# CPT 66635: Irdec Crnlsclrl/crnl Sctj Optical Spx

Medicare CPT 66635 pays $490.66 in a non-facility setting and $490.66 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $448.79 in Arkansas to $617.23 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66635-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $490.66 |
| National facility | $490.66 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $617.23 | $617.23 |
| District of Columbia | $546.98 | $546.98 |
| New York | $535.64 | $535.64 |
| New Jersey | $533.77 | $533.77 |
| California | $532.97 | $532.97 |
| Washington | $526.62 | $526.62 |
| Massachusetts | $523.11 | $523.11 |
| Connecticut | $517.28 | $517.28 |
| Hawaii | $514.36 | $514.36 |
| Florida | $509.45 | $509.45 |
| Maryland | $505.10 | $505.10 |
| Colorado | $504.19 | $504.19 |
| Illinois | $501.03 | $501.03 |
| Rhode Island | $500.80 | $500.80 |
| Oregon | $499.70 | $499.70 |
| New Hampshire | $497.77 | $497.77 |
| Puerto Rico | $492.92 | $492.92 |
| Virgin Islands | $492.92 | $492.92 |
| Montana | $490.62 | $490.62 |
| Pennsylvania | $489.39 | $489.39 |
| Nevada | $487.71 | $487.71 |
| Delaware | $487.16 | $487.16 |
| Texas | $487.04 | $487.04 |
| Wyoming | $485.71 | $485.71 |
| Michigan | $484.30 | $484.30 |
| Georgia | $484.12 | $484.12 |
| Minnesota | $483.97 | $483.97 |
| Virginia | $481.13 | $481.13 |
| Arizona | $480.74 | $480.74 |
| North Dakota | $479.35 | $479.35 |
| Vermont | $478.94 | $478.94 |
| South Dakota | $478.02 | $478.02 |
| New Mexico | $475.27 | $475.27 |
| Utah | $474.83 | $474.83 |
| Maine | $473.25 | $473.25 |
| Louisiana | $471.42 | $471.42 |
| Missouri | $471.30 | $471.30 |
| Ohio | $470.67 | $470.67 |
| South Carolina | $470.21 | $470.21 |
| West Virginia | $468.54 | $468.54 |
| North Carolina | $468.28 | $468.28 |
| Wisconsin | $467.76 | $467.76 |
| Indiana | $463.98 | $463.98 |
| Kentucky | $463.35 | $463.35 |
| Idaho | $462.11 | $462.11 |
| Oklahoma | $461.65 | $461.65 |
| Nebraska | $460.99 | $460.99 |
| Tennessee | $460.78 | $460.78 |
| Iowa | $459.50 | $459.50 |
| Kansas | $459.00 | $459.00 |
| Mississippi | $453.52 | $453.52 |
| Alabama | $453.46 | $453.46 |
| Arkansas | $448.79 | $448.79 |

## 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 66635 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