92004 Compre ophthalmic examination new pt 1/>
Also known as: comprehensive eye exam, complete eye exam new patient, full eye evaluation
Comprehensive eye examination for a new patient with medical decision-making, including full assessment of visual function and ocular pathology.
In Plain Language
complete eye doctor visit; thorough eye health examination
Clinical Context
Comprehensive ophthalmic examination for new patients requiring higher complexity assessment, including detailed anterior and posterior segment evaluation.
RVU Breakdown
| Work RVU | 1.82 |
| Total RVU | 1.82 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 1.82, this code ranks in the 75th percentile among Medicine codes — 2.3x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 92004?
CPT 92004 (Compre ophthalmic examination new pt 1/>) is a Medicine code. Comprehensive eye examination for a new patient with medical decision-making, including full assessment of visual function and ocular pathology.
Who uses CPT code 92004?
CPT 92004 is used by Ophthalmology, Optometry, Internal Medicine. Comprehensive ophthalmic examination for new patients requiring higher complexity assessment, including detailed anterior and posterior segment evaluation.
When is CPT 92004 used?
Comprehensive ophthalmic examination for new patients requiring higher complexity assessment, including detailed anterior and posterior segment evaluation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.