{
    "code": "92020",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92020/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/92020/2019/B",
    "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 Q2 2019?",
        "text": "Medicare paid $28.11 for CPT 92020 in the office (non-facility) setting and $21.62 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 2.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 28.11,
        "facility": 21.62,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.37,
        "practice_expense_non_facility": 0.4,
        "practice_expense_facility": 0.22,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 15542,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}