# CPT 99177: Instrument Based Ocular Scr Bi W/onsite Analysis

Medicare CPT 99177 pays $5.34 in a non-facility setting and $5.34 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $4.48 in Arkansas to $6.27 in District of Columbia, a 40% spread.

Web page: https://www.med-reveal.com/rates/99177-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $5.34 |
| National facility | $5.34 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $6.27 | $6.27 |
| California | $6.11 | $6.11 |
| New York | $6.04 | $6.04 |
| New Jersey | $6.01 | $6.01 |
| Washington | $5.98 | $5.98 |
| Massachusetts | $5.91 | $5.91 |
| Hawaii | $5.89 | $5.89 |
| Connecticut | $5.80 | $5.80 |
| Florida | $5.68 | $5.68 |
| Colorado | $5.59 | $5.59 |
| Maryland | $5.59 | $5.59 |
| Alaska | $5.52 | $5.52 |
| Oregon | $5.52 | $5.52 |
| New Hampshire | $5.51 | $5.51 |
| Illinois | $5.48 | $5.48 |
| Rhode Island | $5.47 | $5.47 |
| Puerto Rico | $5.39 | $5.39 |
| Virgin Islands | $5.39 | $5.39 |
| Montana | $5.34 | $5.34 |
| Nevada | $5.29 | $5.29 |
| Pennsylvania | $5.26 | $5.26 |
| Wyoming | $5.26 | $5.26 |
| Delaware | $5.25 | $5.25 |
| Minnesota | $5.25 | $5.25 |
| Texas | $5.24 | $5.24 |
| Georgia | $5.18 | $5.18 |
| Michigan | $5.18 | $5.18 |
| Virginia | $5.16 | $5.16 |
| North Dakota | $5.15 | $5.15 |
| Arizona | $5.14 | $5.14 |
| Vermont | $5.13 | $5.13 |
| South Dakota | $5.12 | $5.12 |
| Utah | $5.01 | $5.01 |
| Maine | $5.00 | $5.00 |
| New Mexico | $5.00 | $5.00 |
| Louisiana | $4.92 | $4.92 |
| Missouri | $4.92 | $4.92 |
| Ohio | $4.91 | $4.91 |
| South Carolina | $4.91 | $4.91 |
| Wisconsin | $4.90 | $4.90 |
| North Carolina | $4.89 | $4.89 |
| West Virginia | $4.83 | $4.83 |
| Indiana | $4.81 | $4.81 |
| Idaho | $4.77 | $4.77 |
| Kentucky | $4.76 | $4.76 |
| Nebraska | $4.75 | $4.75 |
| Oklahoma | $4.73 | $4.73 |
| Tennessee | $4.73 | $4.73 |
| Iowa | $4.72 | $4.72 |
| Kansas | $4.70 | $4.70 |
| Alabama | $4.57 | $4.57 |
| Mississippi | $4.56 | $4.56 |
| Arkansas | $4.48 | $4.48 |

## 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 99177 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