CPT code 92019: Eye examination, limited, under general anesthesia2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $63.82 for 92019 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 92019 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 92019 covers

92019 represents a limited ophthalmic diagnostic examination performed while the patient is under general anesthesia. It is commonly used for young children or patients who cannot cooperate sufficiently for an adequate examination while awake. An ophthalmologist examines the eyes and performs the maneuvers needed to address the clinical question, typically in an anesthesia-supported setting. The code represents the eye examination, not the administration of anesthesia.

Select 92019 when the examination under anesthesia is limited in scope; use 92018 when the documented examination is comprehensive. The distinction is based on the scope of the examination, not its duration or whether one or both eyes are examined. Documentation should explain why general anesthesia was needed and identify the examination performed and findings that support the limited level.

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 Washington, DC area compares for 92019

Across 109 of 109 payment localities, the facility rate for 92019 runs from $55.84 in Arkansas to $80.17 in Alaska. Washington, DC area pays $63.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92019 rates by state

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

See 92019 in every payment locality

How the 92019 rate is calculated

Each of 92019’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 92019

92019 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 92019

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

How 92019 has changed in Washington, DC area

Price 92019 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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