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CMS RVU26D · Effective 2026-10-01

92025 in Redding

Office / nonfacility

$39.36

Base rate per service

Facility setting

Not available in this setting

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 diagnostic testing

About 92025: Computerized corneal topography

Computerized corneal topography maps corneal shape and curvature to assess irregularity, suspected ectasia, or corneal changes relevant to treatment planning.

Computerized corneal topography captures and analyzes corneal surface shape to produce a curvature map, helping identify steepening or irregularity that may not be evident from routine examination alone. Ophthalmologists and optometrists commonly use it when evaluating suspected keratoconus or irregular astigmatism, or when planning corneal or refractive treatment and contact lens management. The test is performed with a dedicated imaging device in an eye-care office or facility, with the clinician interpreting the resulting map in the context of the examination.

Report the service when the topographic study is performed and interpreted; retain the clinical reason for testing and the findings or interpretation in the record. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. The code is priced for both eyes, so modifier 50 does not increase payment. When multiple ophthalmic diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

CMS billing rules for 92025

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.34 · 31%
  • Practice expense (office) RVU0.75 · 68%
  • Malpractice RVU0.02 · 2%

303.3K

Medicare services in 2024 · #308 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.

92025 compared with similar codes

Office rates for Redding, from the same CMS release.

92072

Contact lens fitting

Keratoconus, initial

$126.53

This code is for corneal topography, a diagnostic map of corneal shape. 92072 describes fitting a contact lens for keratoconus, not producing the map.

92015

Determine refractive state

No office rate

92015 determines refractive state, such as the correction needed for glasses. Corneal topography maps corneal curvature and surface shape.

92132

Eye imaging

Anterior segment

$31.47

92132 uses anterior-segment optical coherence tomography to produce cross-sectional imaging. Corneal topography maps surface curvature rather than tissue cross-sections.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 92025 is $39.43—$0.07 higher than the $39.36 rate in Redding. Both use the same code, release and participation basis.

92025 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $39.36

  2. Bakersfield

    $39.43

    $0.07 higher than Redding

  3. Chico

    $39.36

    The same base rate than Redding

  4. El Centro

    $39.37

    $0.01 higher than Redding

  5. Fresno

    $39.36

    The same base rate than Redding

  6. Hanford-Corcoran

    $39.36

    The same base rate than Redding

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

    $41.90

    $2.54 higher than Redding

Other payment areas listed in California 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, 92025 ranges from $33.22 in Arkansas to $49.09 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

  • Madera

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 92025

    Office

    $45.43

    Facility

    Unavailable

    $6.07 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92025

    Office

    $41.70

    Facility

    Unavailable

    $2.34 higher than Redding for the office setting.

  • Rest Of California

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92025

    Office

    $39.59

    Facility

    Unavailable

    $0.23 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92025

    Office

    $41.26

    Facility

    Unavailable

    $1.90 higher than Redding for the office setting.

  • Salinas

    California · 92025

    Office

    $41.10

    Facility

    Unavailable

    $1.74 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92025

    Office

    $42.02

    Facility

    Unavailable

    $2.66 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92025

    Office

    $48.06

    Facility

    Unavailable

    $8.70 higher than Redding for the office setting.

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

    California · 92025

    Office

    $48.04

    Facility

    Unavailable

    $8.68 higher than Redding for the office setting.

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

    California · 92025

    Office

    $49.09

    Facility

    Unavailable

    $9.73 higher than Redding for the office setting.

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

    California · 92025

    Office

    $48.99

    Facility

    Unavailable

    $9.63 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92025

    Office

    $40.44

    Facility

    Unavailable

    $1.08 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 92025

    Office

    $42.39

    Facility

    Unavailable

    $3.03 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 92025

    Office

    $41.24

    Facility

    Unavailable

    $1.88 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 92025

    Office

    $42.82

    Facility

    Unavailable

    $3.46 higher than Redding for the office setting.

  • Stockton

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 92025

    Office

    $45.40

    Facility

    Unavailable

    $6.04 higher than Redding for the office setting.

  • Visalia

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 92025

    Office

    $39.36

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92025

    Office

    $42.22

    Facility

    Unavailable

    $2.86 higher than Redding for the office setting.

  • Miami

    Florida · 92025

    Office

    $39.12

    Facility

    Unavailable

    $0.24 lower than Redding for the office setting.

  • Chicago

    Illinois · 92025

    Office

    $38.14

    Facility

    Unavailable

    $1.22 lower than Redding for the office setting.

  • Manhattan

    New York · 92025

    Office

    $42.25

    Facility

    Unavailable

    $2.89 higher than Redding for the office setting.

  • Alaska*

    Alaska · 92025

    Office

    $44.08

    Facility

    Unavailable

    $4.72 higher than Redding for the office setting.

  • Alabama

    Alabama · 92025

    Office

    $33.65

    Facility

    Unavailable

    $5.71 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 92025

    Office

    $33.22

    Facility

    Unavailable

    $6.14 lower than Redding for the office setting.

  • Arizona

    Arizona · 92025

    Office

    $36.20

    Facility

    Unavailable

    $3.16 lower than Redding for the office setting.

  • Colorado

    Colorado · 92025

    Office

    $38.67

    Facility

    Unavailable

    $0.69 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 92025

    Office

    $39.37

    Facility

    Unavailable

    $0.01 higher than Redding for the office setting.

  • Delaware

    Delaware · 92025

    Office

    $36.76

    Facility

    Unavailable

    $2.60 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 92025

    Office

    $37.94

    Facility

    Unavailable

    $1.42 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 92025

    Office

    $36.31

    Facility

    Unavailable

    $3.05 lower than Redding for the office setting.

  • Atlanta

    Georgia · 92025

    Office

    $37.64

    Facility

    Unavailable

    $1.72 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 92025

    Office

    $34.50

    Facility

    Unavailable

    $4.86 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 92025

    Office

    $40.23

    Facility

    Unavailable

    $0.87 higher than Redding for the office setting.

  • Iowa

    Iowa · 92025

    Office

    $34.54

    Facility

    Unavailable

    $4.82 lower than Redding for the office setting.

  • Idaho

    Idaho · 92025

    Office

    $34.72

    Facility

    Unavailable

    $4.64 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 92025

    Office

    $35.75

    Facility

    Unavailable

    $3.61 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 92025

    Office

    $35.27

    Facility

    Unavailable

    $4.09 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 92025

    Office

    $38.35

    Facility

    Unavailable

    $1.01 lower than Redding for the office setting.

  • Indiana

    Indiana · 92025

    Office

    $34.90

    Facility

    Unavailable

    $4.46 lower than Redding for the office setting.

  • Kansas

    Kansas · 92025

    Office

    $34.34

    Facility

    Unavailable

    $5.02 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 92025

    Office

    $34.24

    Facility

    Unavailable

    $5.12 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 92025

    Office

    $35.69

    Facility

    Unavailable

    $3.67 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 92025

    Office

    $34.17

    Facility

    Unavailable

    $5.19 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 92025

    Office

    $42.33

    Facility

    Unavailable

    $2.97 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92025

    Office

    $38.45

    Facility

    Unavailable

    $0.91 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92025

    Office

    $39.24

    Facility

    Unavailable

    $0.12 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 92025

    Office

    $37.43

    Facility

    Unavailable

    $1.93 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 92025

    Office

    $34.82

    Facility

    Unavailable

    $4.54 lower than Redding for the office setting.

  • Southern Maine

    Maine · 92025

    Office

    $36.60

    Facility

    Unavailable

    $2.76 lower than Redding for the office setting.

  • Detroit

    Michigan · 92025

    Office

    $36.66

    Facility

    Unavailable

    $2.70 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 92025

    Office

    $34.98

    Facility

    Unavailable

    $4.38 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 92025

    Office

    $37.33

    Facility

    Unavailable

    $2.03 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 92025

    Office

    $35.53

    Facility

    Unavailable

    $3.83 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 92025

    Office

    $35.87

    Facility

    Unavailable

    $3.49 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 92025

    Office

    $33.60

    Facility

    Unavailable

    $5.76 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 92025

    Office

    $33.42

    Facility

    Unavailable

    $5.94 lower than Redding for the office setting.

  • Montana**

    Montana · 92025

    Office

    $37.07

    Facility

    Unavailable

    $2.29 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 92025

    Office

    $35.16

    Facility

    Unavailable

    $4.20 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 92025

    Office

    $36.68

    Facility

    Unavailable

    $2.68 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 92025

    Office

    $34.73

    Facility

    Unavailable

    $4.63 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 92025

    Office

    $38.02

    Facility

    Unavailable

    $1.34 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 92025

    Office

    $41.84

    Facility

    Unavailable

    $2.48 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 92025

    Office

    $39.90

    Facility

    Unavailable

    $0.54 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 92025

    Office

    $35.13

    Facility

    Unavailable

    $4.23 lower than Redding for the office setting.

  • Nevada**

    Nevada · 92025

    Office

    $36.99

    Facility

    Unavailable

    $2.37 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92025

    Office

    $43.11

    Facility

    Unavailable

    $3.75 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92025

    Office

    $40.11

    Facility

    Unavailable

    $0.75 higher than Redding for the office setting.

  • Queens

    New York · 92025

    Office

    $42.66

    Facility

    Unavailable

    $3.30 higher than Redding for the office setting.

  • Rest Of New York

    New York · 92025

    Office

    $35.62

    Facility

    Unavailable

    $3.74 lower than Redding for the office setting.

  • Ohio

    Ohio · 92025

    Office

    $34.90

    Facility

    Unavailable

    $4.46 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 92025

    Office

    $34.25

    Facility

    Unavailable

    $5.11 lower than Redding for the office setting.

  • Portland

    Oregon · 92025

    Office

    $39.87

    Facility

    Unavailable

    $0.51 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 92025

    Office

    $36.78

    Facility

    Unavailable

    $2.58 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92025

    Office

    $38.44

    Facility

    Unavailable

    $0.92 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92025

    Office

    $34.98

    Facility

    Unavailable

    $4.38 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 92025

    Office

    $37.34

    Facility

    Unavailable

    $2.02 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 92025

    Office

    $38.05

    Facility

    Unavailable

    $1.31 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 92025

    Office

    $35.07

    Facility

    Unavailable

    $4.29 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 92025

    Office

    $36.63

    Facility

    Unavailable

    $2.73 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 92025

    Office

    $34.49

    Facility

    Unavailable

    $4.87 lower than Redding for the office setting.

  • Austin

    Texas · 92025

    Office

    $38.47

    Facility

    Unavailable

    $0.89 lower than Redding for the office setting.

  • Beaumont

    Texas · 92025

    Office

    $34.77

    Facility

    Unavailable

    $4.59 lower than Redding for the office setting.

  • Brazoria

    Texas · 92025

    Office

    $36.79

    Facility

    Unavailable

    $2.57 lower than Redding for the office setting.

  • Dallas

    Texas · 92025

    Office

    $36.98

    Facility

    Unavailable

    $2.38 lower than Redding for the office setting.

  • Fort Worth

    Texas · 92025

    Office

    $36.74

    Facility

    Unavailable

    $2.62 lower than Redding for the office setting.

  • Galveston

    Texas · 92025

    Office

    $36.88

    Facility

    Unavailable

    $2.48 lower than Redding for the office setting.

  • Houston

    Texas · 92025

    Office

    $37.24

    Facility

    Unavailable

    $2.12 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 92025

    Office

    $35.73

    Facility

    Unavailable

    $3.63 lower than Redding for the office setting.

  • Utah

    Utah · 92025

    Office

    $35.50

    Facility

    Unavailable

    $3.86 lower than Redding for the office setting.

  • Virginia

    Virginia · 92025

    Office

    $36.45

    Facility

    Unavailable

    $2.91 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92025

    Office

    $37.34

    Facility

    Unavailable

    $2.02 lower than Redding for the office setting.

  • Vermont

    Vermont · 92025

    Office

    $36.49

    Facility

    Unavailable

    $2.87 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 92025

    Office

    $38.39

    Facility

    Unavailable

    $0.97 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 92025

    Office

    $43.21

    Facility

    Unavailable

    $3.85 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 92025

    Office

    $35.56

    Facility

    Unavailable

    $3.80 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 92025

    Office

    $34.08

    Facility

    Unavailable

    $5.28 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 92025

    Office

    $36.90

    Facility

    Unavailable

    $2.46 lower than Redding for the office setting.

See how rates vary across the country

92025 · 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.

$33.22

$44.23

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$44.081
AL$33.651
AR$33.221
AZ$36.201
CA$39.36–$49.0929
CO$38.671
CT$39.371
DC$42.221
DE$36.761
FL$36.31–$39.123
GA$34.50–$37.642
GU$40.231
HI$40.231
IA$34.541
ID$34.721
IL$35.27–$38.354
IN$34.901
KS$34.341
KY$34.241
LA$34.17–$35.692
MA$38.45–$42.332
MD$37.43–$42.223
ME$34.82–$36.602
MI$34.98–$36.662
MN$37.331
MO$33.60–$35.873
MS$33.421
MT$37.071
NC$35.161
ND$36.681
NE$34.731
NH$38.021
NJ$39.90–$41.842
NM$35.131
NV$36.991
NY$35.62–$43.115
OH$34.901
OK$34.251
OR$36.78–$39.872
PA$34.98–$38.442
PR$37.341
RI$38.051
SC$35.071
SD$36.631
TN$34.491
TX$34.77–$38.478
UT$35.501
VA$36.45–$42.222
VI$37.341
VT$36.491
WA$38.39–$43.212
WI$35.561
WV$34.081
WY$36.901

Explore 92025 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92025 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$43.30

$39.36 × 110% = $43.30

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 92025 in Redding.

PPRRVU2026_Oct_nonQPP.csv

11,667

Code
92025
Physician work
0.34
Practice expense
0.75
Malpractice
0.02

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92025 in Redding
ComponentRVULocality factorAdjusted
Physician work0.34× 1.0170.3458
Practice expense0.75× 1.0960.8220
Malpractice0.02× 0.5360.0107
Total RVUs1.1785
Conversion factor× 33.4009

Office / nonfacility rate, Redding$39.36

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

Open 92025 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.341.017
Practice expense0.751.096
Malpractice0.020.536

(0.34 × 1.017 + 0.75 × 1.096 + 0.02 × 0.536) × $33.4009 = $39.36

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

92025 · Office / nonfacility

$39.36

Effective 2026-10-01

The base rate is $2.06 higher than on 2025-10-01, moving from $37.30 to $39.36 (5.5%).

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

    $37.30changed to$39.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.35 changed to 0.34
    • Practice expense RVU 0.72 changed to 0.75
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $37.30

    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$39.36Not available in this settingRVU26D
2026-07-01$39.36Not available in this settingRVU26C
2026-04-01$39.36Not available in this settingRVU26B
2026-01-01$39.36Not available in this settingRVU26A
2025-10-01$37.30Not available in this settingRVU25D
2025-07-01$37.30Not available in this settingRVU25C
2025-04-01$37.30Not available in this settingRVU25B
2025-01-01$37.30Not available in this settingRVU25A

92025 billing questions

Does this code represent a one-eye or two-eye service?

CMS pricing treats the service as bilateral. Modifier 50 does not increase payment.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Submit without either modifier when billing the global service.

Can corneal topography be reported with an ophthalmic examination?

It may be reported with a separately performed eye examination when the record supports both services. Document the topography's clinical indication and interpretation apart from the examination findings.

How does the multiple-procedure reduction affect this code?

The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when applicable. It does not apply to the professional component under the CMS rule provided for this code.

What documentation supports reporting corneal topography?

Document why corneal shape mapping was needed, that the study was performed, and the clinician's interpretation, such as relevant curvature or surface irregularity findings.

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 92025PPRRVU2026_Oct_nonQPP.csv, line 11,667 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet