$44.16
Choose 92082 when the examination is intermediate in scope; 92081 describes a limited assessment such as confrontation testing.
On this page
CMS RVU26D · Effective 2026-10-01
92081 Visual field test Medicare reimbursement rates in Iowa
Reports a limited visual field assessment, such as confrontation testing, when an eye-care clinician evaluates a focused concern about peripheral vision. Compare 92081 office and facility rates across CMS payment localities in Iowa.
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.
What does Medicare pay for 92081 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$31.34
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmology diagnostic testing
About 92081: Limited visual field examination
Reports a limited visual field assessment, such as confrontation testing, when an eye-care clinician evaluates a focused concern about peripheral vision.
This service evaluates a limited portion of a patient’s visual field, commonly through confrontation testing or another limited field method. Ophthalmologists and optometrists may perform it in an office or outpatient setting when evaluating a focused concern, such as a suspected peripheral field deficit. The service includes the clinician’s interpretation and report, not just the act of administering the test.
Select this level based on the scope of the field assessment performed, rather than the diagnosis alone. Document the clinical reason, test method, laterality, findings, and interpretation. CMS prices the code as bilateral, so modifier 50 does not increase payment. The service may be billed globally, or its professional interpretation and technical equipment-and-staff portions may be billed separately with modifiers 26 and TC. When multiple ophthalmic diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 92081
- 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 RVU0.29 · 29%
- Practice expense (office) RVU0.70 · 69%
- Malpractice RVU0.02 · 2%
80.1K
Medicare services in 2024 · #631 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.
92081 compared with similar codes
Office rates for Iowa, from the same CMS release.
$59.42
Choose 92083 for an extended visual field examination. The level follows the scope of testing performed, not simply the condition being evaluated.
$119.78
92014 reports a comprehensive established-patient eye examination, while 92081 reports a limited visual field test. They may be reported together when each service is separately supported.
Compare 92081 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$31.34
Facility
Unavailable
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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 92081 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,677
- Code
- 92081
- Physician work
- 0.29
- Practice expense
- 0.70
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 0.70 | × 0.915 | 0.6405 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.9384 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$31.34
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.29 | 1 |
| Practice expense | 0.7 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.29 × 1 + 0.7 × 0.915 + 0.02 × 0.397) × $33.4009 = $31.34
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.
92081 billing questions
How does 92081 differ from 92082 or 92083?
92081 is for a limited field assessment, such as confrontation testing. Use 92082 or 92083 when the performed examination meets the intermediate or extended level, respectively.
Is 92081 reported once for both eyes?
CMS prices 92081 as bilateral. Modifier 50 does not increase payment.
Can the interpretation and testing portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
What happens when other ophthalmic diagnostic tests are performed at the same visit?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component. Document the work and findings for each service performed.
What documentation supports 92081?
Record the clinical reason for testing, the limited method used, laterality, results, and the interpreting clinician’s findings. The record should support a limited—not intermediate or extended—field assessment.
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.
11,67492066,,Orthop traing supvj phys/qhp,A,,0.00,0.77,,0.77,NA,0.01,0.78,0.78,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,67592071,,Contact lens fitting for tx,A,,0.59,0.46,,0.17,,0.02,1.07,0.78,0,XXX,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67692072,,Fitg c-lens keratoconus 1st,A,,1.92,1.67,,0.36,,0.01,3.60,2.29,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67792081,,Limited visual field xm,A,,0.29,0.70,,0.70,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67892081,26,Limited visual field xm,A,,0.29,0.17,,0.17,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67992081,TC,Limited visual field xm,A,,0.00,0.53,,0.53,NA,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,68092082,,Intermediate visual field xm,A,,0.39,1.01,,1.01,NA,0.02,1.42,1.42,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136