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

In Virginia, Medicare pays $111.67 for 92018 in a facility. There’s no office rate.

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.

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 Virginia 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. Virginia pays $111.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92018 rates by state

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

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.

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.

Codes related to 92018

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

How 92018 has changed in Virginia

Price 92018 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates