# CPT 66500: Iridotomy/iridectomy, surgical, by incision

Medicare CPT 66500 pays $352.38 in a non-facility setting and $352.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $316.93 in Arkansas to $424.50 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/66500-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $352.38 |
| National facility | $352.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $424.50 | $424.50 |
| District of Columbia | $399.02 | $399.02 |
| California | $392.38 | $392.38 |
| New Jersey | $387.08 | $387.08 |
| New York | $386.98 | $386.98 |
| Washington | $384.80 | $384.80 |
| Massachusetts | $381.35 | $381.35 |
| Hawaii | $378.18 | $378.18 |
| Connecticut | $373.70 | $373.70 |
| Colorado | $365.71 | $365.71 |
| Maryland | $364.02 | $364.02 |
| Oregon | $362.37 | $362.37 |
| Florida | $362.27 | $362.27 |
| Rhode Island | $360.90 | $360.90 |
| New Hampshire | $360.11 | $360.11 |
| Puerto Rico | $354.63 | $354.63 |
| Virgin Islands | $354.63 | $354.63 |
| Illinois | $354.28 | $354.28 |
| Montana | $352.36 | $352.36 |
| Minnesota | $351.89 | $351.89 |
| Nevada | $350.98 | $350.98 |
| Wyoming | $349.86 | $349.86 |
| Pennsylvania | $349.70 | $349.70 |
| Delaware | $349.41 | $349.41 |
| Texas | $348.99 | $348.99 |
| North Dakota | $346.63 | $346.63 |
| South Dakota | $345.95 | $345.95 |
| Virginia | $345.82 | $345.82 |
| Vermont | $345.41 | $345.41 |
| Georgia | $344.44 | $344.44 |
| Arizona | $344.22 | $344.22 |
| Michigan | $343.02 | $343.02 |
| Maine | $339.05 | $339.05 |
| Utah | $338.31 | $338.31 |
| Wisconsin | $336.52 | $336.52 |
| New Mexico | $336.22 | $336.22 |
| South Carolina | $334.35 | $334.35 |
| Missouri | $334.27 | $334.27 |
| North Carolina | $334.27 | $334.27 |
| Louisiana | $333.86 | $333.86 |
| Ohio | $333.48 | $333.48 |
| Indiana | $331.48 | $331.48 |
| Idaho | $329.83 | $329.83 |
| Nebraska | $329.56 | $329.56 |
| Tennessee | $328.05 | $328.05 |
| Iowa | $328.00 | $328.00 |
| West Virginia | $327.98 | $327.98 |
| Kentucky | $327.35 | $327.35 |
| Oklahoma | $326.88 | $326.88 |
| Kansas | $326.64 | $326.64 |
| Alabama | $320.91 | $320.91 |
| Mississippi | $319.53 | $319.53 |
| Arkansas | $316.93 | $316.93 |

## 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 66500 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