Specialty rate rollup
Ophthalmology
Medical and surgical eye care — retinal imaging and treatment, glaucoma testing, and cataract surgery.
A curated starter set for comparison—not a claim that every specialty bills every code, and not a utilization-weighted average.
At a glance
Q3 2026 compared with the prior available PFS release.
Conversion factor: 0.0% no change
Payable codes
8 / 8
Changed this release
0
Largest increase
None
Largest decrease
None
See the rates where you practice
Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.
Current national rates Copy link
Q3 2026 releaseOffice (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.
| Code and service | Status | Office (non-facility) | Facility |
|---|---|---|---|
| Visits and evaluation | |||
| 92004 New Patient Eye Examination, Comprehensive | Active |
$149.64
4.7% increase
· Q1 2026
|
$77.82
12.8% decrease
· Q1 2026
|
| 92014 Full Eye Exam, Returning Patient | Active |
$127.26
5.2% increase
· Q1 2026
|
$62.13
13.9% decrease
· Q1 2026
|
| Testing and diagnostics | |||
| 92083 Comprehensive Visual Field Examination | Active |
$63.80
4.4% increase
· Q1 2026
|
$63.80
4.4% increase
· Q1 2026
|
| 92133 Optic Nerve Imaging by Optical Coherence Tomography | Active |
$30.73
3.3% increase
· Q1 2026
|
$30.73
3.3% increase
· Q1 2026
|
| 92134 Retina Scan | Active |
$32.73
4.3% increase
· Q1 2026
|
$32.73
4.3% increase
· Q1 2026
|
| 92250 Fundus Photography | Active |
$37.07
4.2% increase
· Q1 2026
|
$37.07
4.2% increase
· Q1 2026
|
| Surgical and endoscopic procedures | |||
| 66984 Cataract Surgery | Active |
$462.60
11.3% decrease
· Q1 2026
|
$462.60
11.3% decrease
· Q1 2026
|
| 67028 Intravitreal Medication Injection | Active |
$114.23
4.8% increase
· Q1 2026
|
$75.49
14.8% decrease
· Q1 2026
|
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
Download this fee schedule (CSV)—free, no account needed.
How often these codes appear in Medicare Copy link
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Ophthalmology utilization mix—and it is on a different publication cycle from the fee schedule.
Services
39.9M
Times these codes were billed
Allowed dollars
$4.6B
Across covered Medicare FFS services
Most used in this set
92014
9.2M services
Coverage: 8 of 8 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
Turn the list into contract math
Analyze a payer offer using these Ophthalmology codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Ophthalmology rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 8 Ophthalmology codes on this page.
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Source & method Copy link
Amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.