# CPT 66180: Aqueous shunt to extraocular reservoir

Medicare CPT 66180 pays $970.63 in a non-facility setting and $970.63 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $889.23 in Arkansas to $1,226.20 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66180-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $970.63 |
| National facility | $970.63 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,226.20 | $1,226.20 |
| District of Columbia | $1,080.27 | $1,080.27 |
| New York | $1,059.04 | $1,059.04 |
| New Jersey | $1,054.83 | $1,054.83 |
| California | $1,051.42 | $1,051.42 |
| Washington | $1,039.79 | $1,039.79 |
| Massachusetts | $1,033.14 | $1,033.14 |
| Connecticut | $1,022.71 | $1,022.71 |
| Hawaii | $1,014.85 | $1,014.85 |
| Florida | $1,009.10 | $1,009.10 |
| Maryland | $998.84 | $998.84 |
| Colorado | $996.28 | $996.28 |
| Illinois | $992.99 | $992.99 |
| Rhode Island | $990.31 | $990.31 |
| Oregon | $987.43 | $987.43 |
| New Hampshire | $983.90 | $983.90 |
| Puerto Rico | $974.92 | $974.92 |
| Virgin Islands | $974.92 | $974.92 |
| Montana | $970.55 | $970.55 |
| Pennsylvania | $968.65 | $968.65 |
| Nevada | $964.55 | $964.55 |
| Delaware | $963.81 | $963.81 |
| Texas | $963.67 | $963.67 |
| Wyoming | $960.47 | $960.47 |
| Michigan | $959.54 | $959.54 |
| Georgia | $958.67 | $958.67 |
| Minnesota | $955.96 | $955.96 |
| Virginia | $951.61 | $951.61 |
| Arizona | $951.27 | $951.27 |
| North Dakota | $947.42 | $947.42 |
| Vermont | $946.90 | $946.90 |
| South Dakota | $944.68 | $944.68 |
| New Mexico | $941.72 | $941.72 |
| Utah | $940.07 | $940.07 |
| Maine | $936.33 | $936.33 |
| Louisiana | $933.94 | $933.94 |
| Missouri | $933.55 | $933.55 |
| Ohio | $932.41 | $932.41 |
| South Carolina | $931.11 | $931.11 |
| West Virginia | $929.45 | $929.45 |
| North Carolina | $926.85 | $926.85 |
| Wisconsin | $924.99 | $924.99 |
| Indiana | $918.21 | $918.21 |
| Kentucky | $918.15 | $918.15 |
| Idaho | $914.60 | $914.60 |
| Oklahoma | $914.53 | $914.53 |
| Tennessee | $912.23 | $912.23 |
| Nebraska | $912.22 | $912.22 |
| Iowa | $909.42 | $909.42 |
| Kansas | $908.73 | $908.73 |
| Mississippi | $898.87 | $898.87 |
| Alabama | $898.31 | $898.31 |
| Arkansas | $889.23 | $889.23 |

## Related codes

- 65091: Evisceration of ocular contents — https://www.med-reveal.com/rates/65091-cpt-fee-schedule
- 65205: Removal of foreign body, external eye, conjunctival superficial — https://www.med-reveal.com/rates/65205-cpt-fee-schedule
- 65222: Removal of foreign body, external eye, corneal with slit lamp — https://www.med-reveal.com/rates/65222-cpt-fee-schedule
- 65400: Excision/transposition of pterygium — https://www.med-reveal.com/rates/65400-cpt-fee-schedule
- 65426: Excision/transposition of pterygium with graft — https://www.med-reveal.com/rates/65426-cpt-fee-schedule
- 65710: Keratoplasty (corneal transplant), anterior lamellar — https://www.med-reveal.com/rates/65710-cpt-fee-schedule
- 65730: Keratoplasty, penetrating, in aphakia — https://www.med-reveal.com/rates/65730-cpt-fee-schedule
- 65750: Keratoplasty, penetrating, in pseudophakia — https://www.med-reveal.com/rates/65750-cpt-fee-schedule

Commercial negotiated rates for 66180 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules