This code is for corneal topography, a diagnostic map of corneal shape. 92072 describes fitting a contact lens for keratoconus, not producing the map.
On this page
CMS RVU26D · Effective 2026-10-01
92025 Corneal topography Medicare reimbursement rates in Rhode Island
Computerized corneal topography maps corneal shape and curvature to assess irregularity, suspected ectasia, or corneal changes relevant to treatment planning. Compare 92025 office and facility rates across CMS payment localities in Rhode Island.
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 92025 in Rhode Island?
Rhode Island 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
$38.05
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 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 Rhode Island, from the same CMS release.
Determine refractive state
92015 determines refractive state, such as the correction needed for glasses. Corneal topography maps corneal curvature and surface shape.
92132 uses anterior-segment optical coherence tomography to produce cross-sectional imaging. Corneal topography maps surface curvature rather than tissue cross-sections.
Compare 92025 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
Rhode Island →
Office / nonfacility
$38.05
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 92025 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,667
- Code
- 92025
- Physician work
- 0.34
- Practice expense
- 0.75
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.34 | × 1.019 | 0.3465 |
| Practice expense | 0.75 | × 1.033 | 0.7747 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 1.1391 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$38.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.34 | 1.019 |
| Practice expense | 0.75 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(0.34 × 1.019 + 0.75 × 1.033 + 0.02 × 0.892) × $33.4009 = $38.05
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.
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.
