CPT code 92273: Full-field ERG, with interpretation and report2026 Medicare rate & RVUs in Utah

Full-field electroretinography records generalized retinal responses to flashes of light and is reported with the physician’s interpretation and report.

CMS RVU26DEffective Oct 1, 2026One payment locality159.6K Medicare services in 2024

In Utah, Medicare pays $117.15 for 92273 in the office.

$117.15Office (non-facility)
Not available in this settingHospital or facility
−4.9%vs the national office rate ($123.25)

Check a contract rate as a % of Medicare · 92273 nationwide

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

We’ll open 92273 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 92273 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92273 covers

Full-field electroretinography (ERG) measures the retina’s electrical response to flashes of light, commonly using electrodes on or near the eye. Ophthalmic staff typically acquire the recordings in an eye clinic or diagnostic testing area, while an ophthalmologist interprets the waveforms and reports the findings. The test helps assess generalized retinal function in conditions such as inherited retinal dystrophies or unexplained visual dysfunction; it is distinct from imaging that depicts retinal anatomy.

Report the test when the full-field recording and interpretation are performed, and document the clinical question, testing protocol, recorded responses, and physician interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when multiple applicable tests are billed. The code 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 Utah compares for 92273

Across 109 of 109 payment localities, the office rate for 92273 runs from $108.68 in Arkansas to $169.39 in San Benito County, CA. Utah pays $117.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

92273 in Utah vs other payment areas
  1. Utah · this page$117.15
  2. Los Angeles, CA · California$142.11+$24.96
  3. Washington, DC area · District of Columbia$142.35+$25.20
  4. Miami, FL · Florida$128.88+$11.73
  5. Chicago, IL · Illinois$125.20+$8.05
  6. Manhattan, NY · New York$141.45+$24.30
  7. Alaska · Alaska$140.48+$23.33

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

92273 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$110.33—
ArkansasArkansas$108.68—
ArizonaArizona$120.01—
Bakersfield, CACalifornia$132.87—
Chico, CACalifornia$132.75—
El Centro, CACalifornia$132.76—
Fresno, CACalifornia$132.75—
Hanford, CACalifornia$132.75—

92273 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.

$108.68

$151.07

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92273 office rate range by state
State / territoryOffice rate rangeLocalities
AK$140.481
AL$110.331
AR$108.681
AZ$120.011
CA$132.75–$169.3929
CO$129.691
CT$131.601
DC$142.351
DE$122.061
FL$119.36–$128.883
GA$112.66–$125.122
GU$136.511
HI$136.511
IA$114.161
ID$114.731
IL$115.12–$126.884
IN$115.441
KS$113.161
KY$112.081
LA$111.72–$117.492
MA$128.70–$143.432
MD$124.59–$142.353
ME$114.88–$121.982
MI$114.69–$120.442
MN$125.441
MO$109.44–$118.463
MS$109.111
MT$123.251
NC$116.201
ND$122.651
NE$114.941
NH$127.221
NJ$133.43–$140.712
NM$115.161
NV$123.181
NY$117.96–$144.425
OH$114.571
OK$112.341
OR$122.55–$134.442
PA$115.00–$127.942
PR$124.331
RI$126.861
SC$115.511
SD$122.581
TN$113.701
TX$114.19–$128.978
UT$117.151
VA$121.26–$142.352
VI$124.331
VT$121.761
WA$128.59–$146.862
WI$118.361
WV$110.601
WY$122.991

See 92273 in every payment locality

How the 92273 rate is calculated

Each of 92273’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 · 92273

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.67

0.67 RVUs× 1.000 GPCI

Practice expense2.99

2.99 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

3.6900

Conversion factor

$33.4009

Medicare rate

$123.25

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,732

Code
92273
Physician work
0.67
Practice expense
2.99
Malpractice
0.03

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 92273 in Utah
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0000.6700
Practice expense2.99× 0.9402.8106
Malpractice0.03× 0.8980.0269
Total RVUs3.5075
Conversion factor× 33.4009

Office rate, Utah$117.15

Office: (0.67 × 1 + 2.99 × 0.94 + 0.03 × 0.898) × $33.4009 = $117.15

Open 92273 in the RVU calculator

Payment rules and modifiers for 92273

The CMS indicators that decide how 92273 is paid alongside other services.

CMS payment indicators · 92273

Full-field ERG, with interpretation and report

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

92273 without 26 · national office

$123.25

Full-field ERG, with interpretation and report

92273-26 · Professional component

$34.40

Pays only the interpretation and report.

When to use modifier 26

How 92273 has changed in Utah

92273 · Office / nonfacility

$117.15

Effective 2026-10-01

The base rate is $3.99 higher than on 2025-10-01, moving from $113.16 to $117.15 (3.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $113.16changed to$117.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Practice expense RVU 2.98 changed to 2.99
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $118.93changed to$113.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.06 changed to 2.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $116.99changed to$118.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $120.28changed to$116.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $120.44changed to$120.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.01 changed to 3.06
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $124.64changed to$120.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.11 changed to 3.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $124.56changed to$124.64

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.96 changed to 3.11
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $128.27changed to$124.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.07 changed to 2.96
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$128.27

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$117.15Not available in this settingRVU26D
2026-07-01$117.15Not available in this settingRVU26C
2026-04-01$117.15Not available in this settingRVU26B
2026-01-01$117.15Not available in this settingRVU26A
2025-10-01$113.16Not available in this settingRVU25D
2025-07-01$113.16Not available in this settingRVU25C
2025-04-01$113.16Not available in this settingRVU25B
2025-01-01$113.16Not available in this settingRVU25A
2024-10-01$118.93Not available in this settingRVU24D
2024-07-01$118.93Not available in this settingRVU24C
2024-04-01$118.93Not available in this settingRVU24B
2024-03-09$118.93Not available in this settingRVU24AR
2024-01-01$116.99Not available in this settingRVU24A
2023-10-01$120.28Not available in this settingRVU23D
2023-07-01$120.28Not available in this settingRVU23C
2023-04-01$120.28Not available in this settingRVU23B
2023-01-01$120.28Not available in this settingRVU23A
2022-10-01$120.44Not available in this settingRVU22D
2022-07-01$120.44Not available in this settingRVU22C
2022-04-01$120.44Not available in this settingRVU22B
2022-01-01$120.44Not available in this settingRVU22A
2021-10-01$124.64Not available in this settingRVU21D
2021-07-01$124.64Not available in this settingRVU21C
2021-04-01$124.64Not available in this settingRVU21B
2021-01-01$124.64Not available in this settingRVU21A
2020-10-01$124.56Not available in this settingRVU20D
2020-07-01$124.56Not available in this settingRVU20C
2020-04-01$124.56Not available in this settingRVU20B
2020-01-01$124.56Not available in this settingRVU20A
2019-10-01$128.27Not available in this settingRVU19D
2019-07-01$128.27Not available in this settingRVU19C
2019-04-01$128.27Not available in this settingRVU19B
2019-01-01$128.27Not available in this settingRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 92273 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

92273 billing questions

How does full-field ERG differ from multifocal ERG, code 92274?

Full-field ERG assesses generalized retinal responses to flashes. Multifocal ERG evaluates responses from multiple localized retinal areas.

Can the professional and technical portions be billed separately?

Yes. Use modifier 26 for the interpretation and report, or modifier TC for the equipment and staff. Without either modifier, the claim represents the global service.

Should modifier 50 be added for testing both eyes?

No. CMS prices 92273 as bilateral, and modifier 50 does not increase payment.

What does the multiple-procedure reduction affect?

For applicable multiple ophthalmology diagnostic procedures, the reduction applies to the technical component. It does not apply to the professional component.

What documentation supports reporting 92273?

Document the reason for testing, the full-field protocol and responses, and the interpreting physician’s findings. The record should support that generalized flash-evoked retinal function was evaluated.

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
RVUs for 92273PPRRVU2026_Oct_nonQPP.csv, line 11,732 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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