{
    "code": "66821",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/66821/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/66821/2020/D",
    "description": "A brief laser treatment for clouding that develops behind an implanted lens after cataract surgery. Months or years after the cataract is removed, the thin natural membrane holding the artificial lens can turn hazy and vision fogs over again. Sitting at the slit lamp, the surgeon fires a YAG laser to open a small window in that membrane, clearing the line of sight. No incision is made and no instrument enters the eye.",
    "answer": {
        "question": "How much did Medicare pay for CPT 66821 in Q4 2020?",
        "text": "Medicare paid $339.24 for CPT 66821 in the office (non-facility) setting and $317.95 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it decreased 0.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 339.24,
        "facility": 317.95,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.42,
        "practice_expense_non_facility": 5.72,
        "practice_expense_facility": 5.13,
        "malpractice": 0.26
    },
    "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": 11795,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}