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See a sample rate comparisonCPT 66990 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.
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| 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 66990 |
| Medicaid Fee Schedule | View Medicaid rates for 66990 |
National average reimbursement for CPT 66990 by major payers:
$133.55
$116.14
$123.78
$142.57
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CPT 66990
5 of 25 sample ratesHigher to lower in this preview
Mclean Ambulatory Surgery, LLC
Mclean Ambulatory Surgery LLC
$1,005.00Published rateSurgery Center Of Fort Collins LLC
Surgery Center Of Fort Collins, LLC
$300.00Published ratePiney Orchard Surgery Center, LLC.
Piney Orchard Surgery Center
$174.00Published rateQuality Care Surgery Center, LLC
Quality Care Surgery Center LLC
$117.00Published rateLockwood Ambulatory Surgery Center, Groman & Rubin Ambulatory Surgery Center
Lockwood Ambulatory Surgery Center
$54.00Published rate
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See a sample payer proposalCPT 66990 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66990 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 66990 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 |
|---|---|---|
| 66990-CPT | Low | Use Of Ophthalmic Endoscope (List Sepa In Addition To Code For, Use Of Ophthalmic Endoscope (List Separately In Addition To Code For P |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66990. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66990 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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