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CMS RVU26D · Effective 2026-10-01

92002 in Alaska*

Office / nonfacility

$102.80

Base rate per service

Facility setting

$52.64

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmology

About 92002: Intermediate new-patient eye examination

An ophthalmologist or optometrist reports this intermediate examination for a new patient when evaluating an eye concern and beginning a diagnostic or treatment plan.

This service is an intermediate ophthalmological evaluation for a new patient, commonly performed by an ophthalmologist or optometrist in an office or outpatient setting. The clinician evaluates the patient’s eye complaint or finding, examines relevant ocular structures, and uses diagnostic procedures as indicated to decide on an initial diagnostic or treatment approach. Examples of reasons for evaluation include new blurred vision, eye discomfort, or a newly observed ocular finding.

Select 92002 when the documented service is intermediate rather than a comprehensive eye examination and the patient meets the new-patient criteria for the reporting clinician and group. The record should support the eye-related history, examination performed, relevant findings, and the diagnostic or treatment plan initiated. The code is priced as bilateral; reporting modifier 50 does not increase payment. Report a separate diagnostic service only when it was performed and is independently reportable.

CMS billing rules for 92002

Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.88 · 35%
  • Practice expense (office) RVU1.64 · 65%
  • Malpractice RVU0.02 · 1%

113.4K

Medicare services in 2024 · #523 by national volume

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.

92002 compared with similar codes

Office rates for Alaska*, from the same CMS release.

92004

Comprehensive eye exam

New patient, one or more visits

$185.12

Both are for new patients, but 92004 represents a comprehensive eye examination; 92002 represents an intermediate examination.

92012

Eye exam

Intermediate, established patient

$109.25

Both describe an intermediate ophthalmological examination. Use 92002 for a new patient and 92012 for an established patient.

92014

Comprehensive eye exam

Established patient

$155.47

92014 is the comprehensive examination for an established patient. 92002 is intermediate and applies to a new patient.

The same code, a different location

How does Alaska* compare?

92002 across payment areas

Same release and payment basis · bars start at $0

  1. Alaska* · This locality

    $102.80

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $95.84

    $6.96 lower than Alaska*

  3. Dc + Md/Va Suburbs

    $96.25

    $6.55 lower than Alaska*

  4. Miami

    $88.11

    $14.69 lower than Alaska*

  5. Chicago

    $86.18

    $16.62 lower than Alaska*

  6. Manhattan

    $95.98

    $6.82 lower than Alaska*

  7. Alabama

    $77.70

    $25.10 lower than Alaska*

Other payment areas listed in Alaska appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92002 ranges from $76.79 in Arkansas to $111.97 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Arkansas

    Arkansas · 92002

    Office

    $76.79

    Facility

    $36.34

    $26.01 lower than Alaska* for the office setting.

  • Arizona

    Arizona · 92002

    Office

    $83.04

    Facility

    $37.41

    $19.76 lower than Alaska* for the office setting.

  • Bakersfield

    California · 92002

    Office

    $90.39

    Facility

    $38.78

    $12.41 lower than Alaska* for the office setting.

  • Chico

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • El Centro

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Fresno

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Hanford-Corcoran

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Madera

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Merced

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Modesto

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Napa

    California · 92002

    Office

    $103.78

    Facility

    $41.71

    $0.98 higher than Alaska* for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92002

    Office

    $95.38

    Facility

    $39.71

    $7.42 lower than Alaska* for the office setting.

  • Redding

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Rest Of California

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92002

    Office

    $90.53

    Facility

    $38.91

    $12.27 lower than Alaska* for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92002

    Office

    $94.52

    Facility

    $39.74

    $8.28 lower than Alaska* for the office setting.

  • Salinas

    California · 92002

    Office

    $94.15

    Facility

    $39.57

    $8.65 lower than Alaska* for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92002

    Office

    $96.15

    Facility

    $39.82

    $6.65 lower than Alaska* for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92002

    Office

    $109.73

    Facility

    $43.32

    $6.93 higher than Alaska* for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92002

    Office

    $109.71

    Facility

    $43.30

    $6.91 higher than Alaska* for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92002

    Office

    $111.97

    Facility

    $44.06

    $9.17 higher than Alaska* for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92002

    Office

    $111.88

    Facility

    $43.97

    $9.08 higher than Alaska* for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92002

    Office

    $92.64

    Facility

    $39.00

    $10.16 lower than Alaska* for the office setting.

  • Santa Cruz-Watsonville

    California · 92002

    Office

    $96.92

    Facility

    $39.70

    $5.88 lower than Alaska* for the office setting.

  • Santa Maria-Santa Barbara

    California · 92002

    Office

    $94.44

    Facility

    $39.53

    $8.36 lower than Alaska* for the office setting.

  • Santa Rosa-Petaluma

    California · 92002

    Office

    $97.90

    Facility

    $40.07

    $4.90 lower than Alaska* for the office setting.

  • Stockton

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Vallejo

    California · 92002

    Office

    $103.75

    Facility

    $41.68

    $0.95 higher than Alaska* for the office setting.

  • Visalia

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Yuba City

    California · 92002

    Office

    $90.29

    Facility

    $38.67

    $12.51 lower than Alaska* for the office setting.

  • Colorado

    Colorado · 92002

    Office

    $88.55

    Facility

    $38.44

    $14.25 lower than Alaska* for the office setting.

  • Connecticut

    Connecticut · 92002

    Office

    $89.78

    Facility

    $39.06

    $13.02 lower than Alaska* for the office setting.

  • Delaware

    Delaware · 92002

    Office

    $84.26

    Facility

    $37.73

    $18.54 lower than Alaska* for the office setting.

  • Fort Lauderdale

    Florida · 92002

    Office

    $86.09

    Facility

    $38.38

    $16.71 lower than Alaska* for the office setting.

  • Rest Of Florida

    Florida · 92002

    Office

    $82.76

    Facility

    $37.74

    $20.04 lower than Alaska* for the office setting.

  • Atlanta

    Georgia · 92002

    Office

    $85.94

    Facility

    $38.09

    $16.86 lower than Alaska* for the office setting.

  • Rest Of Georgia

    Georgia · 92002

    Office

    $79.05

    Facility

    $37.04

    $23.75 lower than Alaska* for the office setting.

  • Hawaii, Guam

    Hawaii · 92002

    Office

    $92.06

    Facility

    $38.51

    $10.74 lower than Alaska* for the office setting.

  • Iowa

    Iowa · 92002

    Office

    $79.78

    Facility

    $36.69

    $23.02 lower than Alaska* for the office setting.

  • Idaho

    Idaho · 92002

    Office

    $80.10

    Facility

    $36.78

    $22.70 lower than Alaska* for the office setting.

  • East St. Louis

    Illinois · 92002

    Office

    $81.13

    Facility

    $37.81

    $21.67 lower than Alaska* for the office setting.

  • Rest Of Illinois

    Illinois · 92002

    Office

    $80.45

    Facility

    $37.45

    $22.35 lower than Alaska* for the office setting.

  • Suburban Chicago

    Illinois · 92002

    Office

    $87.04

    Facility

    $38.67

    $15.76 lower than Alaska* for the office setting.

  • Indiana

    Indiana · 92002

    Office

    $80.50

    Facility

    $36.84

    $22.30 lower than Alaska* for the office setting.

  • Kansas

    Kansas · 92002

    Office

    $79.25

    Facility

    $36.67

    $23.55 lower than Alaska* for the office setting.

  • Kentucky

    Kentucky · 92002

    Office

    $78.70

    Facility

    $36.83

    $24.10 lower than Alaska* for the office setting.

  • New Orleans

    Louisiana · 92002

    Office

    $81.70

    Facility

    $37.38

    $21.10 lower than Alaska* for the office setting.

  • Rest Of Louisiana

    Louisiana · 92002

    Office

    $78.51

    Facility

    $36.83

    $24.29 lower than Alaska* for the office setting.

  • Metropolitan Boston

    Massachusetts · 92002

    Office

    $96.60

    Facility

    $40.36

    $6.20 lower than Alaska* for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92002

    Office

    $88.08

    Facility

    $38.48

    $14.72 lower than Alaska* for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92002

    Office

    $89.47

    Facility

    $38.93

    $13.33 lower than Alaska* for the office setting.

  • Rest Of Maryland

    Maryland · 92002

    Office

    $85.73

    Facility

    $38.07

    $17.07 lower than Alaska* for the office setting.

  • Rest Of Maine

    Maine · 92002

    Office

    $80.20

    Facility

    $36.88

    $22.60 lower than Alaska* for the office setting.

  • Southern Maine

    Maine · 92002

    Office

    $84.10

    Facility

    $37.43

    $18.70 lower than Alaska* for the office setting.

  • Detroit

    Michigan · 92002

    Office

    $83.38

    Facility

    $37.93

    $19.42 lower than Alaska* for the office setting.

  • Rest Of Michigan

    Michigan · 92002

    Office

    $80.16

    Facility

    $37.16

    $22.64 lower than Alaska* for the office setting.

  • Minnesota

    Minnesota · 92002

    Office

    $85.96

    Facility

    $37.50

    $16.84 lower than Alaska* for the office setting.

  • Metropolitan Kansas City

    Missouri · 92002

    Office

    $81.48

    Facility

    $37.26

    $21.32 lower than Alaska* for the office setting.

  • Metropolitan St. Louis

    Missouri · 92002

    Office

    $82.21

    Facility

    $37.38

    $20.59 lower than Alaska* for the office setting.

  • Rest Of Missouri

    Missouri · 92002

    Office

    $77.26

    Facility

    $36.67

    $25.54 lower than Alaska* for the office setting.

  • Mississippi

    Mississippi · 92002

    Office

    $77.05

    Facility

    $36.50

    $25.75 lower than Alaska* for the office setting.

  • Montana**

    Montana · 92002

    Office

    $84.84

    Facility

    $37.74

    $17.96 lower than Alaska* for the office setting.

  • North Carolina

    North Carolina · 92002

    Office

    $80.93

    Facility

    $36.99

    $21.87 lower than Alaska* for the office setting.

  • North Dakota**

    North Dakota · 92002

    Office

    $84.44

    Facility

    $37.35

    $18.36 lower than Alaska* for the office setting.

  • Nebraska

    Nebraska · 92002

    Office

    $80.20

    Facility

    $36.74

    $22.60 lower than Alaska* for the office setting.

  • New Hampshire

    New Hampshire · 92002

    Office

    $87.00

    Facility

    $37.97

    $15.80 lower than Alaska* for the office setting.

  • Northern Nj

    New Jersey · 92002

    Office

    $95.50

    Facility

    $40.87

    $7.30 lower than Alaska* for the office setting.

  • Rest Of New Jersey

    New Jersey · 92002

    Office

    $91.12

    Facility

    $39.69

    $11.68 lower than Alaska* for the office setting.

  • New Mexico

    New Mexico · 92002

    Office

    $80.43

    Facility

    $37.24

    $22.37 lower than Alaska* for the office setting.

  • Nevada**

    Nevada · 92002

    Office

    $84.78

    Facility

    $37.64

    $18.02 lower than Alaska* for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92002

    Office

    $97.64

    Facility

    $41.65

    $5.16 lower than Alaska* for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92002

    Office

    $91.51

    Facility

    $39.94

    $11.29 lower than Alaska* for the office setting.

  • Queens

    New York · 92002

    Office

    $96.98

    Facility

    $41.32

    $5.82 lower than Alaska* for the office setting.

  • Rest Of New York

    New York · 92002

    Office

    $81.90

    Facility

    $37.16

    $20.90 lower than Alaska* for the office setting.

  • Ohio

    Ohio · 92002

    Office

    $80.08

    Facility

    $37.08

    $22.72 lower than Alaska* for the office setting.

  • Oklahoma

    Oklahoma · 92002

    Office

    $78.83

    Facility

    $36.77

    $23.97 lower than Alaska* for the office setting.

  • Portland

    Oregon · 92002

    Office

    $91.22

    Facility

    $38.90

    $11.58 lower than Alaska* for the office setting.

  • Rest Of Oregon

    Oregon · 92002

    Office

    $84.42

    Facility

    $37.51

    $18.38 lower than Alaska* for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92002

    Office

    $87.74

    Facility

    $38.72

    $15.06 lower than Alaska* for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92002

    Office

    $80.31

    Facility

    $37.08

    $22.49 lower than Alaska* for the office setting.

  • Puerto Rico

    Puerto Rico · 92002

    Office

    $85.43

    Facility

    $37.82

    $17.37 lower than Alaska* for the office setting.

  • Rhode Island

    Rhode Island · 92002

    Office

    $87.13

    Facility

    $38.48

    $15.67 lower than Alaska* for the office setting.

  • South Carolina

    South Carolina · 92002

    Office

    $80.57

    Facility

    $37.06

    $22.23 lower than Alaska* for the office setting.

  • South Dakota**

    South Dakota · 92002

    Office

    $84.39

    Facility

    $37.30

    $18.41 lower than Alaska* for the office setting.

  • Tennessee

    Tennessee · 92002

    Office

    $79.54

    Facility

    $36.73

    $23.26 lower than Alaska* for the office setting.

  • Austin

    Texas · 92002

    Office

    $88.00

    Facility

    $38.17

    $14.80 lower than Alaska* for the office setting.

  • Beaumont

    Texas · 92002

    Office

    $79.86

    Facility

    $37.00

    $22.94 lower than Alaska* for the office setting.

  • Brazoria

    Texas · 92002

    Office

    $84.43

    Facility

    $37.76

    $18.37 lower than Alaska* for the office setting.

  • Dallas

    Texas · 92002

    Office

    $84.79

    Facility

    $37.88

    $18.01 lower than Alaska* for the office setting.

  • Fort Worth

    Texas · 92002

    Office

    $84.25

    Facility

    $37.81

    $18.55 lower than Alaska* for the office setting.

  • Galveston

    Texas · 92002

    Office

    $84.58

    Facility

    $37.81

    $18.22 lower than Alaska* for the office setting.

  • Houston

    Texas · 92002

    Office

    $84.94

    Facility

    $38.18

    $17.86 lower than Alaska* for the office setting.

  • Rest Of Texas

    Texas · 92002

    Office

    $81.98

    Facility

    $37.29

    $20.82 lower than Alaska* for the office setting.

  • Utah

    Utah · 92002

    Office

    $81.48

    Facility

    $37.21

    $21.32 lower than Alaska* for the office setting.

  • Virginia

    Virginia · 92002

    Office

    $83.71

    Facility

    $37.42

    $19.09 lower than Alaska* for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92002

    Office

    $85.43

    Facility

    $37.82

    $17.37 lower than Alaska* for the office setting.

  • Vermont

    Vermont · 92002

    Office

    $83.96

    Facility

    $37.34

    $18.84 lower than Alaska* for the office setting.

  • Rest Of Washington

    Washington · 92002

    Office

    $87.96

    Facility

    $38.37

    $14.84 lower than Alaska* for the office setting.

  • Seattle (King Cnty)

    Washington · 92002

    Office

    $98.62

    Facility

    $40.83

    $4.18 lower than Alaska* for the office setting.

  • Wisconsin

    Wisconsin · 92002

    Office

    $82.08

    Facility

    $36.96

    $20.72 lower than Alaska* for the office setting.

  • West Virginia

    West Virginia · 92002

    Office

    $77.95

    Facility

    $37.02

    $24.85 lower than Alaska* for the office setting.

  • Wyoming**

    Wyoming · 92002

    Office

    $84.66

    Facility

    $37.57

    $18.14 lower than Alaska* for the office setting.

See how rates vary across the country

92002 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$76.79

$102.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$102.801
AL$77.701
AR$76.791
AZ$83.041
CA$90.29–$111.9729
CO$88.551
CT$89.781
DC$96.251
DE$84.261
FL$82.76–$88.113
GA$79.05–$85.942
GU$92.061
HI$92.061
IA$79.781
ID$80.101
IL$80.45–$87.044
IN$80.501
KS$79.251
KY$78.701
LA$78.51–$81.702
MA$88.08–$96.602
MD$85.73–$96.253
ME$80.20–$84.102
MI$80.16–$83.382
MN$85.961
MO$77.26–$82.213
MS$77.051
MT$84.841
NC$80.931
ND$84.441
NE$80.201
NH$87.001
NJ$91.12–$95.502
NM$80.431
NV$84.781
NY$81.90–$97.645
OH$80.081
OK$78.831
OR$84.42–$91.222
PA$80.31–$87.742
PR$85.431
RI$87.131
SC$80.571
SD$84.391
TN$79.541
TX$79.86–$88.008
UT$81.481
VA$83.71–$96.252
VI$85.431
VT$83.961
WA$87.96–$98.622
WI$82.081
WV$77.951
WY$84.661

Explore 92002 on the national rate map →

Where does this rate apply?

Alaska* is a Medicare payment area. Our Census mapping connects it to 355 cities and communities in Alaska, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Alaska →

Why are the office and facility amounts different?

For 92002 in Alaska*, the physician’s office rate is $102.80 and the facility-setting rate is $52.64: a difference of $50.16.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92002 in Alaska*. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$113.08

$102.80 × 110% = $113.08

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92002 in Alaska*.

PPRRVU2026_Oct_nonQPP.csv

11,659

Code
92002
Physician work
0.88
Practice expense
1.64
Malpractice
0.02

GPCI2026.csv

5

Locality
Alaska*
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office / nonfacility calculation for 92002 in Alaska*
ComponentRVULocality factorAdjusted
Physician work0.88× 1.5001.3200
Practice expense1.64× 1.0651.7466
Malpractice0.02× 0.5510.0110
Total RVUs3.0776
Conversion factor× 33.4009

Office / nonfacility rate, Alaska*$102.80

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92002 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.881.5
Practice expense1.641.065
Malpractice0.020.551

(0.88 × 1.5 + 1.64 × 1.065 + 0.02 × 0.551) × $33.4009 = $102.80

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.881.5
Practice expense0.231.065
Malpractice0.020.551

(0.88 × 1.5 + 0.23 × 1.065 + 0.02 × 0.551) × $33.4009 = $52.64

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92002 · Office / nonfacility

$102.80

Effective 2026-10-01

The base rate is $3.42 higher than on 2025-10-01, moving from $99.38 to $102.80 (3.4%).

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

    $99.38changed to$102.80

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.61 changed to 1.64
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $99.38

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$102.80$52.64RVU26D
2026-07-01$102.80$52.64RVU26C
2026-04-01$102.80$52.64RVU26B
2026-01-01$102.80$52.64RVU26A
2025-10-01$99.38$58.47RVU25D
2025-07-01$99.38$58.47RVU25C
2025-04-01$99.38$58.47RVU25B
2025-01-01$99.38$58.47RVU25A

92002 billing questions

When should 92002 be chosen over 92004?

Use 92002 for an intermediate new-patient ophthalmological evaluation. Choose 92004 when the service meets the level of a comprehensive new-patient eye examination.

Can 92002 be reported for an established patient?

No. The intermediate eye-examination code for an established patient is 92012. Apply the new-patient criteria to the reporting clinician and group.

Should modifier 50 be appended when both eyes are examined?

No. CMS prices 92002 as bilateral, and modifier 50 does not increase its payment.

Is a refraction included in 92002?

A refraction is a distinct service reported with 92015 when performed and separately reportable. Document the refraction separately from the evaluation supporting 92002.

What documentation supports 92002?

Document the eye-related history, examination and findings, diagnostic procedures performed as indicated, and the diagnostic or treatment plan initiated. The record should support an intermediate—not comprehensive—level of examination.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92002PPRRVU2026_Oct_nonQPP.csv, line 11,659 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet