# CPT 92004

> Medicare paid $151.92 for CPT 92004 in the office (non-facility) setting and $95.86 in a facility under the Q1 2022 Physician Fee Schedule, effective January 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, the office amount is $137.57–$193.04 and the facility amount is $90.17–$130.36. This is a 0.4% decrease from the previous quarter.

## What it is

New Patient Eye Examination, Comprehensive

## Selected release

- Release: Q1 2022 (2022 A)
- Effective: January 1 – March 31, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $151.92
- Facility national allowed amount: $95.86
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.82
- Office (non-facility) practice expense RVU: 2.52
- Facility practice expense RVU: 0.90
- Malpractice RVU: 0.05
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22a.zip
- Parsed file: PPRRVU22_JAN.csv, row 16,131
- Canonical page: https://localishealth.com/cpt/92004/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/92004/2022/A
- Last significant update: 2026-08-13T15:11:57+00:00