# CPT 66185: Revj Aqueous Shunt Extraocular Reservoir W/graft

Medicare CPT 66185 pays $733.48 in a non-facility setting and $733.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $669.13 in Arkansas to $916.85 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/66185-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $733.48 |
| National facility | $733.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $916.85 | $916.85 |
| District of Columbia | $819.50 | $819.50 |
| New York | $801.53 | $801.53 |
| California | $799.32 | $799.32 |
| New Jersey | $799.02 | $799.02 |
| Washington | $789.05 | $789.05 |
| Massachusetts | $783.56 | $783.56 |
| Connecticut | $774.00 | $774.00 |
| Hawaii | $771.28 | $771.28 |
| Florida | $760.93 | $760.93 |
| Maryland | $755.46 | $755.46 |
| Colorado | $754.66 | $754.66 |
| Rhode Island | $748.95 | $748.95 |
| Oregon | $747.90 | $747.90 |
| Illinois | $747.76 | $747.76 |
| New Hampshire | $744.82 | $744.82 |
| Puerto Rico | $737.04 | $737.04 |
| Virgin Islands | $737.04 | $737.04 |
| Montana | $733.43 | $733.43 |
| Pennsylvania | $731.10 | $731.10 |
| Nevada | $729.22 | $729.22 |
| Delaware | $728.07 | $728.07 |
| Texas | $727.81 | $727.81 |
| Wyoming | $726.28 | $726.28 |
| Minnesota | $724.44 | $724.44 |
| Georgia | $722.84 | $722.84 |
| Michigan | $722.76 | $722.76 |
| Virginia | $719.20 | $719.20 |
| Arizona | $718.30 | $718.30 |
| North Dakota | $717.02 | $717.02 |
| Vermont | $716.18 | $716.18 |
| South Dakota | $715.08 | $715.08 |
| New Mexico | $709.09 | $709.09 |
| Utah | $708.99 | $708.99 |
| Maine | $707.06 | $707.06 |
| Louisiana | $703.38 | $703.38 |
| Missouri | $703.32 | $703.32 |
| Ohio | $702.29 | $702.29 |
| South Carolina | $701.88 | $701.88 |
| North Carolina | $699.28 | $699.28 |
| Wisconsin | $699.13 | $699.13 |
| West Virginia | $698.13 | $698.13 |
| Indiana | $692.88 | $692.88 |
| Kentucky | $691.05 | $691.05 |
| Idaho | $689.99 | $689.99 |
| Oklahoma | $688.67 | $688.67 |
| Nebraska | $688.44 | $688.44 |
| Tennessee | $687.79 | $687.79 |
| Iowa | $686.08 | $686.08 |
| Kansas | $685.07 | $685.07 |
| Alabama | $676.32 | $676.32 |
| Mississippi | $676.06 | $676.06 |
| Arkansas | $669.13 | $669.13 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 66185 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