{
    "code": "65756",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/65756/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/65756/2016/C",
    "description": "A partial-thickness corneal transplant in which only the innermost layer is replaced. The endothelium is the single sheet of pump cells lining the back of the cornea that keeps it clear by drawing fluid out; when those cells fail the cornea swells and vision clouds. The surgeon strips the diseased layer and slides a thin donor disc into the eye, floating it into place with an air or gas bubble instead of stitching in a full-thickness graft. Recovery is faster and the eye structurally stronger than with a traditional full-thickness transplant.",
    "answer": {
        "question": "How much did Medicare pay for CPT 65756 in Q3 2016?",
        "text": "Medicare paid $1,201.95 for CPT 65756 in the office (non-facility) setting and $1,201.95 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1201.95,
        "facility": 1201.95,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 16.84,
        "practice_expense_non_facility": 15.5,
        "practice_expense_facility": 15.5,
        "malpractice": 1.23
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 10825,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}