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See a sample rate comparisonCPT 92018 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Compl Oph Exam General Anes, Ophthalmological Examination And Evaluation Under General Anesthesia With Or Without Manipulation Of Globe For Passive Range Of Motion Or Other Manipulation To Facilitate Diagnostic Examination Complete
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | Low |
| Medicare Fee Schedule | $113.23 national non-facility rate (2026) · View Medicare rates for 92018 |
| Medicaid Fee Schedule | $94.27 median of the 8 states in the free preview · View Medicaid rates for 92018 |
National average reimbursement for CPT 92018 by major payers:
$169.57
$171.09
$175.48
$219.02
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CPT 92018
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Cancer Inst-Easley
Prisma Health - Upstate
$10,648.45Published rateRobert Wood Johnson University Hospital Inc, Robert Wood Johnson University Hospital Somerset
Robert Wood Johnson University Hospital
$5,252.00Published rateUniversity Hospitals St. John Medical Center, Uh St. John Medical Center
University Hospitals Health System Inc
$3,724.00Published rateMerit Health Wesley
$2,148.00Published rateE Plus Pet Imaging Xxi Lp, Pet Imaging Of Willowbrook
E Plus Pet Imaging Xxi Lp
$108.12Published rate
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See a sample payer proposalCPT 92018 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92018 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92018 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92004-CPT | Low | Ophthalmological Services Med, Ophthalmological Services Medical Examination Andevaluation With Initiation Of Diagnostic And Treatment Program Comprehensive New Patient One Or More Visits |
| 92012-CPT | Low | Intrm Oph Exam Est Patient, Ophthalmological Services Medical Examination And Evaluation With Initiation Or Continuation Of Diagnostic And Treatment Program Intermediate Established Patient |
| 92018-CPT | Low | Compl Oph Exam General Anes, Ophthalmological Examination And Evaluation Under General Anesthesia With Or Without Manipulation Of Globe For Passive Range Of Motion Or Other Manipulation To Facilitate Diagnostic Examination Complete |
| 92019-CPT | Low | Lmtd Oph Exam General Anes, Ophthalmological Examination And Evaluation Under General Anesthesia With Or Without Manipulation Of Globe For Passive Range Of Motion Or Other Manipulation To Facilitate Diagnostic Examination Limited |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92018. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92018 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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