1417990086 - DAVID ARVELADZE | 231352155 - UPMC | NJ | Hospitalist Physician (208M00000X) |
United | 66984 | $1098.93 | 1730117417 - ALLISON SABOL | 141338544 - SAMARITAN HOSPITAL | NY | Physical Therapist (225100000X) |
United | 66984 | $856.84 | 1871049460 - ANSHIKA RANA | 141338544 - SAMARITAN HOSPITAL | VA | Hospitalist Physician (208M00000X) |
United | 66984 | $728.21 | 1114431020 - CAITLIN WATCHORN | 141348692 - (NY) ST PETERS HOSPITAL | NY | Family Nurse Practitioner (363LF0000X) |
United | 66984 | $1098.93 | 1588904320 - CARRIE GORDON-STACEY | 141338544 - SAMARITAN HOSPITAL | NY | Midwife (176B00000X) |
United | 66984 | $2702.26 | 1033132139 - ALLISON LUCCHESI | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Family Medicine Physician (207Q00000X) |
United | 66984 | $1304.00 | 1366864514 - GREAT SOUTH BAY ENDOSCOPY CENTER, LLC | 463055867 - (NY) GREAT SOUTH BAY ENDOSCOPY CENTER LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 66984 | $3292.68 | 1124022595 - THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC, SURGERY CENTER CEDAR RAPIDS | 721550812 - (IA) THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC | IA | 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 66984 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66984 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 66984 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 |
|---|---|---|
| 66940-CPT | Moderate | Extract Lens Extracapsular Other |
| 66982-CPT | High | Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation Andaspiration Or Phacoemulsification) Complex Requ-Iring 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 Patientsin The Amblyogenic Developmental Stage; Without Endoscopic Cyclophotocoagulation(Desc Rvsd 1/1/20) |
| 66983-CPT | High | Intracapsular Cataract Extract-Insert Le |
| 66984-CPT | Moderate | Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure) Manual Or Mechanical Technique (Eg Irrigation And Aspiration Or Phacoemulsification); Without Endoscopic Cyclophotocoagulation (Desc Rvsd 1/1/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66984. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66984 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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