CPT code 92020: Gonioscopy2026 Medicare rate & RVUs in Mississippi

Gonioscopy uses a contact lens to examine the anterior chamber angle when assessing glaucoma, suspected angle closure, or injury to the drainage angle.

CMS RVU26DEffective Oct 1, 2026One payment locality706.7K Medicare services in 2024

In Mississippi, Medicare pays $24.64 for 92020 in the office and $15.72 when it’s performed in a hospital or facility.

$24.64Office (non-facility)
$15.72Hospital or facility
−7.8%vs the national office rate ($26.72)

Check a contract rate as a % of Medicare · 92020 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 92020 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 92020 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 92020 covers

Gonioscopy lets the examiner see the drainage angle where the iris meets the cornea, which cannot be viewed directly during a routine slit-lamp examination. An ophthalmologist or optometrist typically places a goniolens on the eye after topical anesthesia and assesses angle width and features such as trabecular pigmentation, peripheral anterior synechiae, neovascularization, or angle recession. Common indications include glaucoma evaluation, narrow angles, pigment dispersion, and blunt ocular trauma. The examination is often performed in an office or outpatient eye clinic.

Report gonioscopy in addition to an eye exam or E/M visit when a diagnostic angle examination is medically necessary and performed. Documentation should identify the indication, eye or eyes examined, angle findings, and clinical interpretation; an angle grade and findings by quadrant can add useful detail. CMS prices 92020 as bilateral, so report one unit for examination of one or both eyes; modifier 50 does not increase payment. Viewing the angle solely to guide laser trabeculoplasty is part of that procedure, not a separate diagnostic gonioscopy.

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 Mississippi compares for 92020

Across 109 of 109 payment localities, the office rate for 92020 runs from $24.53 in Arkansas to $34.24 in San Benito County, CA. Mississippi pays $24.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

92020 in Mississippi vs other payment areas
  1. Mississippi · this page$24.64
  2. Los Angeles, CA · California$29.73+$5.09
  3. Washington, DC area · District of Columbia$29.96+$5.32
  4. Miami, FL · Florida$27.82+$3.18
  5. Chicago, IL · Illinois$27.31+$2.67
  6. Manhattan, NY · New York$30.01+$5.37
  7. Alaska · Alaska$33.52+$8.88

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

Every other payment area

92020 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$24.78$15.72
ArkansasArkansas$24.53$15.64
ArizonaArizona$26.23$16.19
Bakersfield, CACalifornia$28.20$16.85
Chico, CACalifornia$28.15$16.80
El Centro, CACalifornia$28.15$16.80
Fresno, CACalifornia$28.15$16.80
Hanford, CACalifornia$28.15$16.80

92020 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.

$24.53

$33.52

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

View every state and territory as a table
92020 office rate range by state
State / territoryOffice rate rangeLocalities
AK$33.521
AL$24.781
AR$24.531
AZ$26.231
CA$28.15–$34.2429
CO$27.711
CT$28.141
DC$29.961
DE$26.571
FL$26.26–$27.823
GA$25.23–$27.052
GU$28.551
HI$28.551
IA$25.301
ID$25.401
IL$25.66–$27.454
IN$25.501
KS$25.181
KY$25.101
LA$25.06–$25.922
MA$27.61–$29.962
MD$26.99–$29.963
ME$25.45–$26.472
MI$25.51–$26.452
MN$26.901
MO$24.73–$26.033
MS$24.641
MT$26.721
NC$25.641
ND$26.521
NE$25.411
NH$27.271
NJ$28.56–$29.802
NM$25.601
NV$26.681
NY$25.90–$30.495
OH$25.471
OK$25.111
OR$26.56–$28.422
PA$25.52–$27.592
PR$26.871
RI$27.391
SC$25.581
SD$26.501
TN$25.261
TX$25.40–$27.548
UT$25.821
VA$26.38–$29.962
VI$26.871
VT$26.411
WA$27.56–$30.522
WI$25.891
WV$24.981
WY$26.631

See 92020 in every payment locality

How the 92020 rate is calculated

Each of 92020’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 · 92020

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.36

0.36 RVUs× 1.000 GPCI

Practice expense0.43

0.43 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.8000

Conversion factor

$33.4009

Medicare rate

$26.72

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,666

Code
92020
Physician work
0.36
Practice expense
0.43
Malpractice
0.01

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 92020 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0000.3600
Practice expense0.43× 0.8610.3702
Malpractice0.01× 0.7390.0074
Total RVUs0.7376
Conversion factor× 33.4009

Office rate, Mississippi$24.64

Office: (0.36 × 1 + 0.43 × 0.861 + 0.01 × 0.739) × $33.4009 = $24.64

Facility: (0.36 × 1 + 0.12 × 0.861 + 0.01 × 0.739) × $33.4009 = $15.72

Open 92020 in the RVU calculator

Payment rules and modifiers for 92020

The CMS indicators that decide how 92020 is paid alongside other services.

CMS payment indicators · 92020

Gonioscopy

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 92020 has changed in Mississippi

92020 · Office / nonfacility

$24.64

Effective 2026-10-01

The base rate is $0.57 higher than on 2025-10-01, moving from $24.07 to $24.64 (2.4%).

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

    $24.07changed to$24.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $25.05changed to$24.07

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.44 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $24.64changed to$25.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.41changed to$24.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $25.86changed to$25.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $25.78changed to$25.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.43 changed to 0.44

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $25.90changed to$25.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.40 changed to 0.43
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.01changed to$25.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $25.35changed to$26.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.38 changed to 0.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $25.28changed to$25.35

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $24.91changed to$25.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.37 changed to 0.38
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $25.00changed to$24.91

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $24.88changed to$25.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.77changed to$24.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.38 changed to 0.37
    • Malpractice RVU 0.03 changed to 0.01
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $25.45changed to$25.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.41 changed to 0.38
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $25.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$24.64$15.72RVU26D
2026-07-01$24.64$15.72RVU26C
2026-04-01$24.64$15.72RVU26B
2026-01-01$24.64$15.72RVU26A
2025-10-01$24.07$18.28RVU25D
2025-07-01$24.07$18.28RVU25C
2025-04-01$24.07$18.28RVU25B
2025-01-01$24.07$18.28RVU25A
2024-10-01$25.05$18.81RVU24D
2024-07-01$25.05$18.81RVU24C
2024-04-01$25.05$18.81RVU24B
2024-03-09$25.05$18.81RVU24AR
2024-01-01$24.64$18.50RVU24A
2023-10-01$25.41$19.10RVU23D
2023-07-01$25.41$19.10RVU23C
2023-04-01$25.41$19.10RVU23B
2023-01-01$25.41$19.10RVU23A
2022-10-01$25.86$19.16RVU22D
2022-07-01$25.86$19.16RVU22C
2022-04-01$25.86$19.16RVU22B
2022-01-01$25.86$19.16RVU22A
2021-10-01$25.78$19.31RVU21D
2021-07-01$25.78$19.31RVU21C
2021-04-01$25.78$19.31RVU21B
2021-01-01$25.78$19.31RVU21A
2020-10-01$25.90$20.03RVU20D
2020-07-01$25.90$20.03RVU20C
2020-04-01$25.90$20.03RVU20B
2020-01-01$25.90$20.03RVU20A
2019-10-01$26.01$20.37RVU19D
2019-07-01$26.01$20.37RVU19C
2019-04-01$26.01$20.37RVU19B
2019-01-01$26.01$20.37RVU19A
2018-10-01$25.35$20.34RVU18D
2018-07-01$25.35$20.34RVU18C
2018-04-01$25.35$20.34RVU18B
2018-01-01$25.35$20.34RVU18AR1
2017-10-01$25.28$20.30RVU17D
2017-07-01$25.28$20.30RVU17C
2017-04-01$25.28$20.30RVU17B
2017-01-01$25.28$20.30RVU17A
2016-10-01$24.91$19.96RVU16D
2016-07-01$24.91$19.96RVU16C
2016-04-01$24.91$19.96RVU16B
2016-01-01$24.91$19.96RVU16A
2015-10-01$25.00$20.04RVU15D
2015-07-01$25.00$20.04RVU15C
2015-04-01$24.88$19.94RVU15B
2015-01-01$24.88$19.94RVU15A
2014-10-01$25.77$20.81RVU14D
2014-07-01$25.77$20.81RVU14C
2014-04-01$25.77$20.81RVU14B
2014-01-01$25.77$20.81RVU14A
2013-10-01$25.45$20.14RVU13D
2013-07-01$25.45$20.14RVU13C
2013-04-01$25.45$20.14RVU13B
2013-01-01$25.45$20.14RVU13AR

Price 92020 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

92020 billing questions

Should gonioscopy be billed twice or with modifier 50 when both eyes are examined?

No. CMS already prices 92020 as bilateral. Report one unit for examination of one or both eyes; modifier 50 does not increase payment.

Is gonioscopy included in a comprehensive or intermediate eye exam?

The routine examination reported with 92004, 92014, 92002, or 92012 is different from a diagnostic angle examination with a goniolens. Report 92020 separately when the gonioscopy is medically necessary, performed, and documented.

Can gonioscopy be billed on the same day as laser trabeculoplasty or iridotomy?

Using a goniolens solely to guide the laser treatment is part of that procedure, not a separately billable gonioscopy. A distinct diagnostic angle examination requires its own medical necessity and findings.

What documentation supports gonioscopy?

Record the indication, eye or eyes examined, angle findings, and clinical interpretation. An angle grade and details such as synechiae, pigment, or neovascularization help describe the findings.

Which conditions commonly prompt diagnostic gonioscopy?

Examples include suspected or established glaucoma, narrow or potentially occludable angles, pigment dispersion, neovascular glaucoma, and suspected angle recession after trauma. The documented reason for examining the angle should support the service.

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 92020PPRRVU2026_Oct_nonQPP.csv, line 11,666 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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