CPT 92133 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 | Ophthalmological Examination and Evaluation Procedures Special Ophthalmological 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 92133 |
National average reimbursement for CPT 92133 by major payers:
$46.73
$50.25
$50.36
$69.74
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 92133 | $13.78 | 1467598433 - JOAN REITZFELD | 133737983 | NY | Optometrist (152W00000X) |
United | 92133 | $19.87 | 1992789374 - YOCHANAN BURNSTEIN | 141670812 - (NY) EYE PHYSICIANS OF ORANGE COUNTY, PC | NY | Ophthalmology Physician (207W00000X) |
United | 92133 | $46.18 | 1477538460 - ROBERT CAPOBIANCO | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Surgery Physician (208600000X) |
United | 92133 | $32.72 | 1922455377 - BARBARA MENDOZA | 135562308 - NEW YORK UNIVERSITY | NY | Optometrist (152W00000X) |
United | 92133 | $15.65 | 1215310255 - ANNA WONG | 113464111 - (NY) WILSON KO, MD F.A.C.S.PC | NY | Optometrist (152W00000X) |
United | 92133 | $80.01 | 1902245830 - BENJAMIN CHAON | 510103684 - CHRISTIANA CARE HEALTH SERVICES INC | MD | Ophthalmology Physician (207W00000X) |
United | 92133 | $11.56 | 1629690086 - SHAUN O'CONNOR | 611654232 - (NY) WESTERN NEW YORK MEDICAL PRACTICE PC | NY | Optometrist (152W00000X) |
United | 92133 | $15.55 | 1669737417 - JOSHUA MOORE | 201759480 - (FL) SOUTH FLORIDA SURGICAL SPECIALISTS, LLC | FL | Surgery Physician (208600000X) |
United | 92133 | $24.98 | 1851682314 - ALLISON PALUMBO | 576000934 | FL | Surgery Physician (208600000X) |
United | 92133 | $24.79 | 1952668667 - CATALINA MOSQUERA | 592485899 | FL | Surgery Physician (208600000X) |
United | 92133 | $14.46 | 1700973716 - PAUL ORLOFF | 133131584 - PAUL N. ORLOFF | NY | Ophthalmology Physician (207W00000X) |
United | 92133 | $85.55 | 1316174394 - COURTNEY KRAUS | 520595110 - JOHNS HOPKINS UNIVERSITY | MD | Ophthalmology Physician (207W00000X) |
United | 92133 | $15.05 | 1922256205 - JAMES SICKLER | 205148727 - (NY) LPEC MEDICAL EYE CARE PLLC | NY | Optometrist (152W00000X) |
United | 92133 | $18.43 | 1972583128 - SANDRA TARASEVICH | 753037827 - (NY) OMNI VISION OPTOMETRIC EYE CARE PLLC | NY | Optometrist (152W00000X) |
United | 92133 | $29.80 | 1245261031 - GAMAL MOSTAFA | 822768899 - BEAUMONT MEDICAL GROUP - HOSPITAL-BASED SERVICES | FL | Surgery Physician (208600000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 92133 vs. Other Special Ophthalmological Services and Procedures Codes
The CPT 92133 code is part of the Ophthalmological Examination and Evaluation Procedures services used for Special Ophthalmological 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 92133 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 |
| 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 |
| 92132-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
| 92133-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92133. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92133 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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