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

CMS doesn’t publish a rate for 00103 in Montana.

Check a contract rate as a % of Medicare · 00103 nationwide

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

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.

How Montana compares for 00103

Every other payment area

00103 rates by state

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

See 00103 in every payment locality

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.

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.

Codes related to 00103

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

How 00103 has changed in Montana

Price 00103 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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