{
    "code": "00103",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/00103/2020/D",
    "release_specific_url": "https://localishealth.com/cpt/00103/2020/D",
    "description": "Anesthesia care for surgery on the eyelids, most often blepharoplasty - removing excess skin, muscle, or fat to correct drooping lids that sag low enough to affect appearance or vision. Depending on the extent of surgery and patient factors, it can be done under monitored sedation with local numbing or under general anesthesia.",
    "answer": {
        "question": "How much does Medicare pay for CPT 00103?",
        "text": "CPT 00103 is an anesthesia code, so Medicare has no single national rate: payment is (base units + time units) × the locality's anesthesia conversion factor — for example, about $197.89 for a 60-minute case in Dallas, TX under the Q4 2020 release, before sequestration."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "J",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 5031,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}
