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New research · Ophthalmology
American journal of ophthalmology · 2d
StudyAmerican journal of ophthalmology · 2026

Cost Analysis of Outpatient Ophthalmic Procedures.

Emily F Moon, Leo Lt Meller, Bobby S Korn, Don O Kikkawa
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OphthalmologyStudy

Most outpatient ophthalmic surgeries stay cost-neutral for surgery centers beyond 30 minutes.

Cost Analysis of Outpatient Ophthalmic Procedures.

Emily F Moon … Don O Kikkawa
American journal of ophthalmology · 2026
Purpose

To evaluate the financial feasibility of various ophthalmic procedures performed at outpatient facilities, including ambulatory surgical centers (ambulatory surgical centers) and hospital outpatient departments (hospital outpatient departments), relative to Medicare facility reimbursement in 2025 and beyond.

Methods

METHODS, INTERVENTION, OR TESTING: In this study, we propose a novel framework to analyze ambulatory surgical centers and hospital outpatient departments based on the maximum intraoperative time to maintain financial neutrality.

n = 9 common ophthalmic surgical
>30 minutes
Results
>30 minutes
beyond this point, longer surgeries no longer add extra cost
n = 9 common ophthalmic surgical
More results

For hospital outpatient departments, the maximum intraoperative times were approximately twice as high for most procedures and ranged from 160.8 (aqueous shunt to extraocular equatorial plate reservoir; CPT 66180) to 54.5 (blepharoplasty, upper eyelid; CPT 15823) minutes.

“
Conclusion

In this analysis, most ophthalmic procedures performed at the ambulatory surgical centers analyzed had a maximum intraoperative time to maintain financial neutrality of >30 minutes, indicating that ambulatory surgical centers are well positioned to offer common ophthalmic surgical procedures in a financially efficient manner.

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