CPT code 95919: Pupillometry, one or both pupils2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $20.06 for 95919 in the office.

Check a contract rate as a % of Medicare · 95919 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 95919 covers

This service uses a quantitative pupillometer to measure pupil characteristics and responses, rather than relying only on a visual examination. A physician or other qualified health care professional interprets the measurements and prepares a report. Neurology and neurocritical care teams may use it when assessing neurologic status, including in patients with acute brain injury or altered responsiveness. It may be performed in an office or hospital setting, depending on the patient’s care.

Report the service for quantitative pupillometry of one or both eyes; the code covers either extent. Documentation should identify the clinical reason for testing, the measurements obtained, and the interpretation and report. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. Reporting without either modifier represents the global service, including both 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 Alaska compares for 95919

Across 109 of 109 payment localities, the office rate for 95919 runs from $14.96 in Arkansas to $21.48 in San Benito County, CA. Alaska pays $20.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95919 rates by state

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

See 95919 in every payment locality

How the 95919 rate is calculated

Each of 95919’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 95919

The CMS indicators that decide how 95919 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 95919

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

How 95919 has changed in Alaska

Price 95919 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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