CPT code 92229: Retinal imaging, autonomous point-of-care analysis2026 Medicare rate & RVUs in North Carolina
Reports point-of-care retinal imaging analyzed autonomously to detect or monitor retinal disease, such as diabetic retinopathy, in either or both eyes.
In North Carolina, Medicare pays $43.53 for 92229 in the office.
Check a contract rate as a % of Medicare · 92229 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 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.
How North Carolina compares for 92229
Across 109 of 109 payment localities, the office rate for 92229 runs from $40.05 in Arkansas to $67.13 in San Benito County, CA. North Carolina pays $43.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$43.53
- Los Angeles, CA · California$55.15+$11.62
- Washington, DC area · District of Columbia$55.06+$11.53
- Miami, FL · Florida$49.18+$5.65
- Chicago, IL · Illinois$47.43+$3.90
- Manhattan, NY · New York$54.48+$10.95
- Alaska · Alaska$49.63+$6.10
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $40.81 | — |
| ArkansasArkansas | $40.05 | — |
| ArizonaArizona | $45.27 | — |
| Bakersfield, CACalifornia | $51.09 | — |
| Chico, CACalifornia | $51.06 | — |
| El Centro, CACalifornia | $51.06 | — |
| Fresno, CACalifornia | $51.06 | — |
| Hanford, CACalifornia | $51.06 | — |
| Madera, CACalifornia | $51.06 | — |
| Merced, CACalifornia | $51.06 | — |
| Modesto, CACalifornia | $51.06 | — |
| Napa, CACalifornia | $61.36 | — |
| Oxnard, CACalifornia | $55.09 | — |
| Redding, CACalifornia | $51.06 | — |
| Rest of CaliforniaCalifornia | $51.06 | — |
| Riverside, CACalifornia | $51.17 | — |
| Sacramento, CACalifornia | $54.17 | — |
| Salinas, CACalifornia | $53.99 | — |
| San Diego, CACalifornia | $55.71 | — |
| Marin County, CACalifornia | $65.62 | — |
| San Francisco, CACalifornia | $65.60 | — |
| San Benito County, CACalifornia | $67.13 | — |
| Santa Clara County, CACalifornia | $67.08 | — |
| San Luis Obispo, CACalifornia | $53.06 | — |
| Santa Cruz, CACalifornia | $56.59 | — |
| Santa Maria, CACalifornia | $54.31 | — |
| Santa Rosa, CACalifornia | $57.19 | — |
| Stockton, CACalifornia | $51.06 | — |
| Vallejo, CACalifornia | $61.34 | — |
| Visalia, CACalifornia | $51.06 | — |
| Yuba City, CACalifornia | $51.06 | — |
| ColoradoColorado | $49.66 | — |
| ConnecticutConnecticut | $50.41 | — |
| DelawareDelaware | $46.17 | — |
| Fort Lauderdale, FLFlorida | $47.63 | — |
| Rest of FloridaFlorida | $44.89 | — |
| Atlanta, GAGeorgia | $47.57 | — |
| Rest of GeorgiaGeorgia | $41.81 | — |
| Hawaii, Guam, HIHawaii | $52.98 | — |
| IowaIowa | $42.61 | — |
| IdahoIdaho | $42.87 | — |
| East St. Louis, ILIllinois | $43.39 | — |
| Rest of IllinoisIllinois | $42.91 | — |
| Suburban Chicago, ILIllinois | $48.27 | — |
| IndianaIndiana | $43.20 | — |
| KansasKansas | $42.14 | — |
| KentuckyKentucky | $41.58 | — |
| New Orleans, LALouisiana | $44.07 | — |
| Rest of LouisianaLouisiana | $41.41 | — |
| Metropolitan Boston, MAMassachusetts | $55.73 | — |
| Rest of MassachusettsMassachusetts | $49.15 | — |
| Baltimore area, MDMaryland | $50.23 | — |
| Rest of MarylandMaryland | $47.29 | — |
| Rest of MaineMaine | $42.92 | — |
| Southern Maine, MEMaine | $46.22 | — |
| Detroit, MIMichigan | $45.37 | — |
| Rest of MichiganMichigan | $42.77 | — |
| MinnesotaMinnesota | $47.87 | — |
| Metropolitan Kansas City, MOMissouri | $43.92 | — |
| Metropolitan St. Louis, MOMissouri | $44.53 | — |
| Rest of MissouriMissouri | $40.35 | — |
| MississippiMississippi | $40.22 | — |
| MontanaMontana | $46.76 | — |
| North DakotaNorth Dakota | $46.56 | — |
| NebraskaNebraska | $42.98 | — |
| New HampshireNew Hampshire | $48.62 | — |
| Northern New JerseyNew Jersey | $54.21 | — |
| Rest of New JerseyNew Jersey | $51.06 | — |
| New MexicoNew Mexico | $42.97 | — |
| NevadaNevada | $46.75 | — |
| NYC suburbs and Long Island, NYNew York | $55.82 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $51.24 | — |
| Queens, NYNew York | $55.36 | — |
| Rest of New YorkNew York | $44.34 | — |
| OhioOhio | $42.72 | — |
| OklahomaOklahoma | $41.72 | — |
| Portland, OROregon | $51.83 | — |
| Rest of OregonOregon | $46.48 | — |
| Metropolitan Philadelphia, PAPennsylvania | $48.73 | — |
| Rest of PennsylvaniaPennsylvania | $42.94 | — |
| Puerto RicoPuerto Rico | $47.27 | — |
| Rhode IslandRhode Island | $48.26 | — |
| South CarolinaSouth Carolina | $43.18 | — |
| South DakotaSouth Dakota | $46.54 | — |
| TennesseeTennessee | $42.38 | — |
| Austin, TXTexas | $49.42 | — |
| Beaumont, TXTexas | $42.56 | — |
| Brazoria, TXTexas | $46.27 | — |
| Dallas, TXTexas | $46.53 | — |
| Fort Worth, TXTexas | $46.07 | — |
| Galveston, TXTexas | $46.38 | — |
| Houston, TXTexas | $46.56 | — |
| Rest of TexasTexas | $44.36 | — |
| UtahUtah | $43.94 | — |
| VirginiaVirginia | $45.87 | — |
| Virgin Islands, VIUnited States Virgin Islands | $47.27 | — |
| VermontVermont | $46.13 | — |
| Rest of WashingtonWashington | $49.14 | — |
| King County, WAWashington | $57.24 | — |
| WisconsinWisconsin | $44.58 | — |
| West VirginiaWest Virginia | $40.82 | — |
| WyomingWyoming | $46.67 | — |
92229 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.
$40.05
$59.10
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 | $49.63 | 1 |
| AL | $40.81 | 1 |
| AR | $40.05 | 1 |
| AZ | $45.27 | 1 |
| CA | $51.06–$67.13 | 29 |
| CO | $49.66 | 1 |
| CT | $50.41 | 1 |
| DC | $55.06 | 1 |
| DE | $46.17 | 1 |
| FL | $44.89–$49.18 | 3 |
| GA | $41.81–$47.57 | 2 |
| GU | $52.98 | 1 |
| HI | $52.98 | 1 |
| IA | $42.61 | 1 |
| ID | $42.87 | 1 |
| IL | $42.91–$48.27 | 4 |
| IN | $43.20 | 1 |
| KS | $42.14 | 1 |
| KY | $41.58 | 1 |
| LA | $41.41–$44.07 | 2 |
| MA | $49.15–$55.73 | 2 |
| MD | $47.29–$55.06 | 3 |
| ME | $42.92–$46.22 | 2 |
| MI | $42.77–$45.37 | 2 |
| MN | $47.87 | 1 |
| MO | $40.35–$44.53 | 3 |
| MS | $40.22 | 1 |
| MT | $46.76 | 1 |
| NC | $43.53 | 1 |
| ND | $46.56 | 1 |
| NE | $42.98 | 1 |
| NH | $48.62 | 1 |
| NJ | $51.06–$54.21 | 2 |
| NM | $42.97 | 1 |
| NV | $46.75 | 1 |
| NY | $44.34–$55.82 | 5 |
| OH | $42.72 | 1 |
| OK | $41.72 | 1 |
| OR | $46.48–$51.83 | 2 |
| PA | $42.94–$48.73 | 2 |
| PR | $47.27 | 1 |
| RI | $48.26 | 1 |
| SC | $43.18 | 1 |
| SD | $46.54 | 1 |
| TN | $42.38 | 1 |
| TX | $42.56–$49.42 | 8 |
| UT | $43.94 | 1 |
| VA | $45.87–$55.06 | 2 |
| VI | $47.27 | 1 |
| VT | $46.13 | 1 |
| WA | $49.14–$57.24 | 2 |
| WI | $44.58 | 1 |
| WV | $40.82 | 1 |
| WY | $46.67 | 1 |
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.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,711
- Code
- 92229
- Physician work
- 0.00
- Practice expense
- 1.39
- Malpractice
- 0.01
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.39 | × 0.933 | 1.2969 |
| Malpractice | 0.01 | × 0.639 | 0.0064 |
| Total RVUs | 1.3033 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$43.53
Office: (0 × 1 + 1.39 × 0.933 + 0.01 × 0.639) × $33.4009 = $43.53
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. |
How 92229 has changed in North Carolina
92229 · Office / nonfacility
$43.53
Effective 2026-10-01
The base rate is $3.18 higher than on 2025-10-01, moving from $40.35 to $43.53 (7.9%).
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
$40.35changed to$43.53
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.34 changed to 1.39
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$37.83changed to$40.35
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.22 changed to 1.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$37.21changed to$37.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$42.35changed to$37.21
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.34 changed to 1.22
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$43.64changed to$42.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.35 changed to 1.34
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
No ratechanged to$43.64
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
No ratechanged toNo rate
Held through RVU21B, RVU21C, RVU21D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $43.53 | Not available in this setting | RVU26D |
| 2026-07-01 | $43.53 | Not available in this setting | RVU26C |
| 2026-04-01 | $43.53 | Not available in this setting | RVU26B |
| 2026-01-01 | $43.53 | Not available in this setting | RVU26A |
| 2025-10-01 | $40.35 | Not available in this setting | RVU25D |
| 2025-07-01 | $40.35 | Not available in this setting | RVU25C |
| 2025-04-01 | $40.35 | Not available in this setting | RVU25B |
| 2025-01-01 | $40.35 | Not available in this setting | RVU25A |
| 2024-10-01 | $37.83 | Not available in this setting | RVU24D |
| 2024-07-01 | $37.83 | Not available in this setting | RVU24C |
| 2024-04-01 | $37.83 | Not available in this setting | RVU24B |
| 2024-03-09 | $37.83 | Not available in this setting | RVU24AR |
| 2024-01-01 | $37.21 | Not available in this setting | RVU24A |
| 2023-10-01 | $42.35 | Not available in this setting | RVU23D |
| 2023-07-01 | $42.35 | Not available in this setting | RVU23C |
| 2023-04-01 | $42.35 | Not available in this setting | RVU23B |
| 2023-01-01 | $42.35 | Not available in this setting | RVU23A |
| 2022-10-01 | $43.64 | Not available in this setting | RVU22D |
| 2022-07-01 | $43.64 | Not available in this setting | RVU22C |
| 2022-04-01 | $43.64 | Not available in this setting | RVU22B |
| 2022-01-01 | $43.64 | Not available in this setting | RVU22A |
| 2021-10-01 | Contractor-priced | Contractor-priced | RVU21D |
| 2021-07-01 | Contractor-priced | Contractor-priced | RVU21C |
| 2021-04-01 | Contractor-priced | Contractor-priced | RVU21B |
| 2021-01-01 | Contractor-priced | Contractor-priced | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
Show the CMS file lines behind this rate
Fee sheets
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