# CPT 66986: Exchange Intraocular Lens

Medicare CPT 66986 pays $764.21 in a non-facility setting and $764.21 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $701.82 in Arkansas to $971.20 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/66986-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $764.21 |
| National facility | $764.21 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $971.20 | $971.20 |
| District of Columbia | $848.69 | $848.69 |
| New York | $833.07 | $833.07 |
| New Jersey | $829.39 | $829.39 |
| California | $825.09 | $825.09 |
| Washington | $816.76 | $816.76 |
| Massachusetts | $811.79 | $811.79 |
| Connecticut | $804.53 | $804.53 |
| Hawaii | $796.52 | $796.52 |
| Florida | $795.36 | $795.36 |
| Maryland | $786.03 | $786.03 |
| Colorado | $783.39 | $783.39 |
| Illinois | $783.27 | $783.27 |
| Rhode Island | $779.37 | $779.37 |
| Oregon | $776.47 | $776.47 |
| New Hampshire | $773.91 | $773.91 |
| Puerto Rico | $767.40 | $767.40 |
| Virgin Islands | $767.40 | $767.40 |
| Montana | $764.15 | $764.15 |
| Pennsylvania | $763.16 | $763.16 |
| Nevada | $759.25 | $759.25 |
| Delaware | $759.00 | $759.00 |
| Texas | $758.98 | $758.98 |
| Michigan | $756.81 | $756.81 |
| Wyoming | $755.96 | $755.96 |
| Georgia | $755.71 | $755.71 |
| Minnesota | $751.54 | $751.54 |
| Arizona | $749.31 | $749.31 |
| Virginia | $749.22 | $749.22 |
| North Dakota | $745.36 | $745.36 |
| Vermont | $745.20 | $745.20 |
| South Dakota | $743.14 | $743.14 |
| New Mexico | $742.92 | $742.92 |
| Utah | $740.98 | $740.98 |
| Maine | $737.53 | $737.53 |
| Louisiana | $736.71 | $736.71 |
| Missouri | $736.27 | $736.27 |
| Ohio | $735.47 | $735.47 |
| West Virginia | $734.22 | $734.22 |
| South Carolina | $734.12 | $734.12 |
| North Carolina | $730.42 | $730.42 |
| Wisconsin | $728.25 | $728.25 |
| Kentucky | $724.51 | $724.51 |
| Indiana | $723.57 | $723.57 |
| Oklahoma | $721.47 | $721.47 |
| Idaho | $720.82 | $720.82 |
| Tennessee | $719.19 | $719.19 |
| Nebraska | $718.81 | $718.81 |
| Iowa | $716.74 | $716.74 |
| Kansas | $716.47 | $716.47 |
| Mississippi | $709.60 | $709.60 |
| Alabama | $708.77 | $708.77 |
| Arkansas | $701.82 | $701.82 |

## 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 66986 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