Practice Management

Practice management reference for common interventional glaucoma codes. This section is for coding and reimbursement planning only and must not be used to guide clinical decision-making. Reimbursement varies by MAC/locality and payer policy.

Site of service

Select the site of service. Professional and facility reimbursement vary by setting and payer policy.

MAC locality

Medicare Administrative Contractor (MAC)

Select your MAC to load CY 2026 MPFS physician fees (median across localities; non-QP).

Facility rates (ASC/HOPD) are jurisdiction-independent. Professional fees can vary substantially by MAC and locality.

Procedure pairing and totals

Select procedures below to estimate total reimbursement for a single encounter. Pairing rules are conservative and may vary by payer and MAC/locality.

Multiple-procedure reduction (MPPR, simplified)

Applied automatically: highest CPT line at 100%, additional CPT lines at 50% (HCPCS J codes excluded). Payer rules and exceptions vary.

Physician total

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Facility total

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Combined total

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Selected procedures

No procedures selected.

Codes (2026 CMS structure)

Procedure	Code(s)	Physician fee	Indications
Laser trabeculoplasty
SLT / DSLT	`65855`		Ocular hypertension and mild–severe open-angle glaucoma.
Procedural pharmaceuticals
Durysta	`66030` + `J7351`		Open-angle glaucoma or ocular hypertension (procedural pharmaceutical; coverage varies).
iDose TR	`0660T` + `J7355`	Carrier priced — enter local allowed amount Office (non-facility)	Open-angle glaucoma or ocular hypertension (procedural pharmaceutical; coverage varies).
Tissue-sparing MIGS
Trabecular bypass stent (with cataract surgery)			Mild–moderate glaucoma, typically combined with cataract surgery (payer-dependent).
Standalone trabecular bypass stent (iStent infinite)	`0671T`	Carrier priced — enter local allowed amount Office (non-facility)	Primary open-angle glaucoma with prior medical and surgical treatment failure (standalone; no concomitant cataract removal).
Canaloplasty (ab interno)	`66174`		Mild–moderate glaucoma (standalone or combined; payer-dependent).
Non-tissue-sparing MIGS
Goniotomy	`65820`		Mild–severe glaucoma (standalone or combined; payer-dependent).
Cyclodialysis / Scleral reinforcement
Cyclodialysis creation (ab interno)	`66740`		Indications: Investigational/limited coverage; see payer policy.
Scleral reinforcement (cyclodialysis device)	`67255`		Indications: Investigational/limited coverage; see payer policy.
Filtering procedures
Trabeculectomy			Moderate–severe / refractory glaucoma.
Tube shunt	`66180`		Moderate–severe / refractory glaucoma.
Cataract surgery
Cataract surgery (phaco + IOL)			Visually significant cataract (routine vs complex). Often paired with MIGS when indicated.
Cataract + trabecular bypass stent (combined)			Combined cataract + trabecular bypass stent code (mirrors selection under Tissue-sparing MIGS).

Note: Fee amounts are shown as TBD in this build to avoid publishing incorrect reimbursement figures. If you provide your 2026 CMS values (Novitas or your preferred locality), this page can be populated and will switch instantly via the site-of-service buttons.