92081
ActiveGlobal n/aLimited visual field xm
2026 Medicare payment
Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.
| Line | Qty | Non-facility (office) | Facility (hospital/ASC) |
|---|---|---|---|
| 92081 | 1 | $33.73 | $33.73 |
RVU breakdown (national)
Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF
| Row | Work RVU | PE RVU (office) | PE RVU (facility) | MP RVU | Total (office) |
|---|---|---|---|---|---|
| 92081-26 | 0.29 | 0.17 | 0.17 | 0.01 | 0.47 |
| 92081 | 0.29 | 0.70 | 0.70 | 0.02 | 1.01 |
| 92081-TC | 0.00 | 0.53 | 0.53 | 0.01 | 0.54 |
Payment policy for 92081
CMS's indicator fields, translated. These control which modifiers are payable and how.
Professional/technical (PC/TC)
pctc=1Diagnostic test
Has professional (-26) and technical (-TC) components, each priced separately.
Multiple procedures
mult_surg=7Ophtho TC reduction
Technical component of subsequent diagnostic ophthalmology services reduced 25%.
Bilateral (modifier 50)
bilt_surg=2Already bilateral
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
Assistant surgeon (80/81/82)
asst_surg=0Payable with documentation
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Co-surgeons (modifier 62)
co_surg=0Not permitted
Co-surgeons (mod 62) may not be paid for this procedure.
Team surgery (modifier 66)
team_surg=0Not permitted
Team surgery (mod 66) may not be paid for this procedure.
Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.