CPT Code 66984
Standard cataract removal with intraocular lens placement
Source: CMS 2026 Physician Fee Schedule. Maintained by the D3rx Clinical Billing Team.
2026 Medicare national rate
Office (non-facility)
$462.60
Performed in a physician office
Facility
$462.60
Hospital / ASC setting
Total RVUs (office)
13.85
13.85 facility
Conversion factor
$33.4009
2026 PFS
Medicare payment = total RVUs × GPCI (locality adjustment) × conversion factor. At the national level (GPCI = 1.0), 13.85 × 33.4009 = $462.60 (office). Facility rates are lower because the facility separately bills its overhead.
RVU breakdown
Work RVU
7.17
Office PE RVU
6.14
Facility PE RVU
6.14
Malpractice RVU
0.54
PC/TC: Physician service — not subject to a professional/technical split.
Billing notes
- 66984 carries a 90-day global period: related follow-up care within 90 days is bundled into this payment and is not separately billable.
- The national allowable is built from 13.85 total office RVUs × the $33.4009 conversion factor; multiply by your locality GPCIs (above) to reconcile a specific remittance.
Billing & payment rules
- Multiple procedures
- Standard multiple-procedure reduction applies (100% / 50% / 50%…).
- Bilateral surgery
- Conditional bilateral — 150% adjustment applies when performed bilaterally (modifier 50).
- Assistant surgeon
- Assistant surgeon may not be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgeons
- Team surgeons not permitted.
- Global period
- 90-day global period — most related follow-up care within 90 days is bundled into this code's payment.
2026 rate by locality
| Locality | Office | Facility |
|---|---|---|
| National (GPCI 1.0) | $462.60 | $462.60 |
| Manhattan, NY | $521.72 | $521.72 |
| Los Angeles, CA | $503.89 | $503.89 |
| Houston, TX | $469.86 | $469.86 |
| Chicago, IL | $488.66 | $488.66 |
| Miami, FL | $498.59 | $498.59 |
| Atlanta, GA | $470.23 | $470.23 |
Computed from CMS 2026 GPCIs: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × $33.4009. Your MAC's locality may differ.
Related Surgery codes
Related guides
Getting denials on 66984?
Run the claim through Ask D3 — free AI backed by CMS, Medicare, and major-payer data. No signup.
Medical billing disclaimer
Rates shown are 2026 Medicare Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.