# CPT 92202

> Medicare paid $16.05 for CPT 92202 in the office (non-facility) setting and $14.66 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.2% decrease from the previous quarter.

## What it is

A detailed examination of the optic nerve head and the central retina, documented with a labeled drawing of what was seen. It goes well past the retinal check included in a routine dilated exam: the clinician studies the shape, color, cupping and rim of the optic nerve, or the detail of the macula, and records the findings in a diagram that later visits are measured against. The paired code in this family covers the same style of extended exam and drawing aimed at the far periphery of the retina instead. The drawing is the point, since it captures change over time that a written note would blur.

## Selected release

- Release: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $16.05
- Facility national allowed amount: $14.66
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.26
- Office (non-facility) practice expense RVU: 0.19
- Facility practice expense RVU: 0.15
- Malpractice RVU: 0.01
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 15,908
- Canonical page: https://localishealth.com/cpt/92202/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/92202/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00