CPT code 92229: Retinal imaging, autonomous point-of-care analysis2026 Medicare rate & RVUs in Missouri
Reports point-of-care retinal imaging analyzed autonomously to detect or monitor retinal disease, such as diabetic retinopathy, in either or both eyes.
Medicare pays $40.35–$44.53 for 92229 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 92229 covers
This service combines retinal image capture at the point of care with automated analysis and a resulting report. It is commonly used to screen for or monitor diabetic retinopathy in primary care, endocrinology, and eye-care settings, including when a patient with diabetes is being evaluated outside an ophthalmology office. The workflow uses an imaging device and autonomous analysis rather than remote review by clinical staff or physician interpretation of the images.
Report one unit for the point-of-care service whether one or both eyes are imaged; the code is priced as bilateral. Documentation should identify the clinical reason for imaging, the eyes evaluated, and the resulting analysis or report. This is a technical-component-only code, so interpretation is covered by a separate code when separately reported. The ophthalmology diagnostic multiple procedure reduction applies to its technical component when applicable. 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 92229 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$40.35 to $44.53
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $43.92 | Unavailable |
| Metropolitan St. Louis, MO | $44.53 | Unavailable |
| Rest of Missouri | $40.35 | Unavailable |
How the 92229 rate is calculated
Each of 92229’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 · 92229
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense1.39
1.39 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.4000
Conversion factor
$33.4009
Medicare rate
$46.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92229
The CMS indicators that decide how 92229 is paid alongside other services.
CMS payment indicators · 92229
Retinal imaging, autonomous point-of-care analysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| 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. |
92229 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92227Retinal imagingStaff-acquired detection
- Choose 92229 for point-of-care autonomous image analysis. Choose 92227 when images are handled through remote clinical staff review and reporting.
- 92228Retinal imagingPhysician or QHP interpretation
- 92229 is the autonomous point-of-care pathway; 92228 involves physician or qualified professional interpretation and reporting of retinal images.
- 92250Fundus photographyRetinal photos with interpretation
- 92250 reports fundus photography with interpretation and report. 92229 is for point-of-care retinal imaging analyzed autonomously to detect or monitor disease.
92229 billing questions
How is this different from 92227?
92229 describes point-of-care imaging with autonomous analysis. 92227 is the pathway involving remote clinical staff review and a report.
How is this different from 92228?
Use 92229 for point-of-care autonomous analysis. 92228 describes retinal imaging with physician or other qualified health care professional interpretation and reporting.
Should modifier 50 be appended when both eyes are imaged?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
Can interpretation be billed under 92229?
No. CMS identifies 92229 as technical-component-only; a separate code covers interpretation when that service is reported.
Can the technical component be reduced when other eye tests are billed?
The ophthalmology diagnostic multiple procedure reduction applies to the technical component when applicable.
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
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