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See a sample rate comparisonCPT 66989 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.
Xcpsl Ctrc Rmvl Cplx Insj 1, 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 With Insertion Of Intraocular Eg Trabecular Meshwork Supraciliary Suprachoroidal Anterior Segment Aqueous Drainage Device Without Extraocular Reservoir Internal Approach One Or More
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66989 |
| Medicaid Fee Schedule | View Medicaid rates for 66989 |
National average reimbursement for CPT 66989 by major payers:
$983.52
$1,168.49
$1,151.19
$1,429.11
Compare published rates across providers.
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CPT 66989
5 of 25 sample ratesHigher to lower in this preview
Texas Health Orthopedic Surgery Center Alliance, LLC, Texas Health Orthopedic Surgery Center Heritage
Texas Health Orthopedic Surgery Center Alliance LLC
$8,238.00Published rateSouth Bend Specialty Surgery Center, LLC
South Bend Specialty Surgery Center LLC
$4,561.00Published rateIdaho Otologic Surgery Center, LLC, Syringa Outpatient Surgery Center
Idaho Otologic Surgery Center LLC
$2,272.00Published rateTexas Midwest Endoscopy Center, LLC
Texas Midwest Endoscopy Center LLC
$1,400.00Published rateSt. Petersburg Endoscopy Center LLC
St. Petersburg Endoscopy Center, LLC
$705.00Published rate
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See a sample payer proposalCPT 66989 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66989 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 66989 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 |
|---|---|---|
| 66985-CPT | Moderate | Insertion Of Intraocular Lens, Insertion Of Intraocular Lens Prosthesis (Secondaryimplant) Not Associated With Concurrent Cataractremoval |
| 66987-CPT | High | Xcapsl Ctrc Rmvl Cplx W 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 With Endoscopic Cyclophotocoagulation |
| 66988-CPT | High | Xcapsl Ctrc Rmvl W Ecp, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification With Endoscopic Cyclophotocoagulation |
| 66989-CPT | Moderate | Xcpsl Ctrc Rmvl Cplx Insj 1, 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 With Insertion Of Intraocular Eg Trabecular Meshwork Supraciliary Suprachoroidal Anterior Segment Aqueous Drainage Device Without Extraocular Reservoir Internal Approach One Or More |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66989. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66989 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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