# CPT 92012: Ophthalmological examination, established patient, intermediate

Medicare CPT 92012 pays $90.52 in a non-facility setting and $41.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $81.74 in Arkansas to $109.25 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/92012-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $90.52 |
| National facility | $41.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $109.25 | $56.96 |
| District of Columbia | $102.75 | $44.91 |
| California | $101.93 | $43.83 |
| New Jersey | $99.59 | $44.30 |
| Washington | $99.50 | $43.53 |
| New York | $99.13 | $44.35 |
| Massachusetts | $98.50 | $43.34 |
| Hawaii | $98.15 | $42.32 |
| Connecticut | $95.87 | $42.99 |
| Colorado | $94.43 | $42.19 |
| Oregon | $93.63 | $41.91 |
| Maryland | $93.50 | $42.31 |
| Rhode Island | $92.93 | $42.21 |
| New Hampshire | $92.80 | $41.69 |
| Florida | $91.66 | $42.40 |
| Minnesota | $91.52 | $40.99 |
| Puerto Rico | $91.15 | $41.51 |
| Virgin Islands | $91.15 | $41.51 |
| Montana | $90.51 | $41.42 |
| Nevada | $90.41 | $41.26 |
| Wyoming | $90.26 | $41.16 |
| North Dakota | $89.92 | $40.82 |
| Delaware | $89.86 | $41.35 |
| South Dakota | $89.85 | $40.75 |
| Texas | $89.70 | $41.36 |
| Pennsylvania | $89.66 | $41.57 |
| Illinois | $89.55 | $42.11 |
| Vermont | $89.43 | $40.83 |
| Virginia | $89.22 | $40.96 |
| Arizona | $88.55 | $40.97 |
| Georgia | $88.06 | $41.22 |
| Maine | $87.53 | $40.61 |
| Wisconsin | $87.35 | $40.32 |
| Michigan | $87.34 | $41.24 |
| Utah | $86.89 | $40.73 |
| North Carolina | $86.22 | $40.41 |
| South Carolina | $85.90 | $40.53 |
| New Mexico | $85.84 | $40.81 |
| Indiana | $85.71 | $40.19 |
| Missouri | $85.66 | $40.60 |
| Louisiana | $85.45 | $40.62 |
| Ohio | $85.41 | $40.58 |
| Nebraska | $85.37 | $40.05 |
| Idaho | $85.29 | $40.11 |
| Iowa | $84.92 | $39.99 |
| Tennessee | $84.70 | $40.07 |
| Kansas | $84.38 | $39.99 |
| Oklahoma | $84.00 | $40.16 |
| Kentucky | $83.91 | $40.26 |
| West Virginia | $83.25 | $40.58 |
| Alabama | $82.73 | $39.77 |
| Mississippi | $82.08 | $39.81 |
| Arkansas | $81.74 | $39.57 |

## Related codes

- 92002: Ophthalmological examination, new patient, intermediate — https://www.med-reveal.com/rates/92002-cpt-fee-schedule
- 92004: Ophthalmological examination, new patient, comprehensive — https://www.med-reveal.com/rates/92004-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 92012 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