CPT code 92014: Comprehensive eye exam, established patient2026 Medicare rate & RVUs in Indiana

Report a comprehensive ophthalmic evaluation of an established patient when the visual system is assessed and a diagnostic or treatment plan is initiated or continued.

CMS RVU26DEffective Oct 1, 2026One payment locality9.2M Medicare services in 2024

In Indiana, Medicare pays $120.84 for 92014 in the office and $60.46 when it’s performed in a hospital or facility.

$120.84Office (non-facility)
$60.46Hospital or facility
−5.0%vs the national office rate ($127.26)

Check a contract rate as a % of Medicare · 92014 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 92014 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 92014 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 92014 covers

An ophthalmologist or optometrist performs this comprehensive assessment for an established patient, usually in an eye care office. Established status depends on professional services within the preceding three years from the clinician or a clinician of the same specialty and subspecialty in the same group. The evaluation addresses the visual system through history, general medical observation, external and ophthalmoscopic examinations, gross visual fields, and a basic sensorimotor assessment. Slit-lamp examination, tonometry, or dilation may be included when indicated. Common medical reasons include glaucoma follow-up, cataract evaluation, and diabetic retinopathy monitoring.

Report 92014 once for the comprehensive service, even if completed over multiple visits; use 92012 for an intermediate examination. The record should support the examination scope, medical reason, and initiation or continuation of a diagnostic or treatment plan. Medicare does not cover routine eye exams without a medical indication. Refraction, when performed, is separately reported with 92015 and excluded from Medicare coverage; medically necessary visual field testing or retinal imaging may also be reported separately. The code covers one or both eyes and is already priced as bilateral, so modifier 50 does not increase payment.

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 Indiana compares for 92014

Across 109 of 109 payment localities, the office rate for 92014 runs from $115.54 in Arkansas to $166.55 in San Benito County, CA. Indiana pays $120.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

92014 in Indiana vs other payment areas
  1. Indiana · this page$120.84
  2. Los Angeles, CA · California$143.12+$22.28
  3. Washington, DC area · District of Columbia$143.94+$23.10
  4. Miami, FL · Florida$132.52+$11.68
  5. Chicago, IL · Illinois$129.71+$8.87
  6. Manhattan, NY · New York$143.79+$22.95
  7. Alaska · Alaska$155.47+$34.63

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

Every other payment area

92014 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$116.87$59.88
ArkansasArkansas$115.54$59.59
ArizonaArizona$124.63$61.52
Bakersfield, CACalifornia$135.17$63.79
Chico, CACalifornia$134.98$63.59
El Centro, CACalifornia$134.99$63.60
Fresno, CACalifornia$134.98$63.59
Hanford, CACalifornia$134.98$63.59

92014 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.

$115.54

$155.47

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

View every state and territory as a table
92014 office rate range by state
State / territoryOffice rate rangeLocalities
AK$155.471
AL$116.871
AR$115.541
AZ$124.631
CA$134.98–$166.5529
CO$132.561
CT$134.531
DC$143.941
DE$126.421
FL$124.48–$132.523
GA$119.04–$128.922
GU$137.451
HI$137.451
IA$119.781
ID$120.271
IL$121.18–$130.744
IN$120.841
KS$119.061
KY$118.431
LA$118.17–$122.812
MA$131.91–$144.282
MD$128.56–$143.943
ME$120.47–$126.062
MI$120.60–$125.432
MN$128.591
MO$116.39–$123.493
MS$116.001
MT$127.251
NC$121.521
ND$126.461
NE$120.381
NH$130.311
NJ$136.51–$142.902
NM$121.011
NV$127.111
NY$122.94–$146.275
OH$120.441
OK$118.561
OR$126.55–$136.392
PA$120.75–$131.592
PR$128.101
RI$130.601
SC$121.091
SD$126.371
TN$119.501
TX$120.10–$131.758
UT$122.411
VA$125.53–$143.942
VI$128.101
VT$125.811
WA$131.71–$147.202
WI$123.041
WV$117.551
WY$126.911

See 92014 in every payment locality

How the 92014 rate is calculated

Each of 92014’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 · 92014

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.42

1.42 RVUs× 1.000 GPCI

Practice expense2.35

2.35 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

3.8100

Conversion factor

$33.4009

Medicare rate

$127.26

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

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,662

Code
92014
Physician work
1.42
Practice expense
2.35
Malpractice
0.04

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 92014 in Indiana
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0001.4200
Practice expense2.35× 0.9272.1785
Malpractice0.04× 0.4860.0194
Total RVUs3.6179
Conversion factor× 33.4009

Office rate, Indiana$120.84

Office: (1.42 × 1 + 2.35 × 0.927 + 0.04 × 0.486) × $33.4009 = $120.84

Facility: (1.42 × 1 + 0.4 × 0.927 + 0.04 × 0.486) × $33.4009 = $60.46

Open 92014 in the RVU calculator

Payment rules and modifiers for 92014

The CMS indicators that decide how 92014 is paid alongside other services.

CMS payment indicators · 92014

Comprehensive eye exam, established 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.

How 92014 has changed in Indiana

92014 · Office / nonfacility

$120.84

Effective 2026-10-01

The base rate is $6.28 higher than on 2025-10-01, moving from $114.56 to $120.84 (5.5%).

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

    $114.56changed to$120.84

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.28 changed to 2.35
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $118.81changed to$114.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.31 changed to 2.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $116.87changed to$118.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $119.46changed to$116.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.29 changed to 2.31
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485
  5. January 1, 2023

    RVU23A

    $119.71changed to$119.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.29
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $119.76changed to$119.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.21 changed to 2.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $120.32changed to$119.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.08 changed to 2.21
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $121.22changed to$120.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.09 changed to 2.08
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $121.08changed to$121.22

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $118.40changed to$121.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.01 changed to 2.09
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $118.12changed to$118.40

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.00 changed to 2.01
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $118.32changed to$118.12

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $117.73changed to$118.32

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $119.13changed to$117.73

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.10 changed to 0.05
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $119.17changed to$119.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.19 changed to 2.00
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $119.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$120.84$60.46RVU26D
2026-07-01$120.84$60.46RVU26C
2026-04-01$120.84$60.46RVU26B
2026-01-01$120.84$60.46RVU26A
2025-10-01$114.56$69.52RVU25D
2025-07-01$114.56$69.52RVU25C
2025-04-01$114.56$69.52RVU25B
2025-01-01$114.56$69.52RVU25A
2024-10-01$118.81$71.55RVU24D
2024-07-01$118.81$71.55RVU24C
2024-04-01$118.81$71.55RVU24B
2024-03-09$118.81$71.55RVU24AR
2024-01-01$116.87$70.38RVU24A
2023-10-01$119.46$72.84RVU23D
2023-07-01$119.46$72.84RVU23C
2023-04-01$119.46$72.84RVU23B
2023-01-01$119.46$72.84RVU23A
2022-10-01$119.71$73.62RVU22D
2022-07-01$119.71$73.62RVU22C
2022-04-01$119.71$73.62RVU22B
2022-01-01$119.71$73.62RVU22A
2021-10-01$119.76$74.23RVU21D
2021-07-01$119.76$74.23RVU21C
2021-04-01$119.76$74.23RVU21B
2021-01-01$119.76$74.23RVU21A
2020-10-01$120.32$76.97RVU20D
2020-07-01$120.32$76.97RVU20C
2020-04-01$120.32$76.97RVU20B
2020-01-01$120.32$76.97RVU20A
2019-10-01$121.22$77.50RVU19D
2019-07-01$121.22$77.50RVU19C
2019-04-01$121.22$77.50RVU19B
2019-01-01$121.22$77.50RVU19A
2018-10-01$121.08$77.74RVU18D
2018-07-01$121.08$77.74RVU18C
2018-04-01$121.08$77.74RVU18B
2018-01-01$121.08$77.74RVU18AR1
2017-10-01$118.40$78.12RVU17D
2017-07-01$118.40$78.12RVU17C
2017-04-01$118.40$78.12RVU17B
2017-01-01$118.40$78.12RVU17A
2016-10-01$118.12$77.89RVU16D
2016-07-01$118.12$77.89RVU16C
2016-04-01$118.12$77.89RVU16B
2016-01-01$118.12$77.89RVU16A
2015-10-01$118.32$77.95RVU15D
2015-07-01$118.32$77.95RVU15C
2015-04-01$117.73$77.56RVU15B
2015-01-01$117.73$77.56RVU15A
2014-10-01$119.13$79.16RVU14D
2014-07-01$119.13$79.16RVU14C
2014-04-01$119.13$79.16RVU14B
2014-01-01$119.13$79.16RVU14A
2013-10-01$119.17$76.78RVU13D
2013-07-01$119.17$76.78RVU13C
2013-04-01$119.17$76.78RVU13B
2013-01-01$119.17$76.78RVU13AR

Price 92014 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

92014 billing questions

When should 92014 be chosen over 92012?

Use 92014 when the documented examination covers the comprehensive visual system assessment and initiates or continues a diagnostic or treatment plan. Use 92012 for an intermediate examination that does not meet that comprehensive scope.

Is refraction included in 92014?

No. Report a separately performed refraction with 92015; Medicare excludes refraction from coverage.

Should modifier RT, LT, or 50 be appended?

Routine reporting of 92014 does not require RT or LT; document the eye or eyes examined. The code covers one or both eyes and is already priced as bilateral, so modifier 50 does not increase payment.

Can an office E/M code be billed instead of 92014?

Yes. An eye care provider may report an office E/M code instead when its documentation requirements are met. Do not report both an office E/M code and 92014 for the same examination.

What qualifies the patient as established for this code?

The patient has received professional services within the preceding three years from the provider or another provider of the same specialty and subspecialty in the same group. If the patient is new, consider 92004 when a comprehensive ophthalmic examination is performed.

Does Medicare pay for an annual comprehensive exam with no complaints?

An annual schedule alone does not establish coverage. A medically indicated examination, such as glaucoma surveillance or diabetic retinal disease monitoring, may qualify even without new complaints; routine vision screening is not covered.

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 92014PPRRVU2026_Oct_nonQPP.csv, line 11,662 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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