{
    "code": "65855",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/65855/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/65855/2024/D",
    "description": "An outpatient laser treatment aimed at the trabecular meshwork, the spongy drainage channel in the angle where the iris meets the cornea. Short laser pulses improve outflow of fluid from the eye and lower the pressure inside it. Modern practice mostly uses a low-energy selective laser that targets pigmented cells without burning surrounding tissue, so it can be repeated. It is done at a slit lamp through a mirrored contact lens, with numbing drops only - no incision and no operating room.",
    "answer": {
        "question": "How much did Medicare pay for CPT 65855 in Q4 2024?",
        "text": "Medicare paid $243.33 for CPT 65855 in the office (non-facility) setting and $202.72 in a facility under the Q4 2024 Physician Fee Schedule, effective October 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "D",
        "label": "Q4 2024",
        "effective": "October 1 – December 31, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 243.33,
        "facility": 202.72,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3,
        "practice_expense_non_facility": 4.07,
        "practice_expense_facility": 2.85,
        "malpractice": 0.24
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q4 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/D",
        "file": "PPRRVU24_OCT.csv",
        "row": 12951,
        "sha256": "8ff8133723cdaa4d6d2b1680ff97286ffa7ab38dcd54b9108fc6020e633ef20b"
    },
    "modified_at": "2026-08-04T03:14:25+00:00"
}