CPT code 92083: Visual field exam, extended visual field testing2026 Medicare rate & RVUs in North Dakota
Extended visual field testing uses quantitative threshold perimetry or qualifying kinetic mapping to assess glaucoma, neuro-ophthalmic disease, or hydroxychloroquine toxicity.
In North Dakota, Medicare pays $63.40 for 92083 in the office.
Check a contract rate as a % of Medicare · 92083 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 92083 covers
Extended visual field testing maps peripheral and central sensitivity with automated quantitative threshold perimetry, commonly on Humphrey or Octopus equipment using 24-2, 30-2, or 10-2 patterns. Qualifying Goldmann kinetic testing plots at least three isopters and checks static points within the central 30 degrees. A technician administers the test in an eye clinic or hospital outpatient department; an ophthalmologist or optometrist interprets reliability, defect patterns, and changes from prior fields. Common indications include glaucoma surveillance, optic neuropathy, chiasmal lesions, and hydroxychloroquine toxicity monitoring.
Select 92083 for a documented extended strategy rather than intermediate suprathreshold testing or limited screening. Record the strategy, eye or eyes tested, reliability, results, and clinical interpretation. Report one unit whether one or both eyes are tested: CMS prices the code as bilateral, and modifier 50 does not increase payment. Modifier 26 identifies interpretation only; modifier TC identifies equipment and staff only. Bill without a component modifier when both portions are provided. When performed with other eligible ophthalmic diagnostic tests, the ophthalmology diagnostic multiple procedure reduction affects eligible technical components.
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 North Dakota compares for 92083
Across 109 of 109 payment localities, the office rate for 92083 runs from $56.88 in Arkansas to $85.95 in San Benito County, CA. North Dakota pays $63.40. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$63.40
- Los Angeles, CA · California$72.80+$9.40
- Washington, DC area · District of Columbia$73.08+$9.68
- Miami, FL · Florida$66.73+$3.33
- Chicago, IL · Illinois$65.01+$1.61
- Manhattan, NY · New York$72.81+$9.41
- Alaska · Alaska$74.72+$11.32
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $57.66 | — |
| ArkansasArkansas | $56.88 | — |
| ArizonaArizona | $62.25 | — |
| Bakersfield, CACalifornia | $68.33 | — |
| Chico, CACalifornia | $68.25 | — |
| El Centro, CACalifornia | $68.26 | — |
| Fresno, CACalifornia | $68.25 | — |
| Hanford, CACalifornia | $68.25 | — |
| Madera, CACalifornia | $68.25 | — |
| Merced, CACalifornia | $68.25 | — |
| Modesto, CACalifornia | $68.25 | — |
| Napa, CACalifornia | $79.37 | — |
| Oxnard, CACalifornia | $72.51 | — |
| Redding, CACalifornia | $68.25 | — |
| Rest of CaliforniaCalifornia | $68.25 | — |
| Riverside, CACalifornia | $68.48 | — |
| Sacramento, CACalifornia | $71.70 | — |
| Salinas, CACalifornia | $71.43 | — |
| San Diego, CACalifornia | $73.15 | — |
| Marin County, CACalifornia | $84.16 | — |
| San Francisco, CACalifornia | $84.14 | — |
| San Benito County, CACalifornia | $85.95 | — |
| Santa Clara County, CACalifornia | $85.86 | — |
| San Luis Obispo, CACalifornia | $70.26 | — |
| Santa Cruz, CACalifornia | $73.88 | — |
| Santa Maria, CACalifornia | $71.71 | — |
| Santa Rosa, CACalifornia | $74.64 | — |
| Stockton, CACalifornia | $68.25 | — |
| Vallejo, CACalifornia | $79.34 | — |
| Visalia, CACalifornia | $68.25 | — |
| Yuba City, CACalifornia | $68.25 | — |
| ColoradoColorado | $66.84 | — |
| ConnecticutConnecticut | $67.86 | — |
| DelawareDelaware | $63.25 | — |
| Fort Lauderdale, FLFlorida | $64.94 | — |
| Rest of FloridaFlorida | $62.07 | — |
| Atlanta, GAGeorgia | $64.73 | — |
| Rest of GeorgiaGeorgia | $58.87 | — |
| Hawaii, Guam, HIHawaii | $69.92 | — |
| IowaIowa | $59.42 | — |
| IdahoIdaho | $59.70 | — |
| East St. Louis, ILIllinois | $60.73 | — |
| Rest of IllinoisIllinois | $60.10 | — |
| Suburban Chicago, ILIllinois | $65.69 | — |
| IndianaIndiana | $60.04 | — |
| KansasKansas | $58.98 | — |
| KentuckyKentucky | $58.55 | — |
| New Orleans, LALouisiana | $61.13 | — |
| Rest of LouisianaLouisiana | $58.39 | — |
| Metropolitan Boston, MAMassachusetts | $73.46 | — |
| Rest of MassachusettsMassachusetts | $66.40 | — |
| Baltimore area, MDMaryland | $67.63 | — |
| Rest of MarylandMaryland | $64.47 | — |
| Rest of MaineMaine | $59.80 | — |
| Southern Maine, MEMaine | $63.13 | — |
| Detroit, MIMichigan | $62.62 | — |
| Rest of MichiganMichigan | $59.81 | — |
| MinnesotaMinnesota | $64.68 | — |
| Metropolitan Kansas City, MOMissouri | $60.93 | — |
| Metropolitan St. Louis, MOMissouri | $61.55 | — |
| Rest of MissouriMissouri | $57.33 | — |
| MississippiMississippi | $57.12 | — |
| MontanaMontana | $63.79 | — |
| North CarolinaNorth Carolina | $60.42 | — |
| NebraskaNebraska | $59.78 | — |
| New HampshireNew Hampshire | $65.63 | — |
| Northern New JerseyNew Jersey | $72.35 | — |
| Rest of New JerseyNew Jersey | $68.82 | — |
| New MexicoNew Mexico | $60.05 | — |
| NevadaNevada | $63.73 | — |
| NYC suburbs and Long Island, NYNew York | $74.25 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $69.11 | — |
| Queens, NYNew York | $73.65 | — |
| Rest of New YorkNew York | $61.26 | — |
| OhioOhio | $59.73 | — |
| OklahomaOklahoma | $58.64 | — |
| Portland, OROregon | $69.08 | — |
| Rest of OregonOregon | $63.41 | — |
| Metropolitan Philadelphia, PAPennsylvania | $66.14 | — |
| Rest of PennsylvaniaPennsylvania | $59.92 | — |
| Puerto RicoPuerto Rico | $64.30 | — |
| Rhode IslandRhode Island | $65.58 | — |
| South CarolinaSouth Carolina | $60.14 | — |
| South DakotaSouth Dakota | $63.35 | — |
| TennesseeTennessee | $59.23 | — |
| Austin, TXTexas | $66.46 | — |
| Beaumont, TXTexas | $59.54 | — |
| Brazoria, TXTexas | $63.36 | — |
| Dallas, TXTexas | $63.66 | — |
| Fort Worth, TXTexas | $63.20 | — |
| Galveston, TXTexas | $63.48 | — |
| Houston, TXTexas | $63.85 | — |
| Rest of TexasTexas | $61.35 | — |
| UtahUtah | $60.92 | — |
| VirginiaVirginia | $62.80 | — |
| Virgin Islands, VIUnited States Virgin Islands | $64.30 | — |
| VermontVermont | $63.00 | — |
| Rest of WashingtonWashington | $66.33 | — |
| King County, WAWashington | $75.11 | — |
| WisconsinWisconsin | $61.37 | — |
| West VirginiaWest Virginia | $57.96 | — |
| WyomingWyoming | $63.62 | — |
92083 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.
$56.88
$77.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $74.72 | 1 |
| AL | $57.66 | 1 |
| AR | $56.88 | 1 |
| AZ | $62.25 | 1 |
| CA | $68.25–$85.95 | 29 |
| CO | $66.84 | 1 |
| CT | $67.86 | 1 |
| DC | $73.08 | 1 |
| DE | $63.25 | 1 |
| FL | $62.07–$66.73 | 3 |
| GA | $58.87–$64.73 | 2 |
| GU | $69.92 | 1 |
| HI | $69.92 | 1 |
| IA | $59.42 | 1 |
| ID | $59.70 | 1 |
| IL | $60.10–$65.69 | 4 |
| IN | $60.04 | 1 |
| KS | $58.98 | 1 |
| KY | $58.55 | 1 |
| LA | $58.39–$61.13 | 2 |
| MA | $66.40–$73.46 | 2 |
| MD | $64.47–$73.08 | 3 |
| ME | $59.80–$63.13 | 2 |
| MI | $59.81–$62.62 | 2 |
| MN | $64.68 | 1 |
| MO | $57.33–$61.55 | 3 |
| MS | $57.12 | 1 |
| MT | $63.79 | 1 |
| NC | $60.42 | 1 |
| ND | $63.40 | 1 |
| NE | $59.78 | 1 |
| NH | $65.63 | 1 |
| NJ | $68.82–$72.35 | 2 |
| NM | $60.05 | 1 |
| NV | $63.73 | 1 |
| NY | $61.26–$74.25 | 5 |
| OH | $59.73 | 1 |
| OK | $58.64 | 1 |
| OR | $63.41–$69.08 | 2 |
| PA | $59.92–$66.14 | 2 |
| PR | $64.30 | 1 |
| RI | $65.58 | 1 |
| SC | $60.14 | 1 |
| SD | $63.35 | 1 |
| TN | $59.23 | 1 |
| TX | $59.54–$66.46 | 8 |
| UT | $60.92 | 1 |
| VA | $62.80–$73.08 | 2 |
| VI | $64.30 | 1 |
| VT | $63.00 | 1 |
| WA | $66.33–$75.11 | 2 |
| WI | $61.37 | 1 |
| WV | $57.96 | 1 |
| WY | $63.62 | 1 |
How the 92083 rate is calculated
Each of 92083’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 · 92083
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense1.40
1.40 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.9100
Conversion factor
$33.4009
Medicare rate
$63.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,683
- Code
- 92083
- Physician work
- 0.49
- Practice expense
- 1.40
- Malpractice
- 0.02
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 1.40 | × 1.000 | 1.4000 |
| Malpractice | 0.02 | × 0.406 | 0.0081 |
| Total RVUs | 1.8981 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$63.40
Office: (0.49 × 1 + 1.4 × 1 + 0.02 × 0.406) × $33.4009 = $63.40
Payment rules and modifiers for 92083
The CMS indicators that decide how 92083 is paid alongside other services.
CMS payment indicators · 92083
Visual field exam, extended visual field testing
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92083 without 26 · national office
$63.80
Visual field exam, extended visual field testing
92083-26 · Professional component
$26.39
Pays only the interpretation and report.
How 92083 has changed in North Dakota
92083 · Office / nonfacility
$63.40
Effective 2026-10-01
The base rate is $2.58 higher than on 2025-10-01, moving from $60.82 to $63.40 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$60.82changed to$63.40
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.50 changed to 0.49
- Practice expense RVU 1.37 changed to 1.40
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$62.92changed to$60.82
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.38 changed to 1.37
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$61.90changed to$62.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$62.67changed to$61.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.34 changed to 1.38
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$63.28changed to$62.67
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.32 changed to 1.34
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$63.81changed to$63.28
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$63.87changed to$63.81
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.26 changed to 1.32
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$64.90changed to$63.87
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.29 changed to 1.26
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$65.19changed to$64.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.30 changed to 1.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$64.99changed to$65.19
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$64.49changed to$64.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.29 changed to 1.30
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$64.72changed to$64.49
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$64.40changed to$64.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$64.53changed to$64.40
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.28 changed to 1.29
- Malpractice RVU 0.04 changed to 0.02
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$66.03changed to$64.53
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.42 changed to 1.28
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $66.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $63.40 | Not available in this setting | RVU26D |
| 2026-07-01 | $63.40 | Not available in this setting | RVU26C |
| 2026-04-01 | $63.40 | Not available in this setting | RVU26B |
| 2026-01-01 | $63.40 | Not available in this setting | RVU26A |
| 2025-10-01 | $60.82 | Not available in this setting | RVU25D |
| 2025-07-01 | $60.82 | Not available in this setting | RVU25C |
| 2025-04-01 | $60.82 | Not available in this setting | RVU25B |
| 2025-01-01 | $60.82 | Not available in this setting | RVU25A |
| 2024-10-01 | $62.92 | Not available in this setting | RVU24D |
| 2024-07-01 | $62.92 | Not available in this setting | RVU24C |
| 2024-04-01 | $62.92 | Not available in this setting | RVU24B |
| 2024-03-09 | $62.92 | Not available in this setting | RVU24AR |
| 2024-01-01 | $61.90 | Not available in this setting | RVU24A |
| 2023-10-01 | $62.67 | Not available in this setting | RVU23D |
| 2023-07-01 | $62.67 | Not available in this setting | RVU23C |
| 2023-04-01 | $62.67 | Not available in this setting | RVU23B |
| 2023-01-01 | $62.67 | Not available in this setting | RVU23A |
| 2022-10-01 | $63.28 | Not available in this setting | RVU22D |
| 2022-07-01 | $63.28 | Not available in this setting | RVU22C |
| 2022-04-01 | $63.28 | Not available in this setting | RVU22B |
| 2022-01-01 | $63.28 | Not available in this setting | RVU22A |
| 2021-10-01 | $63.81 | Not available in this setting | RVU21D |
| 2021-07-01 | $63.81 | Not available in this setting | RVU21C |
| 2021-04-01 | $63.81 | Not available in this setting | RVU21B |
| 2021-01-01 | $63.81 | Not available in this setting | RVU21A |
| 2020-10-01 | $63.87 | Not available in this setting | RVU20D |
| 2020-07-01 | $63.87 | Not available in this setting | RVU20C |
| 2020-04-01 | $63.87 | Not available in this setting | RVU20B |
| 2020-01-01 | $63.87 | Not available in this setting | RVU20A |
| 2019-10-01 | $64.90 | Not available in this setting | RVU19D |
| 2019-07-01 | $64.90 | Not available in this setting | RVU19C |
| 2019-04-01 | $64.90 | Not available in this setting | RVU19B |
| 2019-01-01 | $64.90 | Not available in this setting | RVU19A |
| 2018-10-01 | $65.19 | Not available in this setting | RVU18D |
| 2018-07-01 | $65.19 | Not available in this setting | RVU18C |
| 2018-04-01 | $65.19 | Not available in this setting | RVU18B |
| 2018-01-01 | $65.19 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $64.99 | Not available in this setting | RVU17D |
| 2017-07-01 | $64.99 | Not available in this setting | RVU17C |
| 2017-04-01 | $64.99 | Not available in this setting | RVU17B |
| 2017-01-01 | $64.99 | Not available in this setting | RVU17A |
| 2016-10-01 | $64.49 | Not available in this setting | RVU16D |
| 2016-07-01 | $64.49 | Not available in this setting | RVU16C |
| 2016-04-01 | $64.49 | Not available in this setting | RVU16B |
| 2016-01-01 | $64.49 | Not available in this setting | RVU16A |
| 2015-10-01 | $64.72 | Not available in this setting | RVU15D |
| 2015-07-01 | $64.72 | Not available in this setting | RVU15C |
| 2015-04-01 | $64.40 | Not available in this setting | RVU15B |
| 2015-01-01 | $64.40 | Not available in this setting | RVU15A |
| 2014-10-01 | $64.53 | Not available in this setting | RVU14D |
| 2014-07-01 | $64.53 | Not available in this setting | RVU14C |
| 2014-04-01 | $64.53 | Not available in this setting | RVU14B |
| 2014-01-01 | $64.53 | Not available in this setting | RVU14A |
| 2013-10-01 | $66.03 | Not available in this setting | RVU13D |
| 2013-07-01 | $66.03 | Not available in this setting | RVU13C |
| 2013-04-01 | $66.03 | Not available in this setting | RVU13B |
| 2013-01-01 | $66.03 | Not available in this setting | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
92083 billing questions
How is this code distinguished from 92082 and 92081?
The level depends on the testing strategy, not the time spent. Quantitative threshold programs, or Goldmann mapping with at least three isopters and central static testing, support 92083. Suprathreshold testing or qualifying two-isopter mapping supports 92082; limited methods support 92081.
Should modifier 50 be added when both eyes are tested?
Report one unit whether one or both eyes are tested. CMS already prices 92083 as bilateral, so modifier 50 does not increase payment.
When are modifiers 26 and TC used?
Use modifier 26 when billing only the interpretation, such as reading fields performed in a hospital outpatient department. Use modifier TC when billing only the equipment and technician portion. A practice billing both portions reports the code without either component modifier.
Can it be billed on the same day as an eye exam or OCT?
Yes, when the extended field test is performed, medically necessary, and documented. It may accompany an ophthalmic exam or optic nerve imaging; the ophthalmology diagnostic multiple procedure reduction affects eligible technical components of same-day diagnostic tests.
What documentation supports the interpretation?
A signed interpretation should identify the test strategy, eyes tested, reliability, findings, and comparison with prior fields when available. A test printout alone does not support billing the professional component.
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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