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

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 Chicago, IL, Medicare pays $86.18 for 92002 in the office and $38.85 when it’s performed in a hospital or facility.

$86.18Office (non-facility)
$38.85Hospital or facility
+1.6%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 Chicago, IL
  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 Chicago, IL 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. Chicago, IL pays $86.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

92002 in Chicago, IL vs other payment areas
  1. Chicago, IL · this page$86.18
  2. East St. Louis, IL · Illinois$81.13−$5.05
  3. Rest of Illinois · Illinois$80.45−$5.73
  4. Suburban Chicago, IL · Illinois$87.04+$0.86
  5. Los Angeles, CA · California$95.84+$9.66
  6. Washington, DC area · District of Columbia$96.25+$10.07
  7. Miami, FL · Florida$88.11+$1.93

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

Every other payment area

92002 in every other Medicare payment locality
Payment localityOfficeFacility
Manhattan, NYNew York$95.98$41.26
AlaskaAlaska$102.80$52.64
AlabamaAlabama$77.70$36.49
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

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 Chicago, IL 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

48

Locality
Chicago, IL
Physician work
1.007
Practice expense
1.005
Malpractice
2.295
Office calculation for 92002 in Chicago, IL
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0070.8862
Practice expense1.64× 1.0051.6482
Malpractice0.02× 2.2950.0459
Total RVUs2.5803
Conversion factor× 33.4009

Office rate, Chicago, IL$86.18

Office: (0.88 × 1.007 + 1.64 × 1.005 + 0.02 × 2.295) × $33.4009 = $86.18

Facility: (0.88 × 1.007 + 0.23 × 1.005 + 0.02 × 2.295) × $33.4009 = $38.85

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, Chicago, IL
Same family
92004Comprehensive eye exam, new patient, one or more visitsComprehensive ophthalmological examination for a new patient.$152.23
92012Eye exam, intermediate, established patientIntermediate ophthalmological examination for an established patient.$92.32
92014Comprehensive eye exam, established patientComprehensive ophthalmological examination for an established patient.$129.71
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.$27.31

How 92002 has changed in Chicago, IL

92002 · Office / nonfacility

$86.18

Effective 2026-10-01

The base rate is $2.93 higher than on 2025-10-01, moving from $83.25 to $86.18 (3.5%).

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

    $83.25changed to$86.18

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.61 changed to 1.64
    • Practice expense GPCI 1.023 changed to 1.005
    • Malpractice GPCI 2.018 changed to 2.295

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $86.69changed to$83.25

    • 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

    $85.27changed to$86.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $88.82changed to$85.27

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.009 changed to 1.007
    • Practice expense GPCI 1.033 changed to 1.023
    • Malpractice GPCI 1.945 changed to 2.018

  5. January 1, 2023

    RVU23A

    $91.55changed to$88.82

    • 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
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 1.871 changed to 1.945

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $91.58changed to$91.55

    • 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

    $88.54changed to$91.58

    • 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
    • Work GPCI 1.009 changed to 1.011
    • Practice expense GPCI 1.039 changed to 1.044
    • Malpractice GPCI 1.898 changed to 1.871

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $88.46changed to$88.54

    • 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
    • Work GPCI 1.008 changed to 1.009
    • Practice expense GPCI 1.034 changed to 1.039
    • Malpractice GPCI 1.925 changed to 1.898

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $87.99changed to$88.46

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $85.39changed to$87.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.38 changed to 1.45
    • Work GPCI 1.012 changed to 1.008
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 1.972 changed to 1.925

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $85.05changed to$85.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.37 changed to 1.38
    • Work GPCI 1.016 changed to 1.012
    • Practice expense GPCI 1.037 changed to 1.036
    • Malpractice GPCI 2.019 changed to 1.972

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $85.35changed to$85.05

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $84.93changed to$85.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.62changed to$84.93

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.07 changed to 0.03
    • Work GPCI 1.023 changed to 1.016
    • Practice expense GPCI 1.044 changed to 1.037
    • Malpractice GPCI 2.048 changed to 2.019

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $89.06changed to$88.62

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.49 changed to 1.37
    • Work GPCI 1.030 changed to 1.023
    • Practice expense GPCI 1.051 changed to 1.044
    • Malpractice GPCI 2.077 changed to 2.048

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$89.06

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.18$38.85RVU26D
2026-07-01$86.18$38.85RVU26C
2026-04-01$86.18$38.85RVU26B
2026-01-01$86.18$38.85RVU26A
2025-10-01$83.25$44.53RVU25D
2025-07-01$83.25$44.53RVU25C
2025-04-01$83.25$44.53RVU25B
2025-01-01$83.25$44.53RVU25A
2024-10-01$86.69$45.82RVU24D
2024-07-01$86.69$45.82RVU24C
2024-04-01$86.69$45.82RVU24B
2024-03-09$86.69$45.82RVU24AR
2024-01-01$85.27$45.08RVU24A
2023-10-01$88.82$47.16RVU23D
2023-07-01$88.82$47.16RVU23C
2023-04-01$88.82$47.16RVU23B
2023-01-01$88.82$47.16RVU23A
2022-10-01$91.55$49.28RVU22D
2022-07-01$91.55$49.28RVU22C
2022-04-01$91.55$49.28RVU22B
2022-01-01$91.55$49.28RVU22A
2021-10-01$91.58$49.68RVU21D
2021-07-01$91.58$49.68RVU21C
2021-04-01$91.58$49.68RVU21B
2021-01-01$91.58$49.68RVU21A
2020-10-01$88.54$49.91RVU20D
2020-07-01$88.54$49.91RVU20C
2020-04-01$88.54$49.91RVU20B
2020-01-01$88.54$49.91RVU20A
2019-10-01$88.46$50.82RVU19D
2019-07-01$88.46$50.82RVU19C
2019-04-01$88.46$50.82RVU19B
2019-01-01$88.46$50.82RVU19A
2018-10-01$87.99$50.76RVU18D
2018-07-01$87.99$50.76RVU18C
2018-04-01$87.99$50.76RVU18B
2018-01-01$87.99$50.76RVU18AR1
2017-10-01$85.39$50.82RVU17D
2017-07-01$85.39$50.82RVU17C
2017-04-01$85.39$50.82RVU17B
2017-01-01$85.39$50.82RVU17A
2016-10-01$85.05$50.52RVU16D
2016-07-01$85.05$50.52RVU16C
2016-04-01$85.05$50.52RVU16B
2016-01-01$85.05$50.52RVU16A
2015-10-01$85.35$50.70RVU15D
2015-07-01$85.35$50.70RVU15C
2015-04-01$84.93$50.45RVU15B
2015-01-01$84.93$50.45RVU15A
2014-10-01$88.62$54.21RVU14D
2014-07-01$88.62$54.21RVU14C
2014-04-01$88.62$54.21RVU14B
2014-01-01$88.62$54.21RVU14A
2013-10-01$89.06$52.59RVU13D
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 Chicago, IL rate applies

Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 137 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Illinois

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 Chicago, ILGPCI2026.csv, line 48 (RVU26D)

Open CMS sourceHow we calculate rates

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