CPT code 92202: Extended ophthalmoscopy, optic nerve or macula drawing2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $15.17 for 92202 in the office and $11.33 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 92202 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 92202 covers

Extended ophthalmoscopy focuses on the optic nerve head or macula rather than the peripheral retina. An ophthalmologist or optometrist examines the area in detail, usually after dilation with a slit lamp lens or indirect ophthalmoscope, and makes a labeled drawing of findings such as glaucomatous cupping, disc edema, or macular hemorrhage. The examination may be performed during an office eye visit or in a facility when posterior pole findings require documentation beyond a routine fundus check.

Report 92202 when the record contains the optic nerve or macula drawing, an interpretation and report, and a clinical reason for the extended examination, such as evaluating glaucoma or a macular abnormality. A narrative description, fundus image, or OCT printout alone does not substitute for the drawing. The code covers one or both eyes; report one unit for the examination rather than separate units for each eye. CMS already prices 92202 as bilateral, so modifier 50 does not increase payment. For a drawing of peripheral retinal disease with scleral depression, select 92201 instead.

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 Wisconsin compares for 92202

Across 109 of 109 payment localities, the office rate for 92202 runs from $14.55 in Arkansas to $20.18 in Alaska. Wisconsin pays $15.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92202 rates by state

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

See 92202 in every payment locality

How the 92202 rate is calculated

Each of 92202’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 92202

The CMS indicators that decide how 92202 is paid alongside other services.

Codes related to 92202

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

How 92202 has changed in Wisconsin

Price 92202 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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