CPT 92083 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Ophthalmology Services and Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 92083 by major payers:
$74.02
$82.09
$88.32
$105.82
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
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CPT 92083 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92083 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 92083 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 | Low | 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 | Low | 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 | Low | 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 Degree 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 | Low | Serial Tonometry (Separate Procedure) With Multiple Measurements Of Intraocular Pressure Over An Extended Time Period With Interpretation And Report, Same Day (Eg, 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 92083. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92083 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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
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