CPT code 92227: Retinal imaging, staff-acquired detection2026 Medicare rate & RVUs

Medicare pays $18.70 for 92227 nationally in the office. Local office rates run $15.95–$26.67.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92227 covers

This service covers retinal images acquired by clinic staff and used for remote detection of disease, often in screening for diabetic retinopathy. It is performed in settings such as a primary care or eye-care office where staff capture the images under physician supervision. The images support disease detection; this code does not include the physician’s interpretation and report.

Report 92227 for the technical imaging service when the purpose is detection rather than management of known active retinal disease. Documentation should identify the clinical reason for imaging, the eyes imaged, and the image-acquisition service; document the interpretation separately when performed. CMS classifies 92227 as technical-component-only, with a separate code covering interpretation. The service is priced as bilateral, so modifier 50 does not increase payment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 92227 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92227 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 92227 rate is calculated

Each of 92227’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 92227

The CMS indicators that decide how 92227 is paid alongside other services.

92227 compared with similar codes

How to choose

92228Retinal imagingPhysician or QHP interpretation

Choose 92227 for remote imaging to detect disease. Choose 92228 when imaging supports monitoring and management of active retinal disease and includes physician or qualified health professional review, interpretation, and reporting.

92229Retinal imagingAutonomous point-of-care analysis

92229 describes point-of-care retinal imaging with automated analysis and reporting. 92227 is staff-acquired imaging for remote detection, with interpretation represented separately.

92250Fundus photographyRetinal photos with interpretation

92250 is fundus photography with interpretation and report. 92227 represents technical imaging for remote retinal disease detection, with a separate code covering interpretation.

Codes related to 92227

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates