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See a sample rate comparisonCPT 92100 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.
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)
| 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 | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $84.50 national non-facility rate (2026) · View Medicare rates for 92100 |
| Medicaid Fee Schedule | $67.20 median of the 8 states in the free preview · View Medicaid rates for 92100 |
National average reimbursement for CPT 92100 by major payers:
$95.34
$99.70
$100.97
$64.00
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CPT 92100
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$578.50Published rateTakijah Heard
Northshore University Healthsystem Faculty Practice Associates
$153.63Published rateJanice Kowalski
Edward Health Ventures
$126.19Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$93.26Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$30.33Published rate
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See a sample payer proposalCPT 92100 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92100 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 92100 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 |
|---|---|---|
| 92065-CPT | Low | Orthoptic Andor Pleoptic Trai, Orthoptic Andor Pleoptic Training With Continuing Medical Direction And Evaluation Orthoptic Andor Pleoptic Training With Continuing Medical |
| 92066-CPT | Low | Orthoptic Training Under Supervision Of Phys/Qhp, Orthoptic Training; Under Supervision Of A Physician Or Other Qualified Health Care Professional |
| 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 |
| 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 92100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92100 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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