CPT code 00145: Retinal surgery anesthesia, vitreous and retina2026 Medicare rate & RVUs in Massachusetts
Anesthesia for surgery involving the vitreous or retina, including vitrectomy and retinal detachment repair, is reported with this code.
CMS doesn’t publish an office rate for 00145 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 00145 covers
This code covers anesthesia for operations on the back of the eye, where surgeons treat the vitreous gel or retina. Common cases include vitrectomy, retinal detachment repair, and surgery to remove membranes affecting the retina. An anesthesiologist or CRNA reports the anesthesia service in a hospital or ambulatory surgical setting; the ophthalmic surgeon reports the operation separately.
Choose this code for vitreoretinal surgery rather than the general eye-procedure code or codes specific to lens, corneal, or iris procedures. The anesthesia record should support the practitioner’s work and time; the operative report should identify the retinal or vitreous procedure performed. The code has 6 base units, and Medicare payment is (base units plus time units) multiplied by the locality’s anesthesia conversion factor. Time is reported in minutes and converted to 15-minute units 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 00145 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
How the 00145 rate is calculated
Each of 00145’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 · 00145
RVUs × geographic indexes × conversion factor
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 00145
00145 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 · 00145
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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00145 isn’t priced in this setting.
00145 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 00140Eye procedure anesthesiaEye procedures not otherwise specified
- Use 00145 for surgery involving the vitreous or retina. Use 00140 for other eye procedures that do not have a more specific anesthesia code.
- 00142Lens surgery anesthesiaLens procedures
- 00142 is for lens surgery, such as cataract surgery; 00145 is for vitreous or retinal surgery.
- 00144Corneal transplant anesthesiaCorneal graft surgery
- 00144 applies to corneal transplantation. Retinal detachment repair, vitrectomy, and similar posterior-segment operations belong under 00145.
- 00148Ophthalmoscopy anesthesiaDiagnostic eye examination
- 00148 is for anesthesia for ophthalmic examination procedures. Use 00145 when the service is an operation on the vitreous or retina.
00145 billing questions
When should this code be chosen over the general eye-procedure anesthesia code?
Use this code when the operation treats the vitreous or retina, such as vitrectomy or retinal detachment repair. The general eye-procedure code is for eye operations not represented by a more specific anesthesia code.
Does this code cover the surgeon’s retinal operation?
No. It represents the anesthesia service; the ophthalmic surgeon reports the operative procedure separately.
How many base and time units are reported?
This code has 6 base units. Report anesthesia time in minutes; CMS converts it to 15-minute units calculated to one decimal place.
What records support reporting this code?
The anesthesia record should document the anesthesia service and its start and end times. The operative report should show that the procedure involved the vitreous or retina.
How is medically directed anesthesia treated by Medicare?
When an anesthesiologist medically directs a CRNA, Medicare pays each 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
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