CPT code 92019: Eye examination, limited, under general anesthesia2026 Medicare rate & RVUs in New Mexico
A limited ophthalmic examination performed under general anesthesia when a patient cannot complete the needed diagnostic examination while awake.
In New Mexico, Medicare pays $58.02 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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $58.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$58.02
- Los Angeles, CA · California$62.43+$4.41
- Washington, DC area · District of Columbia$63.82+$5.80
- Miami, FL · Florida$62.42+$4.40
- Chicago, IL · Illinois$61.75+$3.73
- Manhattan, NY · New York$64.97+$6.95
- Alaska · Alaska$80.17+$22.15
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $56.16 |
| ArkansasArkansas | — | $55.84 |
| ArizonaArizona | — | $58.06 |
| Bakersfield, CACalifornia | — | $60.16 |
| Chico, CACalifornia | — | $59.93 |
| El Centro, CACalifornia | — | $59.94 |
| Fresno, CACalifornia | — | $59.93 |
| Hanford, CACalifornia | — | $59.93 |
| Madera, CACalifornia | — | $59.93 |
| Merced, CACalifornia | — | $59.93 |
| Modesto, CACalifornia | — | $59.93 |
| Napa, CACalifornia | — | $64.95 |
| Oxnard, CACalifornia | — | $61.78 |
| Redding, CACalifornia | — | $59.93 |
| Rest of CaliforniaCalifornia | — | $59.93 |
| Riverside, CACalifornia | — | $60.61 |
| Sacramento, CACalifornia | — | $61.68 |
| Salinas, CACalifornia | — | $61.41 |
| San Diego, CACalifornia | — | $61.90 |
| Marin County, CACalifornia | — | $67.51 |
| San Francisco, CACalifornia | — | $67.45 |
| San Benito County, CACalifornia | — | $68.76 |
| Santa Clara County, CACalifornia | — | $68.48 |
| San Luis Obispo, CACalifornia | — | $60.53 |
| Santa Cruz, CACalifornia | — | $61.77 |
| Santa Maria, CACalifornia | — | $61.38 |
| Santa Rosa, CACalifornia | — | $62.34 |
| Stockton, CACalifornia | — | $59.93 |
| Vallejo, CACalifornia | — | $64.86 |
| Visalia, CACalifornia | — | $59.93 |
| Yuba City, CACalifornia | — | $59.93 |
| ColoradoColorado | — | $59.76 |
| ConnecticutConnecticut | — | $61.14 |
| DelawareDelaware | — | $58.63 |
| Fort Lauderdale, FLFlorida | — | $60.59 |
| Rest of FloridaFlorida | — | $59.18 |
| Atlanta, GAGeorgia | — | $59.54 |
| Rest of GeorgiaGeorgia | — | $57.66 |
| Hawaii, Guam, HIHawaii | — | $59.86 |
| IowaIowa | — | $56.38 |
| IdahoIdaho | — | $56.61 |
| East St. Louis, ILIllinois | — | $59.70 |
| Rest of IllinoisIllinois | — | $58.69 |
| Suburban Chicago, ILIllinois | — | $61.01 |
| IndianaIndiana | — | $56.73 |
| KansasKansas | — | $56.44 |
| KentuckyKentucky | — | $57.06 |
| New Orleans, LALouisiana | — | $58.23 |
| Rest of LouisianaLouisiana | — | $57.09 |
| Metropolitan Boston, MAMassachusetts | — | $63.04 |
| Rest of MassachusettsMassachusetts | — | $59.81 |
| Baltimore area, MDMaryland | — | $60.97 |
| Rest of MarylandMaryland | — | $59.22 |
| Rest of MaineMaine | — | $56.91 |
| Southern Maine, MEMaine | — | $57.92 |
| Detroit, MIMichigan | — | $59.67 |
| Rest of MichiganMichigan | — | $57.82 |
| MinnesotaMinnesota | — | $57.78 |
| Metropolitan Kansas City, MOMissouri | — | $57.88 |
| Metropolitan St. Louis, MOMissouri | — | $58.12 |
| Rest of MissouriMissouri | — | $56.80 |
| MississippiMississippi | — | $56.31 |
| MontanaMontana | — | $58.78 |
| North CarolinaNorth Carolina | — | $57.12 |
| North DakotaNorth Dakota | — | $57.60 |
| NebraskaNebraska | — | $56.46 |
| New HampshireNew Hampshire | — | $59.11 |
| Northern New JerseyNew Jersey | — | $63.86 |
| Rest of New JerseyNew Jersey | — | $61.98 |
| NevadaNevada | — | $58.46 |
| NYC suburbs and Long Island, NYNew York | — | $65.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $62.46 |
| Queens, NYNew York | — | $64.96 |
| Rest of New YorkNew York | — | $57.49 |
| OhioOhio | — | $57.58 |
| OklahomaOklahoma | — | $56.84 |
| Portland, OROregon | — | $60.51 |
| Rest of OregonOregon | — | $58.13 |
| Metropolitan Philadelphia, PAPennsylvania | — | $60.52 |
| Rest of PennsylvaniaPennsylvania | — | $57.53 |
| Puerto RicoPuerto Rico | — | $58.91 |
| Rhode IslandRhode Island | — | $59.84 |
| South CarolinaSouth Carolina | — | $57.42 |
| South DakotaSouth Dakota | — | $57.45 |
| TennesseeTennessee | — | $56.58 |
| Austin, TXTexas | — | $59.46 |
| Beaumont, TXTexas | — | $57.38 |
| Brazoria, TXTexas | — | $58.56 |
| Dallas, TXTexas | — | $58.83 |
| Fort Worth, TXTexas | — | $58.72 |
| Galveston, TXTexas | — | $58.68 |
| Houston, TXTexas | — | $59.78 |
| Rest of TexasTexas | — | $57.88 |
| UtahUtah | — | $57.74 |
| VirginiaVirginia | — | $57.96 |
| Virgin Islands, VIUnited States Virgin Islands | — | $58.91 |
| VermontVermont | — | $57.66 |
| Rest of WashingtonWashington | — | $59.61 |
| King County, WAWashington | — | $63.74 |
| WisconsinWisconsin | — | $56.81 |
| West VirginiaWest Virginia | — | $57.81 |
| WyomingWyoming | — | $58.26 |
92019 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 92019
RVUs × geographic indexes × conversion factor
Work1.28
1.28 RVUs× 1.000 GPCI
Practice expense0.42
0.42 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.7600
Conversion factor
$33.4009
Medicare rate
$58.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,665
- Code
- 92019
- Physician work
- 1.28
- Practice expense
- 0.42
- Malpractice
- 0.06
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.28 | × 1.000 | 1.2800 |
| Practice expense | 0.42 | × 0.917 | 0.3851 |
| Malpractice | 0.06 | × 1.201 | 0.0721 |
| Total RVUs | 1.7372 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$58.02
Facility: (1.28 × 1 + 0.42 × 0.917 + 0.06 × 1.201) × $33.4009 = $58.02
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.
Place of service · 92019
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
92019 isn’t priced in this setting.
How 92019 has changed in New Mexico
92019 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $58.02 | RVU26D |
| 2026-07-01 | Not available in this setting | $58.02 | RVU26C |
| 2026-04-01 | Not available in this setting | $58.02 | RVU26B |
| 2026-01-01 | Not available in this setting | $58.02 | RVU26A |
| 2025-10-01 | Not available in this setting | $68.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $68.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $68.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $68.06 | RVU25A |
| 2024-10-01 | Not available in this setting | $69.52 | RVU24D |
| 2024-07-01 | Not available in this setting | $69.52 | RVU24C |
| 2024-04-01 | Not available in this setting | $69.52 | RVU24B |
| 2024-03-09 | Not available in this setting | $69.52 | RVU24AR |
| 2024-01-01 | Not available in this setting | $68.39 | RVU24A |
| 2023-10-01 | Not available in this setting | $69.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $69.21 | RVU23C |
| 2023-04-01 | Not available in this setting | $69.21 | RVU23B |
| 2023-01-01 | Not available in this setting | $69.21 | RVU23A |
| 2022-10-01 | Not available in this setting | $69.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $69.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $69.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $69.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $70.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $70.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $70.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $70.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $72.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $72.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $72.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $72.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $72.36 | RVU19D |
| 2019-07-01 | Not available in this setting | $72.36 | RVU19C |
| 2019-04-01 | Not available in this setting | $72.36 | RVU19B |
| 2019-01-01 | Not available in this setting | $72.36 | RVU19A |
| 2018-10-01 | Not available in this setting | $72.61 | RVU18D |
| 2018-07-01 | Not available in this setting | $72.61 | RVU18C |
| 2018-04-01 | Not available in this setting | $72.61 | RVU18B |
| 2018-01-01 | Not available in this setting | $72.61 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $72.06 | RVU17D |
| 2017-07-01 | Not available in this setting | $72.06 | RVU17C |
| 2017-04-01 | Not available in this setting | $72.06 | RVU17B |
| 2017-01-01 | Not available in this setting | $72.06 | RVU17A |
| 2016-10-01 | Not available in this setting | $71.03 | RVU16D |
| 2016-07-01 | Not available in this setting | $71.03 | RVU16C |
| 2016-04-01 | Not available in this setting | $71.03 | RVU16B |
| 2016-01-01 | Not available in this setting | $71.03 | RVU16A |
| 2015-10-01 | Not available in this setting | $71.28 | RVU15D |
| 2015-07-01 | Not available in this setting | $71.28 | RVU15C |
| 2015-04-01 | Not available in this setting | $70.93 | RVU15B |
| 2015-01-01 | Not available in this setting | $70.93 | RVU15A |
| 2014-10-01 | Not available in this setting | $71.34 | RVU14D |
| 2014-07-01 | Not available in this setting | $71.34 | RVU14C |
| 2014-04-01 | Not available in this setting | $71.34 | RVU14B |
| 2014-01-01 | Not available in this setting | $71.34 | RVU14A |
| 2013-10-01 | Not available in this setting | $67.83 | RVU13D |
| 2013-07-01 | Not available in this setting | $67.83 | RVU13C |
| 2013-04-01 | Not available in this setting | $67.83 | RVU13B |
| 2013-01-01 | Not available in this setting | $67.83 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
92019 billing questions
How does 92019 differ from 92018?
92019 is for a limited examination under general anesthesia; 92018 is for a comprehensive examination under general anesthesia. The documented scope of the examination determines which code fits.
Can 92019 be reported for an awake office examination?
No. This code describes an examination performed under general anesthesia; an awake examination is coded from the applicable ophthalmological examination family based on its scope and patient status.
Does 92019 include the anesthesia service?
It represents the ophthalmologist’s examination while the patient is under general anesthesia, not the administration of anesthesia.
Does limited mean a short examination or examination of one eye?
No. The code level reflects the scope of the examination, not its duration or laterality.
What documentation supports reporting 92019?
Document why the patient needed general anesthesia, the examination performed, the findings, and why the examination was limited rather than comprehensive.
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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