CPT 66984
Global 090 ActiveXcapsl ctrc rmvl w/o ecp
CPT 66984 Billing & Documentation Guide
CPT code 66984 (Xcapsl ctrc rmvl w/o ecp) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 7.17, a non-facility practice expense RVU of 6.14, and a malpractice RVU of 0.54, a total non-facility RVU of 13.85 and facility RVU of 13.85. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $473.85, though rates vary from $424.94 to $587.58 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 66984, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 66984 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 66984 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 66984
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 7.17 | 7.17 |
| Practice Expense RVU | 6.14 | 6.14 |
| Malpractice RVU | 0.54 | 0.54 |
| Total RVU | 13.85 | 13.85 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 66984
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $500.51 | $500.51 | $477.99 - $571.22 | 29 |
| Florida | $480.36 | $480.36 | $462.65 - $498.59 | 3 |
| Georgia | $457.08 | $457.08 | $443.92 - $470.23 | 2 |
| Illinois | $472.95 | $472.95 | $454.91 - $488.66 | 4 |
| Michigan | $457.45 | $457.45 | $447.09 - $467.8 | 2 |
| North Carolina | $442.35 | $442.35 | $442.35 - $442.35 | 1 |
| New York | $504.15 | $504.15 | $446.99 - $532.15 | 5 |
| Ohio | $444.9 | $444.9 | $444.9 - $444.9 | 1 |
| Pennsylvania | $461.8 | $461.8 | $444.79 - $478.8 | 2 |
| Texas | $459.46 | $459.46 | $442.86 - $472.92 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 66984
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 66984 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00142 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00144 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0308T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0465T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 66984
What does CPT code 66984 mean? +
CPT code 66984 represents: Xcapsl ctrc rmvl w/o ecp. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 66984? +
The 2026 Medicare national average non-facility payment for CPT 66984 is $473.85. Rates range from $424.94 to $587.58 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 66984? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 66984? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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