Eye & ear

66984 - RVUs & Medicare payment (2026)

Cataract removal with intraocular lens insertion.

Component	Non-facility	Facility
Work RVU	7.17	7.17
Practice expense RVU	6.14	6.14
Malpractice RVU	0.54	0.54
Total RVUs	13.85	13.85
National payment (CF $33.4009)	$462.60	$462.60
Qualifying APM payment (CF $33.5675)	$464.91	$464.91

How 66984 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 66984 ranges from $424.94 in Arkansas (AR) to $587.58 in Alaska (AK); calculate 66984 for your locality.

Alaska (AK) $587.58 San Jose-Sunnyvale-Santa Clara (CA) $571.22 San Jose-Sunnyvale-Santa Clara (CA) $568.72 San Francisco-Oakland-Berkeley (CA) $559.68 San Francisco-Oakland-Berkeley (CA) $559.07 Napa (CA) $534.03 Vallejo (CA) $533.15 NYC Suburbs/Long Island (NY) $532.15 National average $462.60 … 97 more localities between … Rest Of Missouri (MO) $433.83 Mississippi (MS) $429.39 Alabama (AL) $429.14 Arkansas (AR) $424.94

Non-facility payment for 66984 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 090

90-day global period: routine pre- and post-operative care within 90 days is included in the payment.

Related codes - eye & ear

92002 · eye exam, new patient, intermediate
92004 · eye exam, new patient, comprehensive
92012 · eye exam, established patient, intermediate
92014 · eye exam, established patient, comprehensive
92083 · visual field examination, extended
92134 · optical coherence tomography (oct), retina
92557 · comprehensive hearing test (audiometry)

Frequently asked questions

How much does Medicare pay for 66984 in 2026?

The national non-facility payment is $462.60 and the facility payment is $462.60, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 66984?

The 2026 work RVU for 66984 is 7.17. Total RVUs are 13.85 in the non-facility setting and 13.85 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.