CPT code 92002: Eye examination, intermediate, new patient2026 Medicare rate & RVUs in South Dakota
An ophthalmologist or optometrist reports this intermediate examination for a new patient when evaluating an eye concern and beginning a diagnostic or treatment plan.
In South Dakota, Medicare pays $84.39 for 92002 in the office and $37.30 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $84.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$84.39
- Los Angeles, CA · California$95.84+$11.45
- Washington, DC area · District of Columbia$96.25+$11.86
- Miami, FL · Florida$88.11+$3.72
- Chicago, IL · Illinois$86.18+$1.79
- Manhattan, NY · New York$95.98+$11.59
- Alaska · Alaska$102.80+$18.41
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Fresno, CACalifornia | $90.29 | $38.67 |
| Hanford, CACalifornia | $90.29 | $38.67 |
| Madera, CACalifornia | $90.29 | $38.67 |
| Merced, CACalifornia | $90.29 | $38.67 |
| Modesto, CACalifornia | $90.29 | $38.67 |
| Napa, CACalifornia | $103.78 | $41.71 |
| Oxnard, CACalifornia | $95.38 | $39.71 |
| Redding, CACalifornia | $90.29 | $38.67 |
| Rest of CaliforniaCalifornia | $90.29 | $38.67 |
| Riverside, CACalifornia | $90.53 | $38.91 |
| Sacramento, CACalifornia | $94.52 | $39.74 |
| Salinas, CACalifornia | $94.15 | $39.57 |
| San Diego, CACalifornia | $96.15 | $39.82 |
| Marin County, CACalifornia | $109.73 | $43.32 |
| San Francisco, CACalifornia | $109.71 | $43.30 |
| San Benito County, CACalifornia | $111.97 | $44.06 |
| Santa Clara County, CACalifornia | $111.88 | $43.97 |
| San Luis Obispo, CACalifornia | $92.64 | $39.00 |
| Santa Cruz, CACalifornia | $96.92 | $39.70 |
| Santa Maria, CACalifornia | $94.44 | $39.53 |
| Santa Rosa, CACalifornia | $97.90 | $40.07 |
| Stockton, CACalifornia | $90.29 | $38.67 |
| Vallejo, CACalifornia | $103.75 | $41.68 |
| Visalia, CACalifornia | $90.29 | $38.67 |
| Yuba City, CACalifornia | $90.29 | $38.67 |
| ColoradoColorado | $88.55 | $38.44 |
| ConnecticutConnecticut | $89.78 | $39.06 |
| DelawareDelaware | $84.26 | $37.73 |
| Fort Lauderdale, FLFlorida | $86.09 | $38.38 |
| Rest of FloridaFlorida | $82.76 | $37.74 |
| Atlanta, GAGeorgia | $85.94 | $38.09 |
| Rest of GeorgiaGeorgia | $79.05 | $37.04 |
| Hawaii, Guam, HIHawaii | $92.06 | $38.51 |
| IowaIowa | $79.78 | $36.69 |
| IdahoIdaho | $80.10 | $36.78 |
| East St. Louis, ILIllinois | $81.13 | $37.81 |
| Rest of IllinoisIllinois | $80.45 | $37.45 |
| Suburban Chicago, ILIllinois | $87.04 | $38.67 |
| IndianaIndiana | $80.50 | $36.84 |
| KansasKansas | $79.25 | $36.67 |
| KentuckyKentucky | $78.70 | $36.83 |
| New Orleans, LALouisiana | $81.70 | $37.38 |
| Rest of LouisianaLouisiana | $78.51 | $36.83 |
| Metropolitan Boston, MAMassachusetts | $96.60 | $40.36 |
| Rest of MassachusettsMassachusetts | $88.08 | $38.48 |
| Baltimore area, MDMaryland | $89.47 | $38.93 |
| Rest of MarylandMaryland | $85.73 | $38.07 |
| Rest of MaineMaine | $80.20 | $36.88 |
| Southern Maine, MEMaine | $84.10 | $37.43 |
| Detroit, MIMichigan | $83.38 | $37.93 |
| Rest of MichiganMichigan | $80.16 | $37.16 |
| MinnesotaMinnesota | $85.96 | $37.50 |
| Metropolitan Kansas City, MOMissouri | $81.48 | $37.26 |
| Metropolitan St. Louis, MOMissouri | $82.21 | $37.38 |
| Rest of MissouriMissouri | $77.26 | $36.67 |
| MississippiMississippi | $77.05 | $36.50 |
| MontanaMontana | $84.84 | $37.74 |
| North CarolinaNorth Carolina | $80.93 | $36.99 |
| North DakotaNorth Dakota | $84.44 | $37.35 |
| NebraskaNebraska | $80.20 | $36.74 |
| New HampshireNew Hampshire | $87.00 | $37.97 |
| Northern New JerseyNew Jersey | $95.50 | $40.87 |
| Rest of New JerseyNew Jersey | $91.12 | $39.69 |
| New MexicoNew Mexico | $80.43 | $37.24 |
| NevadaNevada | $84.78 | $37.64 |
| NYC suburbs and Long Island, NYNew York | $97.64 | $41.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $91.51 | $39.94 |
| Queens, NYNew York | $96.98 | $41.32 |
| Rest of New YorkNew York | $81.90 | $37.16 |
| OhioOhio | $80.08 | $37.08 |
| OklahomaOklahoma | $78.83 | $36.77 |
| Portland, OROregon | $91.22 | $38.90 |
| Rest of OregonOregon | $84.42 | $37.51 |
| Metropolitan Philadelphia, PAPennsylvania | $87.74 | $38.72 |
| Rest of PennsylvaniaPennsylvania | $80.31 | $37.08 |
| Puerto RicoPuerto Rico | $85.43 | $37.82 |
| Rhode IslandRhode Island | $87.13 | $38.48 |
| South CarolinaSouth Carolina | $80.57 | $37.06 |
| TennesseeTennessee | $79.54 | $36.73 |
| Austin, TXTexas | $88.00 | $38.17 |
| Beaumont, TXTexas | $79.86 | $37.00 |
| Brazoria, TXTexas | $84.43 | $37.76 |
| Dallas, TXTexas | $84.79 | $37.88 |
| Fort Worth, TXTexas | $84.25 | $37.81 |
| Galveston, TXTexas | $84.58 | $37.81 |
| Houston, TXTexas | $84.94 | $38.18 |
| Rest of TexasTexas | $81.98 | $37.29 |
| UtahUtah | $81.48 | $37.21 |
| VirginiaVirginia | $83.71 | $37.42 |
| Virgin Islands, VIUnited States Virgin Islands | $85.43 | $37.82 |
| VermontVermont | $83.96 | $37.34 |
| Rest of WashingtonWashington | $87.96 | $38.37 |
| King County, WAWashington | $98.62 | $40.83 |
| WisconsinWisconsin | $82.08 | $36.96 |
| West VirginiaWest Virginia | $77.95 | $37.02 |
| WyomingWyoming | $84.66 | $37.57 |
92002 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $102.80 | 1 |
| AL | $77.70 | 1 |
| AR | $76.79 | 1 |
| AZ | $83.04 | 1 |
| CA | $90.29–$111.97 | 29 |
| CO | $88.55 | 1 |
| CT | $89.78 | 1 |
| DC | $96.25 | 1 |
| DE | $84.26 | 1 |
| FL | $82.76–$88.11 | 3 |
| GA | $79.05–$85.94 | 2 |
| GU | $92.06 | 1 |
| HI | $92.06 | 1 |
| IA | $79.78 | 1 |
| ID | $80.10 | 1 |
| IL | $80.45–$87.04 | 4 |
| IN | $80.50 | 1 |
| KS | $79.25 | 1 |
| KY | $78.70 | 1 |
| LA | $78.51–$81.70 | 2 |
| MA | $88.08–$96.60 | 2 |
| MD | $85.73–$96.25 | 3 |
| ME | $80.20–$84.10 | 2 |
| MI | $80.16–$83.38 | 2 |
| MN | $85.96 | 1 |
| MO | $77.26–$82.21 | 3 |
| MS | $77.05 | 1 |
| MT | $84.84 | 1 |
| NC | $80.93 | 1 |
| ND | $84.44 | 1 |
| NE | $80.20 | 1 |
| NH | $87.00 | 1 |
| NJ | $91.12–$95.50 | 2 |
| NM | $80.43 | 1 |
| NV | $84.78 | 1 |
| NY | $81.90–$97.64 | 5 |
| OH | $80.08 | 1 |
| OK | $78.83 | 1 |
| OR | $84.42–$91.22 | 2 |
| PA | $80.31–$87.74 | 2 |
| PR | $85.43 | 1 |
| RI | $87.13 | 1 |
| SC | $80.57 | 1 |
| SD | $84.39 | 1 |
| TN | $79.54 | 1 |
| TX | $79.86–$88.00 | 8 |
| UT | $81.48 | 1 |
| VA | $83.71–$96.25 | 2 |
| VI | $85.43 | 1 |
| VT | $83.96 | 1 |
| WA | $87.96–$98.62 | 2 |
| WI | $82.08 | 1 |
| WV | $77.95 | 1 |
| WY | $84.66 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.88 | × 1.000 | 0.8800 |
| Practice expense | 1.64 | × 1.000 | 1.6400 |
| Malpractice | 0.02 | × 0.336 | 0.0067 |
| Total RVUs | 2.5267 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$84.39
Office: (0.88 × 1 + 1.64 × 1 + 0.02 × 0.336) × $33.4009 = $84.39
Facility: (0.88 × 1 + 0.23 × 1 + 0.02 × 0.336) × $33.4009 = $37.30
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 92002 has changed in South Dakota
92002 · Office / nonfacility
$84.39
Effective 2026-10-01
The base rate is $3.60 higher than on 2025-10-01, moving from $80.79 to $84.39 (4.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$80.79changed to$84.39
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.61 changed to 1.64
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$84.14changed to$80.79
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.64 changed to 1.61
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$82.77changed to$84.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$85.64changed to$82.77
- Conversion factor 33.8872 changed to 32.7442
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$86.65changed to$85.64
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$86.67changed to$86.65
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.59 changed to 1.61
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$85.08changed to$86.67
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$84.75changed to$85.08
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$84.30changed to$84.75
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.45 changed to 1.46
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$81.53changed to$84.30
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.38 changed to 1.45
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$80.99changed to$81.53
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.37 changed to 1.38
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$81.28changed to$80.99
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$80.88changed to$81.28
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$81.64changed to$80.88
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.07 changed to 0.03
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$81.66changed to$81.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.49 changed to 1.37
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $81.66
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $84.39 | $37.30 | RVU26D |
| 2026-07-01 | $84.39 | $37.30 | RVU26C |
| 2026-04-01 | $84.39 | $37.30 | RVU26B |
| 2026-01-01 | $84.39 | $37.30 | RVU26A |
| 2025-10-01 | $80.79 | $42.94 | RVU25D |
| 2025-07-01 | $80.79 | $42.94 | RVU25C |
| 2025-04-01 | $80.79 | $42.94 | RVU25B |
| 2025-01-01 | $80.79 | $42.94 | RVU25A |
| 2024-10-01 | $84.14 | $44.19 | RVU24D |
| 2024-07-01 | $84.14 | $44.19 | RVU24C |
| 2024-04-01 | $84.14 | $44.19 | RVU24B |
| 2024-03-09 | $84.14 | $44.19 | RVU24AR |
| 2024-01-01 | $82.77 | $43.47 | RVU24A |
| 2023-10-01 | $85.64 | $45.32 | RVU23D |
| 2023-07-01 | $85.64 | $45.32 | RVU23C |
| 2023-04-01 | $85.64 | $45.32 | RVU23B |
| 2023-01-01 | $85.64 | $45.32 | RVU23A |
| 2022-10-01 | $86.65 | $46.16 | RVU22D |
| 2022-07-01 | $86.65 | $46.16 | RVU22C |
| 2022-04-01 | $86.65 | $46.16 | RVU22B |
| 2022-01-01 | $86.65 | $46.16 | RVU22A |
| 2021-10-01 | $86.67 | $46.54 | RVU21D |
| 2021-07-01 | $86.67 | $46.54 | RVU21C |
| 2021-04-01 | $86.67 | $46.54 | RVU21B |
| 2021-01-01 | $86.67 | $46.54 | RVU21A |
| 2020-10-01 | $85.08 | $47.90 | RVU20D |
| 2020-07-01 | $85.08 | $47.90 | RVU20C |
| 2020-04-01 | $85.08 | $47.90 | RVU20B |
| 2020-01-01 | $85.08 | $47.90 | RVU20A |
| 2019-10-01 | $84.75 | $48.35 | RVU19D |
| 2019-07-01 | $84.75 | $48.35 | RVU19C |
| 2019-04-01 | $84.75 | $48.35 | RVU19B |
| 2019-01-01 | $84.75 | $48.35 | RVU19A |
| 2018-10-01 | $84.30 | $48.30 | RVU18D |
| 2018-07-01 | $84.30 | $48.30 | RVU18C |
| 2018-04-01 | $84.30 | $48.30 | RVU18B |
| 2018-01-01 | $84.30 | $48.30 | RVU18AR1 |
| 2017-10-01 | $81.53 | $48.16 | RVU17D |
| 2017-07-01 | $81.53 | $48.16 | RVU17C |
| 2017-04-01 | $81.53 | $48.16 | RVU17B |
| 2017-01-01 | $81.53 | $48.16 | RVU17A |
| 2016-10-01 | $80.99 | $47.69 | RVU16D |
| 2016-07-01 | $80.99 | $47.69 | RVU16C |
| 2016-04-01 | $80.99 | $47.69 | RVU16B |
| 2016-01-01 | $80.99 | $47.69 | RVU16A |
| 2015-10-01 | $81.28 | $47.86 | RVU15D |
| 2015-07-01 | $81.28 | $47.86 | RVU15C |
| 2015-04-01 | $80.88 | $47.63 | RVU15B |
| 2015-01-01 | $80.88 | $47.63 | RVU15A |
| 2014-10-01 | $81.64 | $48.69 | RVU14D |
| 2014-07-01 | $81.64 | $48.69 | RVU14C |
| 2014-04-01 | $81.64 | $48.69 | RVU14B |
| 2014-01-01 | $81.64 | $48.69 | RVU14A |
| 2013-10-01 | $81.66 | $46.96 | RVU13D |
| 2013-07-01 | $81.66 | $46.96 | RVU13C |
| 2013-04-01 | $81.66 | $46.96 | RVU13B |
| 2013-01-01 | $81.66 | $46.96 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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