# CPT 66505: Iridotomy Stab Inc Spx Transfixion

Medicare CPT 66505 pays $382.77 in a non-facility setting and $382.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $344.25 in Arkansas to $461.53 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/66505-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $382.77 |
| National facility | $382.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $461.53 | $461.53 |
| District of Columbia | $433.15 | $433.15 |
| California | $425.41 | $425.41 |
| New York | $420.43 | $420.43 |
| New Jersey | $420.29 | $420.29 |
| Washington | $417.48 | $417.48 |
| Massachusetts | $413.83 | $413.83 |
| Hawaii | $410.07 | $410.07 |
| Connecticut | $405.93 | $405.93 |
| Colorado | $396.92 | $396.92 |
| Maryland | $395.39 | $395.39 |
| Florida | $394.30 | $394.30 |
| Oregon | $393.26 | $393.26 |
| Rhode Island | $391.88 | $391.88 |
| New Hampshire | $390.95 | $390.95 |
| Illinois | $385.70 | $385.70 |
| Puerto Rico | $385.18 | $385.18 |
| Virgin Islands | $385.18 | $385.18 |
| Montana | $382.75 | $382.75 |
| Minnesota | $381.57 | $381.57 |
| Nevada | $381.11 | $381.11 |
| Pennsylvania | $380.00 | $380.00 |
| Wyoming | $379.82 | $379.82 |
| Delaware | $379.50 | $379.50 |
| Texas | $379.09 | $379.09 |
| North Dakota | $376.03 | $376.03 |
| Virginia | $375.46 | $375.46 |
| South Dakota | $375.23 | $375.23 |
| Vermont | $374.82 | $374.82 |
| Georgia | $374.45 | $374.45 |
| Arizona | $373.88 | $373.88 |
| Michigan | $373.12 | $373.12 |
| Maine | $368.12 | $368.12 |
| Utah | $367.57 | $367.57 |
| New Mexico | $365.62 | $365.62 |
| Wisconsin | $365.08 | $365.08 |
| Missouri | $363.32 | $363.32 |
| South Carolina | $363.28 | $363.28 |
| North Carolina | $362.99 | $362.99 |
| Louisiana | $362.94 | $362.94 |
| Ohio | $362.49 | $362.49 |
| Indiana | $359.84 | $359.84 |
| Idaho | $358.06 | $358.06 |
| Nebraska | $357.68 | $357.68 |
| West Virginia | $357.00 | $357.00 |
| Tennessee | $356.21 | $356.21 |
| Iowa | $356.02 | $356.02 |
| Kentucky | $355.82 | $355.82 |
| Oklahoma | $355.19 | $355.19 |
| Kansas | $354.66 | $354.66 |
| Alabama | $348.58 | $348.58 |
| Mississippi | $347.26 | $347.26 |
| Arkansas | $344.25 | $344.25 |

## 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 66505 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
