CPT code 92227: Retinal imaging, staff-acquired detection2026 Medicare rate & RVUs in South Dakota
Technical retinal imaging acquired by staff to support remote detection of retinal disease, commonly used in screening pathways such as diabetic retinopathy.
In South Dakota, Medicare pays $18.48 for 92227 in the office.
Check a contract rate as a % of Medicare · 92227 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How South Dakota compares for 92227
Across 109 of 109 payment localities, the office rate for 92227 runs from $15.95 in Arkansas to $26.67 in San Benito County, CA. South Dakota pays $18.48. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$18.48
- Los Angeles, CA · California$21.95+$3.47
- Washington, DC area · District of Columbia$22.01+$3.53
- Miami, FL · Florida$19.97+$1.49
- Chicago, IL · Illinois$19.23+$0.75
- Manhattan, NY · New York$21.88+$3.40
- Alaska · Alaska$19.75+$1.27
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $16.26 | — |
| ArkansasArkansas | $15.95 | — |
| ArizonaArizona | $18.09 | — |
| Bakersfield, CACalifornia | $20.34 | — |
| Chico, CACalifornia | $20.31 | — |
| El Centro, CACalifornia | $20.31 | — |
| Fresno, CACalifornia | $20.31 | — |
| Hanford, CACalifornia | $20.31 | — |
| Madera, CACalifornia | $20.31 | — |
| Merced, CACalifornia | $20.31 | — |
| Modesto, CACalifornia | $20.31 | — |
| Napa, CACalifornia | $24.38 | — |
| Oxnard, CACalifornia | $21.92 | — |
| Redding, CACalifornia | $20.31 | — |
| Rest of CaliforniaCalifornia | $20.31 | — |
| Riverside, CACalifornia | $20.42 | — |
| Sacramento, CACalifornia | $21.54 | — |
| Salinas, CACalifornia | $21.47 | — |
| San Diego, CACalifornia | $22.15 | — |
| Marin County, CACalifornia | $26.06 | — |
| San Francisco, CACalifornia | $26.04 | — |
| San Benito County, CACalifornia | $26.67 | — |
| Santa Clara County, CACalifornia | $26.62 | — |
| San Luis Obispo, CACalifornia | $21.10 | — |
| Santa Cruz, CACalifornia | $22.50 | — |
| Santa Maria, CACalifornia | $21.60 | — |
| Santa Rosa, CACalifornia | $22.74 | — |
| Stockton, CACalifornia | $20.31 | — |
| Vallejo, CACalifornia | $24.37 | — |
| Visalia, CACalifornia | $20.31 | — |
| Yuba City, CACalifornia | $20.31 | — |
| ColoradoColorado | $19.81 | — |
| ConnecticutConnecticut | $20.19 | — |
| DelawareDelaware | $18.45 | — |
| Fort Lauderdale, FLFlorida | $19.21 | — |
| Rest of FloridaFlorida | $18.06 | — |
| Atlanta, GAGeorgia | $19.07 | — |
| Rest of GeorgiaGeorgia | $16.78 | — |
| Hawaii, Guam, HIHawaii | $21.08 | — |
| IowaIowa | $16.94 | — |
| IdahoIdaho | $17.06 | — |
| East St. Louis, ILIllinois | $17.57 | — |
| Rest of IllinoisIllinois | $17.29 | — |
| Suburban Chicago, ILIllinois | $19.46 | — |
| IndianaIndiana | $17.19 | — |
| KansasKansas | $16.78 | — |
| KentuckyKentucky | $16.64 | — |
| New Orleans, LALouisiana | $17.67 | — |
| Rest of LouisianaLouisiana | $16.58 | — |
| Metropolitan Boston, MAMassachusetts | $22.23 | — |
| Rest of MassachusettsMassachusetts | $19.61 | — |
| Baltimore area, MDMaryland | $20.12 | — |
| Rest of MarylandMaryland | $18.90 | — |
| Rest of MaineMaine | $17.11 | — |
| Southern Maine, MEMaine | $18.42 | — |
| Detroit, MIMichigan | $18.29 | — |
| Rest of MichiganMichigan | $17.15 | — |
| MinnesotaMinnesota | $19.00 | — |
| Metropolitan Kansas City, MOMissouri | $17.58 | — |
| Metropolitan St. Louis, MOMissouri | $17.82 | — |
| Rest of MissouriMissouri | $16.16 | — |
| MississippiMississippi | $16.06 | — |
| MontanaMontana | $18.70 | — |
| North CarolinaNorth Carolina | $17.35 | — |
| North DakotaNorth Dakota | $18.51 | — |
| NebraskaNebraska | $17.08 | — |
| New HampshireNew Hampshire | $19.42 | — |
| Northern New JerseyNew Jersey | $21.67 | — |
| Rest of New JerseyNew Jersey | $20.43 | — |
| New MexicoNew Mexico | $17.25 | — |
| NevadaNevada | $18.67 | — |
| NYC suburbs and Long Island, NYNew York | $22.46 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $20.52 | — |
| Queens, NYNew York | $22.20 | — |
| Rest of New YorkNew York | $17.69 | — |
| OhioOhio | $17.11 | — |
| OklahomaOklahoma | $16.66 | — |
| Portland, OROregon | $20.66 | — |
| Rest of OregonOregon | $18.53 | — |
| Metropolitan Philadelphia, PAPennsylvania | $19.52 | — |
| Rest of PennsylvaniaPennsylvania | $17.18 | — |
| Puerto RicoPuerto Rico | $18.90 | — |
| Rhode IslandRhode Island | $19.27 | — |
| South CarolinaSouth Carolina | $17.26 | — |
| TennesseeTennessee | $16.88 | — |
| Austin, TXTexas | $19.73 | — |
| Beaumont, TXTexas | $17.03 | — |
| Brazoria, TXTexas | $18.47 | — |
| Dallas, TXTexas | $18.58 | — |
| Fort Worth, TXTexas | $18.40 | — |
| Galveston, TXTexas | $18.52 | — |
| Houston, TXTexas | $18.70 | — |
| Rest of TexasTexas | $17.74 | — |
| UtahUtah | $17.57 | — |
| VirginiaVirginia | $18.29 | — |
| Virgin Islands, VIUnited States Virgin Islands | $18.90 | — |
| VermontVermont | $18.36 | — |
| Rest of WashingtonWashington | $19.60 | — |
| King County, WAWashington | $22.81 | — |
| WisconsinWisconsin | $17.70 | — |
| West VirginiaWest Virginia | $16.44 | — |
| WyomingWyoming | $18.62 | — |
92227 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$15.95
$23.49
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $19.75 | 1 |
| AL | $16.26 | 1 |
| AR | $15.95 | 1 |
| AZ | $18.09 | 1 |
| CA | $20.31–$26.67 | 29 |
| CO | $19.81 | 1 |
| CT | $20.19 | 1 |
| DC | $22.01 | 1 |
| DE | $18.45 | 1 |
| FL | $18.06–$19.97 | 3 |
| GA | $16.78–$19.07 | 2 |
| GU | $21.08 | 1 |
| HI | $21.08 | 1 |
| IA | $16.94 | 1 |
| ID | $17.06 | 1 |
| IL | $17.29–$19.46 | 4 |
| IN | $17.19 | 1 |
| KS | $16.78 | 1 |
| KY | $16.64 | 1 |
| LA | $16.58–$17.67 | 2 |
| MA | $19.61–$22.23 | 2 |
| MD | $18.90–$22.01 | 3 |
| ME | $17.11–$18.42 | 2 |
| MI | $17.15–$18.29 | 2 |
| MN | $19.00 | 1 |
| MO | $16.16–$17.82 | 3 |
| MS | $16.06 | 1 |
| MT | $18.70 | 1 |
| NC | $17.35 | 1 |
| ND | $18.51 | 1 |
| NE | $17.08 | 1 |
| NH | $19.42 | 1 |
| NJ | $20.43–$21.67 | 2 |
| NM | $17.25 | 1 |
| NV | $18.67 | 1 |
| NY | $17.69–$22.46 | 5 |
| OH | $17.11 | 1 |
| OK | $16.66 | 1 |
| OR | $18.53–$20.66 | 2 |
| PA | $17.18–$19.52 | 2 |
| PR | $18.90 | 1 |
| RI | $19.27 | 1 |
| SC | $17.26 | 1 |
| SD | $18.48 | 1 |
| TN | $16.88 | 1 |
| TX | $17.03–$19.73 | 8 |
| UT | $17.57 | 1 |
| VA | $18.29–$22.01 | 2 |
| VI | $18.90 | 1 |
| VT | $18.36 | 1 |
| WA | $19.60–$22.81 | 2 |
| WI | $17.70 | 1 |
| WV | $16.44 | 1 |
| WY | $18.62 | 1 |
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.
How the rate is built · 92227
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.55
0.55 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.5600
Conversion factor
$33.4009
Medicare rate
$18.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,707
- Code
- 92227
- Physician work
- 0.00
- Practice expense
- 0.55
- Malpractice
- 0.01
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.55 | × 1.000 | 0.5500 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 0.5534 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$18.48
Office: (0 × 1 + 0.55 × 1 + 0.01 × 0.336) × $33.4009 = $18.48
Payment rules and modifiers for 92227
The CMS indicators that decide how 92227 is paid alongside other services.
CMS payment indicators · 92227
Retinal imaging, staff-acquired detection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
How 92227 has changed in South Dakota
92227 · Office / nonfacility
$18.48
Effective 2026-10-01
The base rate is $1.54 higher than on 2025-10-01, moving from $16.94 to $18.48 (9.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$16.94changed to$18.48
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.52 changed to 0.55
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$17.44changed to$16.94
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$17.15changed to$17.44
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$16.73changed to$17.15
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.49 changed to 0.52
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$16.04changed to$16.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.46 changed to 0.49
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$15.82changed to$16.04
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.45 changed to 0.46
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$13.49changed to$15.82
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.37 changed to 0.45
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$14.20changed to$13.49
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.39 changed to 0.37
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$14.90changed to$14.20
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.41 changed to 0.39
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$14.50changed to$14.90
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.40 changed to 0.41
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$14.46changed to$14.50
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$14.52changed to$14.46
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$14.44changed to$14.52
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$14.12changed to$14.44
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.39 changed to 0.40
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$13.76changed to$14.12
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.40 changed to 0.39
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $13.76
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $18.48 | Not available in this setting | RVU26D |
| 2026-07-01 | $18.48 | Not available in this setting | RVU26C |
| 2026-04-01 | $18.48 | Not available in this setting | RVU26B |
| 2026-01-01 | $18.48 | Not available in this setting | RVU26A |
| 2025-10-01 | $16.94 | Not available in this setting | RVU25D |
| 2025-07-01 | $16.94 | Not available in this setting | RVU25C |
| 2025-04-01 | $16.94 | Not available in this setting | RVU25B |
| 2025-01-01 | $16.94 | Not available in this setting | RVU25A |
| 2024-10-01 | $17.44 | Not available in this setting | RVU24D |
| 2024-07-01 | $17.44 | Not available in this setting | RVU24C |
| 2024-04-01 | $17.44 | Not available in this setting | RVU24B |
| 2024-03-09 | $17.44 | Not available in this setting | RVU24AR |
| 2024-01-01 | $17.15 | Not available in this setting | RVU24A |
| 2023-10-01 | $16.73 | Not available in this setting | RVU23D |
| 2023-07-01 | $16.73 | Not available in this setting | RVU23C |
| 2023-04-01 | $16.73 | Not available in this setting | RVU23B |
| 2023-01-01 | $16.73 | Not available in this setting | RVU23A |
| 2022-10-01 | $16.04 | Not available in this setting | RVU22D |
| 2022-07-01 | $16.04 | Not available in this setting | RVU22C |
| 2022-04-01 | $16.04 | Not available in this setting | RVU22B |
| 2022-01-01 | $16.04 | Not available in this setting | RVU22A |
| 2021-10-01 | $15.82 | Not available in this setting | RVU21D |
| 2021-07-01 | $15.82 | Not available in this setting | RVU21C |
| 2021-04-01 | $15.82 | Not available in this setting | RVU21B |
| 2021-01-01 | $15.82 | Not available in this setting | RVU21A |
| 2020-10-01 | $13.49 | Not available in this setting | RVU20D |
| 2020-07-01 | $13.49 | Not available in this setting | RVU20C |
| 2020-04-01 | $13.49 | Not available in this setting | RVU20B |
| 2020-01-01 | $13.49 | Not available in this setting | RVU20A |
| 2019-10-01 | $14.20 | Not available in this setting | RVU19D |
| 2019-07-01 | $14.20 | Not available in this setting | RVU19C |
| 2019-04-01 | $14.20 | Not available in this setting | RVU19B |
| 2019-01-01 | $14.20 | Not available in this setting | RVU19A |
| 2018-10-01 | $14.90 | Not available in this setting | RVU18D |
| 2018-07-01 | $14.90 | Not available in this setting | RVU18C |
| 2018-04-01 | $14.90 | Not available in this setting | RVU18B |
| 2018-01-01 | $14.90 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $14.50 | Not available in this setting | RVU17D |
| 2017-07-01 | $14.50 | Not available in this setting | RVU17C |
| 2017-04-01 | $14.50 | Not available in this setting | RVU17B |
| 2017-01-01 | $14.50 | Not available in this setting | RVU17A |
| 2016-10-01 | $14.46 | Not available in this setting | RVU16D |
| 2016-07-01 | $14.46 | Not available in this setting | RVU16C |
| 2016-04-01 | $14.46 | Not available in this setting | RVU16B |
| 2016-01-01 | $14.46 | Not available in this setting | RVU16A |
| 2015-10-01 | $14.52 | Not available in this setting | RVU15D |
| 2015-07-01 | $14.52 | Not available in this setting | RVU15C |
| 2015-04-01 | $14.44 | Not available in this setting | RVU15B |
| 2015-01-01 | $14.44 | Not available in this setting | RVU15A |
| 2014-10-01 | $14.12 | Not available in this setting | RVU14D |
| 2014-07-01 | $14.12 | Not available in this setting | RVU14C |
| 2014-04-01 | $14.12 | Not available in this setting | RVU14B |
| 2014-01-01 | $14.12 | Not available in this setting | RVU14A |
| 2013-10-01 | $13.76 | Not available in this setting | RVU13D |
| 2013-07-01 | $13.76 | Not available in this setting | RVU13C |
| 2013-04-01 | $13.76 | Not available in this setting | RVU13B |
| 2013-01-01 | $13.76 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
92227 billing questions
When should 92227 be used instead of 92228?
Use 92227 for staff-acquired remote imaging intended to detect retinal disease. 92228 is for remote imaging used to monitor and manage active retinal disease with physician or qualified health professional review, interpretation, and report.
Does 92227 include the physician’s interpretation?
No. CMS identifies 92227 as a technical-component-only code; the interpretation is covered by a separate code.
Should modifier 50 be added when both eyes are imaged?
The code is already priced as bilateral. Modifier 50 does not increase payment.
What documentation supports reporting 92227?
Document the reason for retinal disease detection, which eyes were imaged, and the staff-performed imaging service. Record the interpretation separately when one is performed.
How does 92227 differ from 92229?
92227 describes staff-acquired imaging for remote disease detection. 92229 is the point-of-care option with automated analysis and reporting.
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
Show the CMS file lines behind this rate
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