# CPT 66990: Use Ophthalmic Endoscope

Medicare CPT 66990 pays $70.48 in a non-facility setting and $70.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $66.08 in Arkansas to $94.35 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/66990-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.48 |
| National facility | $70.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $94.35 | $94.35 |
| District of Columbia | $76.67 | $76.67 |
| New York | $76.25 | $76.25 |
| New Jersey | $75.53 | $75.53 |
| Florida | $74.33 | $74.33 |
| Illinois | $73.71 | $73.71 |
| Connecticut | $73.64 | $73.64 |
| Washington | $73.61 | $73.61 |
| California | $73.58 | $73.58 |
| Massachusetts | $73.40 | $73.40 |
| Maryland | $72.16 | $72.16 |
| Rhode Island | $71.55 | $71.55 |
| Colorado | $71.30 | $71.30 |
| Hawaii | $71.17 | $71.17 |
| Michigan | $71.05 | $71.05 |
| Pennsylvania | $70.84 | $70.84 |
| New Hampshire | $70.69 | $70.69 |
| Oregon | $70.69 | $70.69 |
| Puerto Rico | $70.61 | $70.61 |
| Virgin Islands | $70.61 | $70.61 |
| Georgia | $70.54 | $70.54 |
| Montana | $70.47 | $70.47 |
| Texas | $70.19 | $70.19 |
| Delaware | $70.11 | $70.11 |
| West Virginia | $69.93 | $69.93 |
| New Mexico | $69.84 | $69.84 |
| Nevada | $69.82 | $69.82 |
| Wyoming | $69.43 | $69.43 |
| Arizona | $69.36 | $69.36 |
| Louisiana | $69.16 | $69.16 |
| Utah | $69.02 | $69.02 |
| Ohio | $69.00 | $69.00 |
| Virginia | $69.00 | $69.00 |
| Missouri | $68.98 | $68.98 |
| South Carolina | $68.55 | $68.55 |
| Vermont | $68.32 | $68.32 |
| Kentucky | $68.21 | $68.21 |
| Maine | $68.21 | $68.21 |
| Minnesota | $68.16 | $68.16 |
| North Dakota | $68.10 | $68.10 |
| North Carolina | $67.87 | $67.87 |
| South Dakota | $67.81 | $67.81 |
| Oklahoma | $67.72 | $67.72 |
| Indiana | $67.15 | $67.15 |
| Tennessee | $67.04 | $67.04 |
| Mississippi | $67.02 | $67.02 |
| Idaho | $66.97 | $66.97 |
| Wisconsin | $66.97 | $66.97 |
| Kansas | $66.82 | $66.82 |
| Nebraska | $66.65 | $66.65 |
| Iowa | $66.58 | $66.58 |
| Alabama | $66.57 | $66.57 |
| Arkansas | $66.08 | $66.08 |

## 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 66990 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