# CPT 92018: Ophthalmological examination and evaluation, under general anesthesia, complete

Medicare CPT 92018 pays $113.23 in a non-facility setting and $113.23 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.49 in Arkansas to $154.15 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/92018-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $113.23 |
| National facility | $113.23 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $154.15 | $154.15 |
| District of Columbia | $123.04 | $123.04 |
| New York | $121.66 | $121.66 |
| New Jersey | $121.27 | $121.27 |
| California | $119.61 | $119.61 |
| Washington | $118.95 | $118.95 |
| Massachusetts | $118.44 | $118.44 |
| Connecticut | $117.79 | $117.79 |
| Florida | $116.80 | $116.80 |
| Illinois | $115.92 | $115.92 |
| Maryland | $115.77 | $115.77 |
| Hawaii | $115.53 | $115.53 |
| Rhode Island | $115.31 | $115.31 |
| Colorado | $115.20 | $115.20 |
| Oregon | $114.37 | $114.37 |
| New Hampshire | $113.92 | $113.92 |
| Pennsylvania | $113.65 | $113.65 |
| Puerto Rico | $113.48 | $113.48 |
| Virgin Islands | $113.48 | $113.48 |
| Montana | $113.22 | $113.22 |
| Michigan | $113.02 | $113.02 |
| Texas | $112.98 | $112.98 |
| Delaware | $112.93 | $112.93 |
| Georgia | $112.78 | $112.78 |
| Nevada | $112.64 | $112.64 |
| Wyoming | $112.27 | $112.27 |
| Arizona | $111.83 | $111.83 |
| Virginia | $111.67 | $111.67 |
| New Mexico | $111.64 | $111.64 |
| Minnesota | $111.46 | $111.46 |
| Utah | $111.17 | $111.17 |
| West Virginia | $111.14 | $111.14 |
| Vermont | $111.13 | $111.13 |
| North Dakota | $111.05 | $111.05 |
| Louisiana | $110.96 | $110.96 |
| Missouri | $110.86 | $110.86 |
| Ohio | $110.82 | $110.82 |
| South Dakota | $110.79 | $110.79 |
| Maine | $110.61 | $110.61 |
| South Carolina | $110.55 | $110.55 |
| North Carolina | $110.02 | $110.02 |
| Kentucky | $109.80 | $109.80 |
| Wisconsin | $109.51 | $109.51 |
| Oklahoma | $109.41 | $109.41 |
| Indiana | $109.29 | $109.29 |
| Idaho | $109.05 | $109.05 |
| Tennessee | $108.97 | $108.97 |
| Nebraska | $108.78 | $108.78 |
| Kansas | $108.71 | $108.71 |
| Iowa | $108.63 | $108.63 |
| Mississippi | $108.37 | $108.37 |
| Alabama | $108.13 | $108.13 |
| Arkansas | $107.49 | $107.49 |

## 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
- 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
- 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 92018 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