$129.57
Choose 92265 for needle recording of extraocular muscle activity. Code 92270 is electro-oculography, a different electrical test rather than a needle muscle study.
On this page
CMS RVU26D · Effective 2026-10-01
92265 Ocular muscle EMG Medicare reimbursement rates in Rhode Island
Needle oculoelectromyography records electrical activity in one or more extraocular muscles to investigate suspected muscle or nerve-related eye movement problems. Compare 92265 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 92265 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
$90.62
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.
Ophthalmic diagnostics
About 92265: Needle extraocular muscle electromyography
Needle oculoelectromyography records electrical activity in one or more extraocular muscles to investigate suspected muscle or nerve-related eye movement problems.
An ophthalmologist or other qualified eye-care professional inserts a needle electrode into one or more extraocular muscles and records their electrical activity. The test can help evaluate selected cases of strabismus, diplopia, or suspected extraocular muscle or nerve dysfunction. It is a targeted muscle study, not a retinal test or a photograph of eye movement.
Report the service when needle recording and interpretation of extraocular muscle activity are performed; document the clinical question, muscles tested, findings, and interpretation. The code covers one or more muscles and is priced as bilateral, so modifier 50 does not increase payment. The test has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier reports the global service. The ophthalmology diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 92265
- 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 RVU0.79 · 30%
- Practice expense (office) RVU1.83 · 69%
- Malpractice RVU0.02 · 1%
32
Medicare services in 2024 · #5634 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.
92265 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$126.86
Code 92273 evaluates retinal electrical responses with full-field electroretinography; 92265 evaluates electrical activity in extraocular muscles.
$65.84
Code 92060 reports sensorimotor measurements of ocular alignment and movement. It does not represent needle recording of extraocular muscle activity.
Compare 92265 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
$90.62
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 92265 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,726
- Code
- 92265
- Physician work
- 0.79
- Practice expense
- 1.83
- 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 | 0.79 | × 1.019 | 0.8050 |
| Practice expense | 1.83 | × 1.033 | 1.8904 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 2.7132 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$90.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.79 | 1.019 |
| Practice expense | 1.83 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(0.79 × 1.019 + 1.83 × 1.033 + 0.02 × 0.892) × $33.4009 = $90.62
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.
92265 billing questions
Does the code count each extraocular muscle separately?
The service covers one or more extraocular muscles, rather than assigning a separate code for each muscle. Document the muscles tested and the findings.
Should modifier 50 be used when both eyes are evaluated?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation or TC for the technical service involving equipment and staff. Without either modifier, the code represents the global service.
Does the multiple procedure reduction affect the entire service?
The ophthalmology diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component under the CMS rule provided for this code.
How is this different from electro-oculography?
Needle oculoelectromyography records electrical activity in extraocular muscles. Electro-oculography records eye-related electrical potential and is not a needle muscle study.
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.
11,72392250,26,Fundus photography w/i&r,A,,0.39,0.21,,0.21,,0.01,0.61,0.61,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,72492250,TC,Fundus photography w/i&r,A,,0.00,0.49,,0.49,NA,0.01,0.50,0.50,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,3.99,3.99,0.08
11,72592260,,Ophthalmodynamometry,A,,0.20,0.35,,0.06,,0.01,0.56,0.27,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,72692265,,Ndl oculoelectromyography 1+,A,,0.79,1.83,,1.83,NA,0.02,2.64,2.64,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,72792265,26,Ndl oculoelectromyography 1+,A,,0.79,0.55,,0.55,,0.01,1.35,1.35,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,72892265,TC,Ndl oculoelectromyography 1+,A,,0.00,1.28,,1.28,NA,0.01,1.29,1.29,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
11,72992270,,Electro-oculography w/i&r,A,,0.79,2.95,,2.95,NA,0.03,3.77,3.77,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537