CPT code 00140: Eye procedure anesthesia, eye procedures not otherwise specified2026 Medicare rate & RVUs in Maryland

Anesthesia for eye operations not assigned a more specific anesthesia code, such as procedures involving ocular structures outside separately classified eye procedure groups.

CMS RVU26DEffective Oct 1, 20263 payment localities176.8K Medicare services in 2024

CMS doesn’t publish an office rate for 00140 in Maryland.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Maryland
  2. What 00140 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 00140 covers

Anesthesia for other eye procedures applies when the operation involves the eye but does not fit a more specifically classified anesthesia service. Anesthesiologists and CRNAs report it for anesthesia they provide for procedures such as strabismus surgery, commonly performed in a hospital or ambulatory surgery center. The operative service is reported separately by the surgeon.

Choose 00140 for qualifying eye procedures rather than anesthesia for lens surgery, corneal transplantation, vitreoretinal surgery, iridectomy, or ophthalmoscopy, which have their own codes. The operative report should identify the eye procedure and structures treated; the anesthesia record should support the service and its timing. This code has 5 base units; Medicare payment is (base units + time units) multiplied by the locality’s anesthesia conversion factor. Time is reported in minutes, converted to units of 15 minutes to one decimal place, from preparation for anesthesia until 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 00140 pays more and less in Maryland

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

00140 office and facility rates by payment locality
Payment localityOfficeFacility
Baltimore area, MDUnavailableUnavailable
Rest of MarylandUnavailableUnavailable
Washington, DC areaUnavailableUnavailable

How the 00140 rate is calculated

Each of 00140’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 · 00140

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 00140

00140 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 · 00140

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

00140 isn’t priced in this setting.

00140 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 00140

    Eye procedure anesthesia, eye procedures not otherwise specified0 wRVU

    Not priced

  • 00103

    Eyelid anesthesia, reconstructive procedures0 wRVU

    Not priced

  • 00142

    Lens surgery anesthesia, lens procedures0 wRVU

    Not priced

  • 00145

    Retinal surgery anesthesia, vitreous and retina0 wRVU

    Not priced

  • 00148

    Ophthalmoscopy anesthesia, diagnostic eye examination0 wRVU

    Not priced

How to choose

00103Eyelid anesthesiaReconstructive procedures
00103 is for anesthesia for reconstructive eyelid procedures. Use 00140 for other qualifying eye procedures that do not have a more specific anesthesia code.
00142Lens surgery anesthesiaLens procedures
00142 identifies anesthesia for lens surgery. It is more specific than 00140 when the operation is on the lens.
00145Retinal surgery anesthesiaVitreous and retina
00145 is for anesthesia for vitreoretinal surgery. Use 00140 for other eye procedures outside that surgical category.
00148Ophthalmoscopy anesthesiaDiagnostic eye examination
00148 is for anesthesia for ophthalmoscopy. An operative procedure on the eye that is not ophthalmoscopy may fall under 00140 if no more specific code applies.

00140 billing questions

When should 00140 be used instead of 00142?

Use 00142 for anesthesia for lens surgery. Use 00140 for an eye procedure that does not belong to a more specifically classified anesthesia service.

Does 00140 cover eyelid reconstruction?

Anesthesia for reconstructive eyelid procedures is classified under 00103. The operative report should make clear whether the service is eyelid reconstruction or another eye procedure.

What documentation supports reporting 00140?

The operative report should identify the eye procedure and treated structures. The anesthesia record should document the anesthesia service and its start and end times.

How does Medicare calculate payment for 00140?

Medicare calculates payment as (5 base units plus time units) multiplied by the anesthesia conversion factor for the payment locality. Time is converted from minutes into 15-minute units, computed to one decimal place.

Is the surgeon's eye procedure included in 00140?

No. The anesthesia practitioner reports the anesthesia service, and the surgeon reports the operative procedure separately.

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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