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See a sample rate comparisonCPT 66991 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.
Xcapsl Ctrc Rmvl Insj 1, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 66991 |
| Medicaid Fee Schedule | View Medicaid rates for 66991 |
National average reimbursement for CPT 66991 by major payers:
$803.38
$932.24
$914.25
$1,145.26
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CPT 66991
5 of 25 sample ratesHigher to lower in this preview
Texas Endoscopy Centers, LLC, Texas Endoscopy At Independence Medical Village
$4,704.00Published rateMaryam Rahbar, Md, Inc., Pacific Coast Spine Institute And Pain Center
Maryam Rahbar Md Inc
$2,100.00Published rateKeith Liang
$1,015.05Published rateMarvin Hsiao
Lee Eye Surgery Clinic PA
$784.04Published rateDavid D. Gilbert, Md, Inc, Diablo Eye Associates
David D. Gilbert, Md, Inc.
$553.00Published rate
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See a sample payer proposalCPT 66991 vs. Other Surgical Procedures on the Eye and Ocular Adnexa Codes
The CPT 66991 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 66991 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 |
|---|---|---|
| 66991-CPT | Moderate | Xcapsl Ctrc Rmvl Insj 1, Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis 1 Stage Procedure Manual Or Mechanical Technique Eg Irrigation And Aspiration Or Phacoemulsification With Insertion Of Intraocular Eg Trabecular Meshwork Supraciliary Suprachoroidal Anterior Segment Aqueous Drainage Device Without Extraocular Reservoir Internal Approach One Or More |
| 66999-CPT | High | Eye Surgery On Front Of Eye, Surgery Involving The Front Portion Of The Eye (Space Between The Iris And Cornea). |
| 67005-CPT | Moderate | Remove Fluid From The Eye, Surgery To Remove Some Or All Of The Vitreous Humor The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye. The Procedure May Include Replacing The Fluid With A Synthetic Vitreous. |
| 67010-CPT | Moderate | Remove Fluid From The Eye, Surgery To Remove Some Or All Of The Vitreous Humor The Gelatinous Clear Fluid Between The Pupil And The Back Of The Eye. The Procedure May Include Replacing The Fluid With A Synthetic Vitreous. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 66991. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 66991 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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