# CPT 66820: Discission Secondary Membranous Cataract

Medicare CPT 66820 pays $421.19 in a non-facility setting and $421.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $376.88 in Arkansas to $500.39 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/66820-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $421.19 |
| National facility | $421.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $500.39 | $500.39 |
| District of Columbia | $479.33 | $479.33 |
| California | $472.91 | $472.91 |
| New Jersey | $464.11 | $464.11 |
| New York | $463.33 | $463.33 |
| Washington | $462.59 | $462.59 |
| Massachusetts | $458.09 | $458.09 |
| Hawaii | $455.59 | $455.59 |
| Connecticut | $447.46 | $447.46 |
| Colorado | $438.61 | $438.61 |
| Maryland | $435.58 | $435.58 |
| Oregon | $434.58 | $434.58 |
| Rhode Island | $431.89 | $431.89 |
| New Hampshire | $431.49 | $431.49 |
| Florida | $431.29 | $431.29 |
| Puerto Rico | $424.13 | $424.13 |
| Virgin Islands | $424.13 | $424.13 |
| Minnesota | $422.51 | $422.51 |
| Montana | $421.17 | $421.17 |
| Illinois | $420.99 | $420.99 |
| Nevada | $419.85 | $419.85 |
| Wyoming | $418.67 | $418.67 |
| Delaware | $417.49 | $417.49 |
| Pennsylvania | $417.27 | $417.27 |
| Texas | $416.86 | $416.86 |
| North Dakota | $415.43 | $415.43 |
| South Dakota | $414.75 | $414.75 |
| Vermont | $413.59 | $413.59 |
| Virginia | $413.56 | $413.56 |
| Arizona | $411.08 | $411.08 |
| Georgia | $410.37 | $410.37 |
| Michigan | $408.00 | $408.00 |
| Maine | $405.07 | $405.07 |
| Utah | $403.34 | $403.34 |
| Wisconsin | $402.68 | $402.68 |
| New Mexico | $399.82 | $399.82 |
| North Carolina | $398.87 | $398.87 |
| South Carolina | $398.38 | $398.38 |
| Missouri | $397.91 | $397.91 |
| Louisiana | $397.20 | $397.20 |
| Ohio | $396.82 | $396.82 |
| Indiana | $395.70 | $395.70 |
| Idaho | $393.61 | $393.61 |
| Nebraska | $393.53 | $393.53 |
| Iowa | $391.47 | $391.47 |
| Tennessee | $391.14 | $391.14 |
| Kansas | $389.41 | $389.41 |
| Kentucky | $389.18 | $389.18 |
| Oklahoma | $388.97 | $388.97 |
| West Virginia | $388.56 | $388.56 |
| Alabama | $381.87 | $381.87 |
| Mississippi | $379.61 | $379.61 |
| Arkansas | $376.88 | $376.88 |

## 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 66820 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