# CPT 92504: Binocular Microscopy Separate Dx Procedure

Medicare CPT 92504 pays $28.72 in a non-facility setting and $7.68 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.41 in Arkansas to $33.07 in District of Columbia, a 30% spread.

Web page: https://www.med-reveal.com/rates/92504-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $28.72 |
| National facility | $7.68 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $33.07 | $8.28 |
| Alaska | $33.04 | $10.63 |
| California | $32.89 | $7.99 |
| Washington | $31.98 | $7.99 |
| New Jersey | $31.89 | $8.19 |
| New York | $31.72 | $8.24 |
| Hawaii | $31.65 | $7.72 |
| Massachusetts | $31.61 | $7.97 |
| Connecticut | $30.64 | $7.98 |
| Colorado | $30.16 | $7.77 |
| Oregon | $29.88 | $7.71 |
| Maryland | $29.78 | $7.85 |
| New Hampshire | $29.60 | $7.70 |
| Rhode Island | $29.54 | $7.80 |
| Minnesota | $29.14 | $7.49 |
| Florida | $29.12 | $8.00 |
| Puerto Rico | $28.97 | $7.69 |
| Virgin Islands | $28.97 | $7.69 |
| Montana | $28.72 | $7.68 |
| Nevada | $28.69 | $7.63 |
| Wyoming | $28.64 | $7.60 |
| North Dakota | $28.53 | $7.48 |
| South Dakota | $28.50 | $7.46 |
| Delaware | $28.45 | $7.66 |
| Texas | $28.39 | $7.67 |
| Pennsylvania | $28.34 | $7.73 |
| Vermont | $28.34 | $7.50 |
| Illinois | $28.30 | $7.96 |
| Virginia | $28.25 | $7.56 |
| Arizona | $27.98 | $7.59 |
| Georgia | $27.77 | $7.70 |
| Maine | $27.60 | $7.50 |
| Wisconsin | $27.55 | $7.39 |
| Michigan | $27.50 | $7.74 |
| Utah | $27.35 | $7.57 |
| North Carolina | $27.10 | $7.47 |
| South Carolina | $26.97 | $7.53 |
| New Mexico | $26.93 | $7.64 |
| Indiana | $26.92 | $7.41 |
| Missouri | $26.88 | $7.57 |
| Louisiana | $26.80 | $7.58 |
| Nebraska | $26.79 | $7.37 |
| Ohio | $26.78 | $7.57 |
| Idaho | $26.76 | $7.40 |
| Iowa | $26.62 | $7.37 |
| Tennessee | $26.53 | $7.41 |
| Kansas | $26.41 | $7.39 |
| Oklahoma | $26.26 | $7.46 |
| Kentucky | $26.21 | $7.51 |
| West Virginia | $25.94 | $7.65 |
| Alabama | $25.78 | $7.37 |
| Mississippi | $25.53 | $7.41 |
| Arkansas | $25.41 | $7.33 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92504 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