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CPT code 00103: Eyelid anesthesia, reconstructive procedures2026 Medicare rate & RVUs

Anesthesia for reconstructive eyelid operations, including correction of eyelid position or structure and reconstruction of eyelid defects.

CMS RVU26DEffective Oct 1, 2026109 payment localities108.9K Medicare services in 2024

Medicare rate · 00103

Eyelid anesthesia, reconstructive procedures

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 00103 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 00103 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 00103 covers

This code is for anesthesia during reconstructive surgery of the eyelid, such as operations to correct ptosis, entropion, or ectropion, and reconstruction of an eyelid defect. Ophthalmologists and plastic surgeons commonly perform these procedures in a hospital or ambulatory surgery center; an anesthesia practitioner reports the anesthesia service. The operative plan should identify the eyelid reconstruction rather than surgery directed at the eye itself.

Choose this code for eyelid reconstruction rather than anesthesia for procedures on the eye, lens, or cornea, which use neighboring codes when applicable. The operative report should identify the eyelid and reconstructive work, while the anesthesia record supports the service and documents start and end times. This code has 5 base units; Medicare calculates payment as (base units + time units) multiplied by the locality’s anesthesia conversion factor, which varies by locality. Anesthesia time is reported in minutes and converted to 15-minute units to one decimal place; it begins when the practitioner starts preparing the patient for anesthesia and ends when the practitioner is no longer in personal attendance and the patient can safely be placed under postoperative care.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 00103 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

00103 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

00103 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
00103 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 00103 rate is calculated

Each of 00103’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 00103

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 00103

00103 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 00103

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

00103 isn’t priced in this setting.

00103 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 00103

    Eyelid anesthesia, reconstructive procedures0 wRVU

    Not priced

  • 00140

    Eye procedure anesthesia, eye procedures not otherwise specified0 wRVU

    Not priced

  • 00142

    Lens surgery anesthesia, lens procedures0 wRVU

    Not priced

  • 00144

    Corneal transplant anesthesia, corneal graft surgery0 wRVU

    Not priced

How to choose

00140Eye procedure anesthesiaEye procedures not otherwise specified
Use 00103 for reconstructive eyelid surgery. Use 00140 for other procedures on the eye that do not fit a more specific anesthesia code.
00142Lens surgery anesthesiaLens procedures
00142 is for anesthesia during lens surgery, such as cataract surgery; 00103 is for eyelid reconstruction.
00144Corneal transplant anesthesiaCorneal graft surgery
00144 applies to anesthesia for corneal transplantation. Choose 00103 when the operation reconstructs the eyelid instead.

Codes related to 00103

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 00103
CodeHow it relatesNational office range
Often billed with
67904Ptosis repair, external levator approachAnesthesia may accompany surgical repair of eyelid ptosis.$668.94–$968.23
67917Eyelid repair, extensive entropion correctionAnesthesia may accompany extensive repair of eyelid ectropion.$559.10–$823.49
67924Entropion repair, extensive repairAnesthesia may accompany extensive repair of eyelid entropion.$581.02–$860.40

00103 billing questions

When should this code be chosen instead of 00140?

Use 00103 when the anesthetized operation reconstructs the eyelid. Code 00140 is for other procedures on the eye, rather than eyelid reconstruction.

Does this code cover anesthesia for lens or corneal surgery?

No. Lens surgery and corneal transplantation have separate anesthesia codes; 00103 is for reconstructive eyelid procedures.

What should the records establish?

The operative report should identify the eyelid and the reconstructive procedure, such as correction of eyelid position or repair of a defect. The anesthesia record should support the anesthesia service and its start and end times.

How are time units calculated?

Report anesthesia time in minutes; CMS converts it to 15-minute units, rounded to one decimal place. For example, 38 minutes equals 2.5 time units.

How does Medicare handle medically directed anesthesia?

When an anesthesiologist medically directs a CRNA, Medicare pays each professional 50% of the allowance for the personally performed service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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