# CPT 92012

> Medicare paid $89.86 for CPT 92012 in the office (non-facility) setting and $53.05 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 0.1%.

## What it is

An eye examination for a patient the practice has seen before, at the middle level of detail. It typically involves evaluating a new or continuing problem, checking vision and eye pressure, examining the front of the eye, and updating the diagnosis and plan, along with any needed prescription changes. The step up from this is the comprehensive exam, which adds a full evaluation of the whole visual system, usually including a dilated look at the retina and optic nerve. Eye clinicians can use either this eye-specific family of codes or the general office visit codes, depending on what was done.

## Selected release

- Release: Q4 2020 (2020 D)
- Effective: October 1 – December 31, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $89.86
- Facility national allowed amount: $53.05
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.92
- Office (non-facility) practice expense RVU: 1.54
- Facility practice expense RVU: 0.52
- Malpractice RVU: 0.03
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip
- Parsed file: PPRRVU20_OCT.csv, row 15,887
- Canonical page: https://localishealth.com/cpt/92012/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/92012/2020/D
- Last significant update: 2026-08-04T03:10:00+00:00