# CPT 92002: Ophthalmological examination, new patient, intermediate

Medicare CPT 92002 pays $84.84 in a non-facility setting and $37.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $76.79 in Arkansas to $102.80 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/92002-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $84.84 |
| National facility | $37.74 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $102.80 | $52.64 |
| District of Columbia | $96.25 | $40.77 |
| California | $95.63 | $39.90 |
| New Jersey | $93.31 | $40.28 |
| Washington | $93.29 | $39.60 |
| New York | $92.80 | $40.27 |
| Massachusetts | $92.34 | $39.42 |
| Hawaii | $92.06 | $38.51 |
| Connecticut | $89.78 | $39.06 |
| Colorado | $88.55 | $38.44 |
| Oregon | $87.82 | $38.21 |
| Maryland | $87.60 | $38.50 |
| Rhode Island | $87.13 | $38.48 |
| New Hampshire | $87.00 | $37.97 |
| Minnesota | $85.96 | $37.50 |
| Florida | $85.65 | $38.40 |
| Puerto Rico | $85.43 | $37.82 |
| Virgin Islands | $85.43 | $37.82 |
| Montana | $84.84 | $37.74 |
| Nevada | $84.78 | $37.64 |
| Wyoming | $84.66 | $37.57 |
| North Dakota | $84.44 | $37.35 |
| South Dakota | $84.39 | $37.30 |
| Delaware | $84.26 | $37.73 |
| Texas | $84.10 | $37.74 |
| Pennsylvania | $84.03 | $37.90 |
| Vermont | $83.96 | $37.34 |
| Virginia | $83.71 | $37.42 |
| Illinois | $83.70 | $38.20 |
| Arizona | $83.04 | $37.41 |
| Georgia | $82.50 | $37.57 |
| Maine | $82.15 | $37.16 |
| Wisconsin | $82.08 | $36.96 |
| Michigan | $81.77 | $37.55 |
| Utah | $81.48 | $37.21 |
| North Carolina | $80.93 | $36.99 |
| South Carolina | $80.57 | $37.06 |
| Indiana | $80.50 | $36.84 |
| New Mexico | $80.43 | $37.24 |
| Missouri | $80.32 | $37.10 |
| Nebraska | $80.20 | $36.74 |
| Louisiana | $80.11 | $37.11 |
| Idaho | $80.10 | $36.78 |
| Ohio | $80.08 | $37.08 |
| Iowa | $79.78 | $36.69 |
| Tennessee | $79.54 | $36.73 |
| Kansas | $79.25 | $36.67 |
| Oklahoma | $78.83 | $36.77 |
| Kentucky | $78.70 | $36.83 |
| West Virginia | $77.95 | $37.02 |
| Alabama | $77.70 | $36.49 |
| Mississippi | $77.05 | $36.50 |
| Arkansas | $76.79 | $36.34 |

## Related codes

- 92004: Ophthalmological examination, new patient, comprehensive — https://www.med-reveal.com/rates/92004-cpt-fee-schedule
- 92012: Ophthalmological examination, established patient, intermediate — https://www.med-reveal.com/rates/92012-cpt-fee-schedule
- 92014: Ophthalmological examination, established patient, comprehensive — https://www.med-reveal.com/rates/92014-cpt-fee-schedule
- 92018: Ophthalmological examination and evaluation, under general anesthesia, complete — https://www.med-reveal.com/rates/92018-cpt-fee-schedule
- 92019: Ophthalmological examination and evaluation, under general anesthesia, limited — https://www.med-reveal.com/rates/92019-cpt-fee-schedule
- 92225: Ophthalmoscopy, extended, with retinal drawing, initial — https://www.med-reveal.com/rates/92225-cpt-fee-schedule
- 92226: Ophthalmoscopy, extended, with retinal drawing, subsequent — https://www.med-reveal.com/rates/92226-cpt-fee-schedule
- 92499: Unlisted ophthalmological service or procedure — https://www.med-reveal.com/rates/92499-cpt-fee-schedule

Commercial negotiated rates for 92002 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules