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92014 Compre oph exam est pt 1/>

What 92014 is

CMS fee schedule short descriptor: Compre oph exam est pt 1/>.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 92014 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.422.350.043.81$127.26
Facility (hospital, ASC)1.420.400.041.86$62.13

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 92014 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 92014? These codes are bundled into it

92014 is a Column 1 code in 43 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0469TRta polarize scan oc scr bi0 - no modifier bypassCheck pair
0569TTtvr perq appr 1st prosth1 - modifier may bypassCheck pair
0570TTtvr perq ea addl prosth1 - modifier may bypassCheck pair
0571TInsj/rplcmt icds ss eltrd1 - modifier may bypassCheck pair
0572TInsertion ss dfb electrode1 - modifier may bypassCheck pair
0573TRemoval ss dfb electrode1 - modifier may bypassCheck pair
0574TRepos prev ss impl dfb eltrd1 - modifier may bypassCheck pair
0580TRmvl ss impl dfb pg only1 - modifier may bypassCheck pair
0581TAbltj mal brst tum perq crtx1 - modifier may bypassCheck pair
0582TTrurl abltj mal prst8 tiss1 - modifier may bypassCheck pair
0655TTprnl focal abltj mal prst81 - modifier may bypassCheck pair
20560Ndl insj w/o njx 1 or 2 musc1 - modifier may bypassCheck pair
20561Ndl insj w/o njx 3+ musc1 - modifier may bypassCheck pair
20701Rmvl deep rx delivery device1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
51721Ins trurl ablt trnsdc thr us0 - no modifier bypassCheck pair
66987Xcapsl ctrc rmvl cplx w/ecp1 - modifier may bypassCheck pair
66988Xcapsl ctrc rmvl w/ecp1 - modifier may bypassCheck pair
92004Compre oph exam new pt 1/>0 - no modifier bypassCheck pair
92227Img rta detcj/mntr ds staff0 - no modifier bypassCheck pair
92228Img rta detc/mntr ds phy/qhp0 - no modifier bypassCheck pair
96156Hlth bhv assmt/reassessment0 - no modifier bypassCheck pair
96158Hlth bhv ivntj indiv 1st 300 - no modifier bypassCheck pair
96159Hlth bhv ivntj indiv ea addl0 - no modifier bypassCheck pair
96164Hlth bhv ivntj grp 1st 300 - no modifier bypassCheck pair
96165Hlth bhv ivntj grp ea addl0 - no modifier bypassCheck pair
96167Hlth bhv ivntj fam 1st 300 - no modifier bypassCheck pair
96168Hlth bhv ivntj fam ea addl0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

Showing 30 of 43 column 2 codes. Use the pair checker for any specific combination.

92014 is bundled into these codes

92014 appears as a Column 2 code in 5758 active edits. Reported with one of these Column 1 codes on the same date of service, 92014 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0335TInsj sinus tarsi implant1Check pair
0338TTrnscth renal symp denrv unl1Check pair
0339TTrnscth renal symp denrv bil1Check pair
0342TThxp apheresis w/hdl delip1Check pair
0345TTranscath mtral vlve repair1Check pair
0347TIns bone device for rsa1Check pair
0395THdr elctr ntrst/ntrcv brchtx1Check pair
0397TErcp w/optical endomicroscpy1Check pair
0402TColgn crs-link crn&pachymtry1Check pair
0408TInsj/rplc cardiac modulj sys1Check pair
0409TInsj/rplc car modulj pls gn1Check pair
0410TInsj/rplc car modulj atr elt1Check pair
0411TInsj/rplc car modulj vnt elt1Check pair
0412TRmvl cardiac modulj pls gen1Check pair
0413TRmvl car modulj tranvns elt1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.