# CPT 66850: Removal of lens material, phacofragmentation technique

Medicare CPT 66850 pays $670.02 in a non-facility setting and $670.02 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $614.59 in Arkansas to $849.00 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66850-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $670.02 |
| National facility | $670.02 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $849.00 | $849.00 |
| District of Columbia | $744.89 | $744.89 |
| New York | $730.72 | $730.72 |
| New Jersey | $727.65 | $727.65 |
| California | $724.59 | $724.59 |
| Washington | $716.92 | $716.92 |
| Massachusetts | $712.45 | $712.45 |
| Connecticut | $705.67 | $705.67 |
| Hawaii | $699.45 | $699.45 |
| Florida | $696.95 | $696.95 |
| Maryland | $689.32 | $689.32 |
| Colorado | $687.28 | $687.28 |
| Illinois | $686.08 | $686.08 |
| Rhode Island | $683.46 | $683.46 |
| Oregon | $681.19 | $681.19 |
| New Hampshire | $678.85 | $678.85 |
| Puerto Rico | $672.90 | $672.90 |
| Virgin Islands | $672.90 | $672.90 |
| Montana | $669.97 | $669.97 |
| Pennsylvania | $668.88 | $668.88 |
| Nevada | $665.75 | $665.75 |
| Delaware | $665.39 | $665.39 |
| Texas | $665.33 | $665.33 |
| Michigan | $662.95 | $662.95 |
| Wyoming | $662.90 | $662.90 |
| Georgia | $662.17 | $662.17 |
| Minnesota | $659.41 | $659.41 |
| Virginia | $656.89 | $656.89 |
| Arizona | $656.81 | $656.81 |
| North Dakota | $653.75 | $653.75 |
| Vermont | $653.50 | $653.50 |
| South Dakota | $651.84 | $651.84 |
| New Mexico | $650.72 | $650.72 |
| Utah | $649.29 | $649.29 |
| Maine | $646.49 | $646.49 |
| Louisiana | $645.30 | $645.30 |
| Missouri | $644.98 | $644.98 |
| Ohio | $644.23 | $644.23 |
| South Carolina | $643.19 | $643.19 |
| West Virginia | $642.67 | $642.67 |
| North Carolina | $640.11 | $640.11 |
| Wisconsin | $638.51 | $638.51 |
| Kentucky | $634.51 | $634.51 |
| Indiana | $634.12 | $634.12 |
| Oklahoma | $631.93 | $631.93 |
| Idaho | $631.67 | $631.67 |
| Tennessee | $630.14 | $630.14 |
| Nebraska | $629.97 | $629.97 |
| Iowa | $628.10 | $628.10 |
| Kansas | $627.74 | $627.74 |
| Mississippi | $621.32 | $621.32 |
| Alabama | $620.77 | $620.77 |
| Arkansas | $614.59 | $614.59 |

## 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 66850 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