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CPT code 92002: Eye examination, intermediate, new patient2026 Medicare rate & RVUs in Alabama

An ophthalmologist or optometrist reports this intermediate examination for a new patient when evaluating an eye concern and beginning a diagnostic or treatment plan.

CMS RVU26DEffective Oct 1, 2026One payment locality113.4K Medicare services in 2024

In Alabama, Medicare pays $77.70 for 92002 in the office and $36.49 when it’s performed in a hospital or facility.

$77.70Office (non-facility)
$36.49Hospital or facility
−8.4%vs the national office rate ($84.84)

Check a contract rate as a % of Medicare · 92002 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92002 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 92002 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92002 covers

This service is an intermediate ophthalmological evaluation for a new patient, commonly performed by an ophthalmologist or optometrist in an office or outpatient setting. The clinician evaluates the patient’s eye complaint or finding, examines relevant ocular structures, and uses diagnostic procedures as indicated to decide on an initial diagnostic or treatment approach. Examples of reasons for evaluation include new blurred vision, eye discomfort, or a newly observed ocular finding.

Select 92002 when the documented service is intermediate rather than a comprehensive eye examination and the patient meets the new-patient criteria for the reporting clinician and group. The record should support the eye-related history, examination performed, relevant findings, and the diagnostic or treatment plan initiated. The code is priced as bilateral; reporting modifier 50 does not increase payment. Report a separate diagnostic service only when it was performed and is independently reportable.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Alabama compares for 92002

Across 109 of 109 payment localities, the office rate for 92002 runs from $76.79 in Arkansas to $111.97 in San Benito County, CA. Alabama pays $77.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

92002 in Alabama vs other payment areas
  1. Alabama · this page$77.70
  2. Los Angeles, CA · California$95.84+$18.14
  3. Washington, DC area · District of Columbia$96.25+$18.55
  4. Miami, FL · Florida$88.11+$10.41
  5. Chicago, IL · Illinois$86.18+$8.48
  6. Manhattan, NY · New York$95.98+$18.28
  7. Alaska · Alaska$102.80+$25.10

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

92002 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$76.79$36.34
ArizonaArizona$83.04$37.41
Bakersfield, CACalifornia$90.39$38.78
Chico, CACalifornia$90.29$38.67
El Centro, CACalifornia$90.29$38.67
Fresno, CACalifornia$90.29$38.67
Hanford, CACalifornia$90.29$38.67
Madera, CACalifornia$90.29$38.67

92002 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$76.79

$102.80

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92002 office rate range by state
State / territoryOffice rate rangeLocalities
AK$102.801
AL$77.701
AR$76.791
AZ$83.041
CA$90.29–$111.9729
CO$88.551
CT$89.781
DC$96.251
DE$84.261
FL$82.76–$88.113
GA$79.05–$85.942
GU$92.061
HI$92.061
IA$79.781
ID$80.101
IL$80.45–$87.044
IN$80.501
KS$79.251
KY$78.701
LA$78.51–$81.702
MA$88.08–$96.602
MD$85.73–$96.253
ME$80.20–$84.102
MI$80.16–$83.382
MN$85.961
MO$77.26–$82.213
MS$77.051
MT$84.841
NC$80.931
ND$84.441
NE$80.201
NH$87.001
NJ$91.12–$95.502
NM$80.431
NV$84.781
NY$81.90–$97.645
OH$80.081
OK$78.831
OR$84.42–$91.222
PA$80.31–$87.742
PR$85.431
RI$87.131
SC$80.571
SD$84.391
TN$79.541
TX$79.86–$88.008
UT$81.481
VA$83.71–$96.252
VI$85.431
VT$83.961
WA$87.96–$98.622
WI$82.081
WV$77.951
WY$84.661

See 92002 in every payment locality

How the 92002 rate is calculated

Each of 92002’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 92002

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.88

0.88 RVUs× 1.000 GPCI

Practice expense1.64

1.64 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.5400

Conversion factor

$33.4009

Medicare rate

$84.84

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,659

Code
92002
Physician work
0.88
Practice expense
1.64
Malpractice
0.02

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 92002 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0000.8800
Practice expense1.64× 0.8751.4350
Malpractice0.02× 0.5660.0113
Total RVUs2.3263
Conversion factor× 33.4009

Office rate, Alabama$77.70

Office: (0.88 × 1 + 1.64 × 0.875 + 0.02 × 0.566) × $33.4009 = $77.70

Facility: (0.88 × 1 + 0.23 × 0.875 + 0.02 × 0.566) × $33.4009 = $36.49

Open 92002 in the RVU calculator

Payment rules and modifiers for 92002

The CMS indicators that decide how 92002 is paid alongside other services.

CMS payment indicators · 92002

Eye examination, intermediate, new patient

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 92002

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92002
CodeHow it relatesOffice range, Alabama
Same family
92004Comprehensive eye exam, new patient, one or more visitsComprehensive ophthalmological examination for a new patient.$138.12
92012Eye exam, intermediate, established patientIntermediate ophthalmological examination for an established patient.$82.73
92014Comprehensive eye exam, established patientComprehensive ophthalmological examination for an established patient.$116.87
Often billed with
92015RefractionSeparate refraction service may be reported when performed and independently reportable.No office rate
92020GonioscopyGonioscopy may accompany an eye examination when separately performed and reportable.$24.78

How 92002 has changed in Alabama

92002 · Office / nonfacility

$77.70

Effective 2026-10-01

The base rate is $3.61 higher than on 2025-10-01, moving from $74.09 to $77.70 (4.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $74.09changed to$77.70

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.61 changed to 1.64
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $77.12changed to$74.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.64 changed to 1.61

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $75.86changed to$77.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $79.12changed to$75.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575

  5. January 1, 2023

    RVU23A

    $81.20changed to$79.12

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.61 changed to 1.64
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $81.26changed to$81.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.59 changed to 1.61

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $79.43changed to$81.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.47 changed to 1.59
    • Malpractice RVU 0.02 changed to 0.04
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $79.08changed to$79.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.46 changed to 1.47
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $78.67changed to$79.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.45 changed to 1.46

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$78.67

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$77.70$36.49RVU26D
2026-07-01$77.70$36.49RVU26C
2026-04-01$77.70$36.49RVU26B
2026-01-01$77.70$36.49RVU26A
2025-10-01$74.09$41.20RVU25D
2025-07-01$74.09$41.20RVU25C
2025-04-01$74.09$41.20RVU25B
2025-01-01$74.09$41.20RVU25A
2024-10-01$77.12$42.40RVU24D
2024-07-01$77.12$42.40RVU24C
2024-04-01$77.12$42.40RVU24B
2024-03-09$77.12$42.40RVU24AR
2024-01-01$75.86$41.71RVU24A
2023-10-01$79.12$43.72RVU23D
2023-07-01$79.12$43.72RVU23C
2023-04-01$79.12$43.72RVU23B
2023-01-01$79.12$43.72RVU23A
2022-10-01$81.20$45.25RVU22D
2022-07-01$81.20$45.25RVU22C
2022-04-01$81.20$45.25RVU22B
2022-01-01$81.20$45.25RVU22A
2021-10-01$81.26$45.62RVU21D
2021-07-01$81.26$45.62RVU21C
2021-04-01$81.26$45.62RVU21B
2021-01-01$81.26$45.62RVU21A
2020-10-01$79.43$46.39RVU20D
2020-07-01$79.43$46.39RVU20C
2020-04-01$79.43$46.39RVU20B
2020-01-01$79.43$46.39RVU20A
2019-10-01$79.08$46.68RVU19D
2019-07-01$79.08$46.68RVU19C
2019-04-01$79.08$46.68RVU19B
2019-01-01$79.08$46.68RVU19A
2018-10-01$78.67$46.63RVU18D
2018-07-01$78.67$46.63RVU18C
2018-04-01$78.67$46.63RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92002 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

92002 billing questions

When should 92002 be chosen over 92004?

Use 92002 for an intermediate new-patient ophthalmological evaluation. Choose 92004 when the service meets the level of a comprehensive new-patient eye examination.

Can 92002 be reported for an established patient?

No. The intermediate eye-examination code for an established patient is 92012. Apply the new-patient criteria to the reporting clinician and group.

Should modifier 50 be appended when both eyes are examined?

No. CMS prices 92002 as bilateral, and modifier 50 does not increase its payment.

Is a refraction included in 92002?

A refraction is a distinct service reported with 92015 when performed and separately reportable. Document the refraction separately from the evaluation supporting 92002.

What documentation supports 92002?

Document the eye-related history, examination and findings, diagnostic procedures performed as indicated, and the diagnostic or treatment plan initiated. The record should support an intermediate—not comprehensive—level of examination.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 92002PPRRVU2026_Oct_nonQPP.csv, line 11,659 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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