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See a sample rate comparisonCPT 92081 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.
Limited Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Limited Examination Eg Tangent Screen Autoplot Arc Perimeter Or Single Stimulus Level Automated Test Such As Octopus 3 Or 7 Equivalent
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $33.74 national non-facility rate (2026) · View Medicare rates for 92081 |
| Medicaid Fee Schedule | $28.735 median of the 8 states in the free preview · View Medicaid rates for 92081 |
National average reimbursement for CPT 92081 by major payers:
$41.82
$46.90
$48.03
$58.26
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CPT 92081
5 of 25 sample ratesHigher to lower in this preview
Thedacare Regional Medical Center, Appleton Medical Center,Inc.
Thedacare Regional Medical Center- Appleton Inc
$151.86Published rateJamie Evans
Loyola University Medical Center
$48.31Published rateDhruv Pateder
Town Center Orthopaedic Associates, P.C.
$35.24Published rateLaquita Shepherd
Elite Interns PLLC
$30.97Published rateFirst Imaging Center Inc
$11.64Published rate
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See a sample payer proposalCPT 92081 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92081 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 92081 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 |
|---|---|---|
| 92081-CPT | Low | Limited Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Limited Examination Eg Tangent Screen Autoplot Arc Perimeter Or Single Stimulus Level Automated Test Such As Octopus 3 Or 7 Equivalent |
| 92082-CPT | Low | Intermediate Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Intermediate Examination Eg At Least 2 Isopters On Goldmann Perimeter Or Semiquantitative Automated Suprathreshold Screening Program Humphrey Suprathreshold Automatic Diagnostic Test Octopus Program 33 |
| 92083-CPT | Low | Extended Visual Field Xm, Visual Field Examination Unilateral Or Bilateral With Interpretation And Report Extended Examination Eg Goldmann Visual Fields With At Least 3 Isopters Plotted And Static Determination Within The Central 30 Deg Or Quantitative Automated Threshold Perimetry Octopus Program G 1 32 Or 42 Humphrey Visual Field Analyzer Full Threshold Programs 30 2 24 2 Or 30 60 2 |
| 92100-CPT | Low | Diagnostic Eye Procedure, Serial Tonometry (Separate Procedure) With Multiple Measurements Of Intraocular Pressure Over An Extended Time Period With Interpretation And Report Same Day (E.G. Diurnal Curve Or Medical Treatment Of Acute Elevation Of Intraocular Pressure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92081 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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