Eye & ear

92002 - RVUs & Medicare payment (2026)

Eye exam, new patient, intermediate.

Component	Non-facility	Facility
Work RVU	0.88	0.88
Practice expense RVU	1.64	0.23
Malpractice RVU	0.02	0.02
Total RVUs	2.54	1.13
National payment (CF $33.4009)	$84.84	$37.74
Qualifying APM payment (CF $33.5675)	$85.26	$37.93

How 92002 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 92002 ranges from $76.79 in Arkansas (AR) to $111.97 in San Jose-Sunnyvale-Santa Clara (CA); calculate 92002 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $111.97 San Jose-Sunnyvale-Santa Clara (CA) $111.88 San Francisco-Oakland-Berkeley (CA) $109.73 San Francisco-Oakland-Berkeley (CA) $109.71 Napa (CA) $103.78 Vallejo (CA) $103.75 Alaska (AK) $102.80 Seattle (WA) $98.62 National average $84.84 … 97 more localities between … Alabama (AL) $77.70 Rest Of Missouri (MO) $77.26 Mississippi (MS) $77.05 Arkansas (AR) $76.79

Non-facility payment for 92002 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - eye & ear

92004 · eye exam, new patient, comprehensive
92012 · eye exam, established patient, intermediate
92014 · eye exam, established patient, comprehensive
92083 · visual field examination, extended
92134 · optical coherence tomography (oct), retina
66984 · cataract removal with intraocular lens insertion
92557 · comprehensive hearing test (audiometry)

Frequently asked questions

How much does Medicare pay for 92002 in 2026?

The national non-facility payment is $84.84 and the facility payment is $37.74, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 92002?

The 2026 work RVU for 92002 is 0.88. Total RVUs are 2.54 in the non-facility setting and 1.13 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.