# CPT 92019: Ophthalmological examination and evaluation, under general anesthesia, limited

Medicare CPT 92019 pays $58.79 in a non-facility setting and $58.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $55.84 in Arkansas to $80.17 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/92019-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $58.79 |
| National facility | $58.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $80.17 | $80.17 |
| District of Columbia | $63.82 | $63.82 |
| New York | $63.15 | $63.15 |
| New Jersey | $62.92 | $62.92 |
| California | $61.97 | $61.97 |
| Washington | $61.68 | $61.68 |
| Massachusetts | $61.43 | $61.43 |
| Connecticut | $61.14 | $61.14 |
| Florida | $60.73 | $60.73 |
| Illinois | $60.29 | $60.29 |
| Maryland | $60.10 | $60.10 |
| Hawaii | $59.86 | $59.86 |
| Rhode Island | $59.84 | $59.84 |
| Colorado | $59.76 | $59.76 |
| Oregon | $59.32 | $59.32 |
| New Hampshire | $59.11 | $59.11 |
| Pennsylvania | $59.03 | $59.03 |
| Puerto Rico | $58.91 | $58.91 |
| Virgin Islands | $58.91 | $58.91 |
| Montana | $58.78 | $58.78 |
| Michigan | $58.75 | $58.75 |
| Texas | $58.66 | $58.66 |
| Delaware | $58.63 | $58.63 |
| Georgia | $58.60 | $58.60 |
| Nevada | $58.46 | $58.46 |
| Wyoming | $58.26 | $58.26 |
| Arizona | $58.06 | $58.06 |
| New Mexico | $58.02 | $58.02 |
| Virginia | $57.96 | $57.96 |
| West Virginia | $57.81 | $57.81 |
| Minnesota | $57.78 | $57.78 |
| Utah | $57.74 | $57.74 |
| Louisiana | $57.66 | $57.66 |
| Vermont | $57.66 | $57.66 |
| Missouri | $57.60 | $57.60 |
| North Dakota | $57.60 | $57.60 |
| Ohio | $57.58 | $57.58 |
| South Dakota | $57.45 | $57.45 |
| Maine | $57.42 | $57.42 |
| South Carolina | $57.42 | $57.42 |
| North Carolina | $57.12 | $57.12 |
| Kentucky | $57.06 | $57.06 |
| Oklahoma | $56.84 | $56.84 |
| Wisconsin | $56.81 | $56.81 |
| Indiana | $56.73 | $56.73 |
| Idaho | $56.61 | $56.61 |
| Tennessee | $56.58 | $56.58 |
| Nebraska | $56.46 | $56.46 |
| Kansas | $56.44 | $56.44 |
| Iowa | $56.38 | $56.38 |
| Mississippi | $56.31 | $56.31 |
| Alabama | $56.16 | $56.16 |
| Arkansas | $55.84 | $55.84 |

## 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
- 92018: Ophthalmological examination and evaluation, under general anesthesia, complete — https://www.med-reveal.com/rates/92018-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 92019 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