Table 1. Summary of the Medicare allowable fees and results for surgery, including mean reduction of glaucoma medications and IOP reduction over the first year after surgery.
Procedure | Goniotomy | Conventional trabeculotomy | Microcatheter-assisted trabeculotomy | Trabeculectomy | AGV | BGI | CPC |
CPT code | 65820 | 65850 | 65850 | 66170 | 66179 | 66179 | 66711 |
Total allowable fee for surgery | $3248 | $3268 | $3268 | $3530 | $5395 | $5395 | $2777 |
Mean reduction of glaucoma medications | |||||||
1y | 0.1 | 0.2 | 0.3 | 1.3 | 1.1 | 1 | 2 |
Drop savings in 1st year (reduction after surgery) | $18 | $35 | $53 | $248 | $195 | $213 | $355 |
Imputed cost of surgery | $3230 | $3232 | $3214 | $3281 | $5199 | $5181 | $2421 |
Mean IOP reduction (mm Hg) | |||||||
1y | 9.2 | 11.2 | 14.2 | 12.2 | 15.4 | 14.7 | 8.5 |
$/mm Hg reduction | |||||||
1y | $351 | $288 | $226 | $400 | $338 | $350 | $284 |
CPT: Current procedural terminology; IOP: Intraocular pressure; AGV: Ahmed glaucoma valve; BGI: Barveldt glaucoma implant; CPC: Cyclophotocoagulation.