{
    "code": "92020",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92020/2015/D",
    "release_specific_url": "https://localishealth.com/cpt/92020/2015/D",
    "description": "An examination of the angle where the iris meets the cornea, the drainage channel through which fluid leaves the front of the eye. Because that angle cannot be seen directly, the doctor places a special mirrored contact lens on the numbed eye and views the structures through it. The findings show whether the angle is open, narrow, or closed, and whether scarring, pigment, or abnormal vessels are present. It is a distinct diagnostic procedure done in addition to the eye exam itself, not part of a routine look at the eye.",
    "answer": {
        "question": "How much did Medicare pay for CPT 92020 in Q4 2015?",
        "text": "Medicare paid $26.95 for CPT 92020 in the office (non-facility) setting and $21.20 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "D",
        "label": "Q4 2015",
        "effective": "October 1 – December 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 26.95,
        "facility": 21.2,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.37,
        "practice_expense_non_facility": 0.37,
        "practice_expense_facility": 0.21,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9335,
    "source": {
        "label": "Physician relative value file (Q4 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/D",
        "file": "PPRRVU15_OCT05_V1001.csv",
        "row": 14723,
        "sha256": "302a55af716b26df5b42e80da7b2bd7cf5268007658df88133553f5e4e75523f"
    },
    "modified_at": "2026-08-04T03:06:14+00:00"
}
