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Describe a service in plain words, or type a CPT/HCPCS code.

Specialty rate rollup

Ophthalmology & Optometry

Comprehensive eye exams, imaging, and cataract surgery — the core ophthalmology and optometry procedure mix.

Current national rates

Q3 2025 release

Non-facility amounts, GPCI 1.000, before sequestration. Change is versus the prior release.

Code Status National amount Change
92004 Comprehensive Eye Exam, New Patient Active $142.97
92014 Comprehensive Eye Exam, Established Patient Active $120.98
92083 Extended Visual Field Test Active $61.13
92133 Optic Nerve Imaging (OCT) Active $29.76
66984 Cataract Surgery with Lens Implant Active $521.75
92060 Ocular Motility and Alignment Exam Active $61.78

Need a locality-adjusted rate or a specific setting? Use the rate calculator. Every code above also has its own page with a contracted-rate (% of Medicare) table and a full RVU breakdown.

These amounts shift with where you practice — local GPCIs move most of them a few percent either way. Browse Medicare payment localities or look up yours by ZIP code.

Model Ophthalmology & Optometry's blended payer mix

Blended-rate modeling across a specialty's payer mix isn't built yet — it's on the roadmap, and how loudly ophthalmology & optometry asks for it is part of what decides when.

Get notified when Ophthalmology & Optometry rates change

Medicare updates the fee schedule every quarter. We'll email you when a release moves rates, tagged to Ophthalmology & Optometry.

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Source & method

National amounts computed from the CMS Medicare Physician Fee Schedule Q3 2025 release, GPCI 1.000, before the ~2% sequestration cut. This code list is our own clean-room grouping by common clinical scenario, not the AMA's code-family taxonomy. A code with no amount shown is either not separately payable under the PFS or was not in this release — never a fake $0.