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See a sample rate comparisonCPT 92019 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $58.79 national non-facility rate (2026) · View Medicare rates for 92019 |
| Medicaid Fee Schedule | $48.92 median of the 8 states in the free preview · View Medicaid rates for 92019 |
National average reimbursement for CPT 92019 by major payers:
$88.22
$86.80
$84.14
$112.48
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CPT 92019
5 of 25 sample ratesHigher to lower in this preview
Columbia Rio Grande Healthcare, L.P., Rio Grande Regional Hospital
Columbia Rio Grande Healthcare Lp
$12,091.00Published rateKph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$4,367.00Published rateOchsner Lsu Health Shreveport, Ochsner Lsu Health Shreveport - St. Mary Medical Center
Ochsner Lsu Health Shreveport
$3,599.00Published rateSouthern Surgical Center, LLC
Southern Surgical Center LLC
$1,025.00Published rateAlexander Tran Md PA
$63.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92019 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92019 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 92019 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 |
|---|---|---|
| 92002-CPT | Low | Intrm Oph Exam New Patient, Ophthalmological Services Medical Examination And Evaluation With Initiation Of Diagnostic And Treatment Program Intermediate New Patient |
| 92014-CPT | Low | Compre Oph Exam Est Pt 1, Ophthalmological Services Medical Examination And Evaluation With Initiation Or Continuation Of Diagnostic And Treatment Program Comprehensive Established Patient 1 Or More Visits |
| 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 92019. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92019 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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