# CPT 66840: Removal of lens material, aspiration technique, 1 or more stages

Medicare CPT 66840 pays $590.53 in a non-facility setting and $590.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $541.26 in Arkansas to $746.76 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66840-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $590.53 |
| National facility | $590.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $746.76 | $746.76 |
| District of Columbia | $657.03 | $657.03 |
| New York | $644.19 | $644.19 |
| New Jersey | $641.63 | $641.63 |
| California | $639.48 | $639.48 |
| Washington | $632.44 | $632.44 |
| Massachusetts | $628.42 | $628.42 |
| Connecticut | $622.11 | $622.11 |
| Hawaii | $617.24 | $617.24 |
| Florida | $613.87 | $613.87 |
| Maryland | $607.64 | $607.64 |
| Colorado | $606.07 | $606.07 |
| Illinois | $604.14 | $604.14 |
| Rhode Island | $602.49 | $602.49 |
| Oregon | $600.69 | $600.69 |
| New Hampshire | $598.55 | $598.55 |
| Puerto Rico | $593.12 | $593.12 |
| Virgin Islands | $593.12 | $593.12 |
| Montana | $590.48 | $590.48 |
| Pennsylvania | $589.37 | $589.37 |
| Nevada | $586.84 | $586.84 |
| Delaware | $586.41 | $586.41 |
| Texas | $586.33 | $586.33 |
| Wyoming | $584.36 | $584.36 |
| Michigan | $583.85 | $583.85 |
| Georgia | $583.32 | $583.32 |
| Minnesota | $581.60 | $581.60 |
| Virginia | $579.00 | $579.00 |
| Arizona | $578.81 | $578.81 |
| North Dakota | $576.44 | $576.44 |
| Vermont | $576.13 | $576.13 |
| South Dakota | $574.78 | $574.78 |
| New Mexico | $573.06 | $573.06 |
| Utah | $572.04 | $572.04 |
| Maine | $569.75 | $569.75 |
| Louisiana | $568.34 | $568.34 |
| Missouri | $568.10 | $568.10 |
| Ohio | $567.41 | $567.41 |
| South Carolina | $566.61 | $566.61 |
| West Virginia | $565.66 | $565.66 |
| North Carolina | $564.02 | $564.02 |
| Wisconsin | $562.87 | $562.87 |
| Indiana | $558.78 | $558.78 |
| Kentucky | $558.78 | $558.78 |
| Idaho | $556.60 | $556.60 |
| Oklahoma | $556.58 | $556.58 |
| Tennessee | $555.17 | $555.17 |
| Nebraska | $555.15 | $555.15 |
| Iowa | $553.46 | $553.46 |
| Kansas | $553.05 | $553.05 |
| Mississippi | $547.10 | $547.10 |
| Alabama | $546.75 | $546.75 |
| Arkansas | $541.26 | $541.26 |

## 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 66840 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