CPT 66989
Global 090 ActiveXcpsl ctrc rmvl cplx insj 1+
CPT 66989 Billing & Documentation Guide
CPT code 66989 (Xcpsl ctrc rmvl cplx insj 1+) 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 11.83, a non-facility practice expense RVU of 8.77, and a malpractice RVU of 0.92, a total non-facility RVU of 21.52 and facility RVU of 21.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $735.22, though rates vary from $662.58 to $921.6 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 66989, 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 66989 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 66989 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 66989
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.83 | 11.83 |
| Practice Expense RVU | 8.77 | 8.77 |
| Malpractice RVU | 0.92 | 0.92 |
| Total RVU | 21.52 | 21.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 66989
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 | $772.57 | $772.57 | $739.37 - $877.47 | 29 |
| Florida | $748.85 | $748.85 | $721.36 - $777.78 | 3 |
| Georgia | $711.94 | $711.94 | $693.05 - $730.84 | 2 |
| Illinois | $738.28 | $738.28 | $710.6 - $762.81 | 4 |
| Michigan | $713.44 | $713.44 | $697.27 - $729.61 | 2 |
| North Carolina | $688.07 | $688.07 | $688.07 - $688.07 | 1 |
| New York | $782.43 | $782.43 | $695.01 - $825.77 | 5 |
| Ohio | $693.55 | $693.55 | $693.55 - $693.55 | 1 |
| Pennsylvania | $718.46 | $718.46 | $693.08 - $743.84 | 2 |
| Texas | $714.23 | $714.23 | $690.24 - $733.06 | 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 66989
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 66989 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 |
| 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 |
| 0253T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0308T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0449T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0450T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0465T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0474T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 66989
What does CPT code 66989 mean? +
CPT code 66989 represents: Xcpsl ctrc rmvl cplx insj 1+. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 090.
What is the Medicare reimbursement for CPT 66989? +
The 2026 Medicare national average non-facility payment for CPT 66989 is $735.22. Rates range from $662.58 to $921.6 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 66989? +
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 66989? +
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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