CPT code 92018: Eye examination, comprehensive, under anesthesia2026 Medicare rate & RVUs in Utah

A comprehensive ophthalmic assessment performed under general anesthesia when a complete, reliable examination cannot be obtained while the patient is awake.

CMS RVU26DEffective Oct 1, 2026One payment locality741 Medicare services in 2024

In Utah, Medicare pays $111.17 for 92018 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$111.17Hospital or facility

Check a contract rate as a % of Medicare · 92018 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 92018 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 92018 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 92018 covers

An ophthalmologist performs a full diagnostic eye assessment while the patient is under general anesthesia, allowing evaluation when a reliable examination cannot be completed awake. Common situations include a young child or a patient with significant developmental, behavioral, or physical limitations. The examination may take place in an operating room or another anesthesia-capable setting, and may include manipulation of the globe when needed for diagnostic or therapeutic purposes. This service is broader than a limited anesthetized eye examination.

Select 92018 when the documented ophthalmic work is comprehensive rather than a targeted check of one problem. Record why anesthesia was needed, which examination elements were completed, the findings, and any manipulation or treatment performed. The anesthesia setting alone does not establish the comprehensive level; the scope of the eye examination does. Document the service as a comprehensive assessment rather than splitting its routine examination observations among separate eye-exam codes. A limited examination under anesthesia is reported with 92019.

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 Utah compares for 92018

Across 109 of 109 payment localities, the facility rate for 92018 runs from $107.49 in Arkansas to $154.15 in Alaska. Utah pays $111.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

92018 in Utah vs other payment areas
  1. Utah · this page$111.17
  2. Los Angeles, CA · California$120.47+$9.30
  3. Washington, DC area · District of Columbia$123.04+$11.87
  4. Miami, FL · Florida$120.00+$8.83
  5. Chicago, IL · Illinois$118.70+$7.53
  6. Manhattan, NY · New York$125.14+$13.97
  7. Alaska · Alaska$154.15+$42.98

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

Every other payment area

92018 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$108.13
ArkansasArkansas—$107.49
ArizonaArizona—$111.83
Bakersfield, CACalifornia—$116.03
Chico, CACalifornia—$115.60
El Centro, CACalifornia—$115.62
Fresno, CACalifornia—$115.60
Hanford, CACalifornia—$115.60

92018 rates by state

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

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Local rates. Clear comparisons.

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

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92018 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 92018 in every payment locality

How the 92018 rate is calculated

Each of 92018’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 · 92018

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.44

2.44 RVUs× 1.000 GPCI

Practice expense0.84

0.84 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

3.3900

Conversion factor

$33.4009

Medicare rate

$113.23

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

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,664

Code
92018
Physician work
2.44
Practice expense
0.84
Malpractice
0.11

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 92018 in Utah
ComponentRVULocality factorAdjusted
Physician work2.44× 1.0002.4400
Practice expense0.84× 0.9400.7896
Malpractice0.11× 0.8980.0988
Total RVUs3.3284
Conversion factor× 33.4009

Facility rate, Utah$111.17

Facility: (2.44 × 1 + 0.84 × 0.94 + 0.11 × 0.898) × $33.4009 = $111.17

Open 92018 in the RVU calculator

Payment rules and modifiers for 92018

92018 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 92018

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

92018 isn’t priced in this setting.

How 92018 has changed in Utah

92018 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$111.17RVU26D
2026-07-01Not available in this setting$111.17RVU26C
2026-04-01Not available in this setting$111.17RVU26B
2026-01-01Not available in this setting$111.17RVU26A
2025-10-01Not available in this setting$131.56RVU25D
2025-07-01Not available in this setting$131.56RVU25C
2025-04-01Not available in this setting$131.56RVU25B
2025-01-01Not available in this setting$131.56RVU25A
2024-10-01Not available in this setting$133.21RVU24D
2024-07-01Not available in this setting$133.21RVU24C
2024-04-01Not available in this setting$133.21RVU24B
2024-03-09Not available in this setting$133.21RVU24AR
2024-01-01Not available in this setting$131.04RVU24A
2023-10-01Not available in this setting$134.09RVU23D
2023-07-01Not available in this setting$134.09RVU23C
2023-04-01Not available in this setting$134.09RVU23B
2023-01-01Not available in this setting$134.09RVU23A
2022-10-01Not available in this setting$134.44RVU22D
2022-07-01Not available in this setting$134.44RVU22C
2022-04-01Not available in this setting$134.44RVU22B
2022-01-01Not available in this setting$134.44RVU22A
2021-10-01Not available in this setting$136.84RVU21D
2021-07-01Not available in this setting$136.84RVU21C
2021-04-01Not available in this setting$136.84RVU21B
2021-01-01Not available in this setting$136.84RVU21A
2020-10-01Not available in this setting$142.42RVU20D
2020-07-01Not available in this setting$142.42RVU20C
2020-04-01Not available in this setting$142.42RVU20B
2020-01-01Not available in this setting$142.42RVU20A
2019-10-01Not available in this setting$145.50RVU19D
2019-07-01Not available in this setting$145.50RVU19C
2019-04-01Not available in this setting$145.50RVU19B
2019-01-01Not available in this setting$145.50RVU19A
2018-10-01Not available in this setting$145.34RVU18D
2018-07-01Not available in this setting$145.34RVU18C
2018-04-01Not available in this setting$145.34RVU18B
2018-01-01Not available in this setting$145.34RVU18AR1
2017-10-01Not available in this setting$144.37RVU17D
2017-07-01Not available in this setting$144.37RVU17C
2017-04-01Not available in this setting$144.37RVU17B
2017-01-01Not available in this setting$144.37RVU17A
2016-10-01Not available in this setting$143.54RVU16D
2016-07-01Not available in this setting$143.54RVU16C
2016-04-01Not available in this setting$143.54RVU16B
2016-01-01Not available in this setting$143.54RVU16A
2015-10-01Not available in this setting$143.73RVU15D
2015-07-01Not available in this setting$143.73RVU15C
2015-04-01Not available in this setting$143.02RVU15B
2015-01-01Not available in this setting$143.02RVU15A
2014-10-01Not available in this setting$146.69RVU14D
2014-07-01Not available in this setting$146.69RVU14C
2014-04-01Not available in this setting$146.69RVU14B
2014-01-01Not available in this setting$146.69RVU14A
2013-10-01Not available in this setting$139.67RVU13D
2013-07-01Not available in this setting$139.67RVU13C
2013-04-01Not available in this setting$139.67RVU13B
2013-01-01Not available in this setting$139.67RVU13AR

Price 92018 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

92018 billing questions

When should 92018 be chosen over 92019?

Use 92018 for a comprehensive ophthalmic assessment under anesthesia. Use 92019 when the anesthetized examination is limited in scope.

Does the patient have to be a child?

No. The relevant circumstance is the need for general anesthesia to obtain the documented examination, not the patient's age.

Does 92018 include the anesthesia service?

No. 92018 represents the ophthalmologist's examination; the anesthesia professional's service is separate.

Does general anesthesia itself require a modifier?

General anesthesia alone is not a reason to append a modifier to 92018.

What documentation supports reporting 92018?

Document why an examination while awake was not feasible, the scope of the comprehensive eye assessment, the findings, and any globe manipulation or treatment performed.

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 92018PPRRVU2026_Oct_nonQPP.csv, line 11,664 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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