CPT code 92273: Full-field ERG, with interpretation and report2026 Medicare rate & RVUs in Wisconsin
Full-field electroretinography records generalized retinal responses to flashes of light and is reported with the physician’s interpretation and report.
In Wisconsin, Medicare pays $118.36 for 92273 in the office.
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.
On this page 11 sections
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 Wisconsin 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. Wisconsin pays $118.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wisconsin · this page$118.36
- Los Angeles, CA · California$142.11+$23.75
- Washington, DC area · District of Columbia$142.35+$23.99
- Miami, FL · Florida$128.88+$10.52
- Chicago, IL · Illinois$125.20+$6.84
- Manhattan, NY · New York$141.45+$23.09
- Alaska · Alaska$140.48+$22.12
Other areas in Wisconsin first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $132.75 | — |
| Merced, CACalifornia | $132.75 | — |
| Modesto, CACalifornia | $132.75 | — |
| Napa, CACalifornia | $155.92 | — |
| Oxnard, CACalifornia | $141.67 | — |
| Redding, CACalifornia | $132.75 | — |
| Rest of CaliforniaCalifornia | $132.75 | — |
| Riverside, CACalifornia | $133.09 | — |
| Sacramento, CACalifornia | $139.87 | — |
| Salinas, CACalifornia | $139.36 | — |
| San Diego, CACalifornia | $143.04 | — |
| Marin County, CACalifornia | $165.78 | — |
| San Francisco, CACalifornia | $165.75 | — |
| San Benito County, CACalifornia | $169.39 | — |
| Santa Clara County, CACalifornia | $169.25 | — |
| San Luis Obispo, CACalifornia | $137.05 | — |
| Santa Cruz, CACalifornia | $144.73 | — |
| Santa Maria, CACalifornia | $139.99 | — |
| Santa Rosa, CACalifornia | $146.23 | — |
| Stockton, CACalifornia | $132.75 | — |
| Vallejo, CACalifornia | $155.88 | — |
| Visalia, CACalifornia | $132.75 | — |
| Yuba City, CACalifornia | $132.75 | — |
| ColoradoColorado | $129.69 | — |
| ConnecticutConnecticut | $131.60 | — |
| DelawareDelaware | $122.06 | — |
| Fort Lauderdale, FLFlorida | $125.36 | — |
| Rest of FloridaFlorida | $119.36 | — |
| Atlanta, GAGeorgia | $125.12 | — |
| Rest of GeorgiaGeorgia | $112.66 | — |
| Hawaii, Guam, HIHawaii | $136.51 | — |
| IowaIowa | $114.16 | — |
| IdahoIdaho | $114.73 | — |
| East St. Louis, ILIllinois | $116.28 | — |
| Rest of IllinoisIllinois | $115.12 | — |
| Suburban Chicago, ILIllinois | $126.88 | — |
| IndianaIndiana | $115.44 | — |
| KansasKansas | $113.16 | — |
| KentuckyKentucky | $112.08 | — |
| New Orleans, LALouisiana | $117.49 | — |
| Rest of LouisianaLouisiana | $111.72 | — |
| Metropolitan Boston, MAMassachusetts | $143.43 | — |
| Rest of MassachusettsMassachusetts | $128.70 | — |
| Baltimore area, MDMaryland | $131.14 | — |
| Rest of MarylandMaryland | $124.59 | — |
| Rest of MaineMaine | $114.88 | — |
| Southern Maine, MEMaine | $121.98 | — |
| Detroit, MIMichigan | $120.44 | — |
| Rest of MichiganMichigan | $114.69 | — |
| MinnesotaMinnesota | $125.44 | — |
| Metropolitan Kansas City, MOMissouri | $117.13 | — |
| Metropolitan St. Louis, MOMissouri | $118.46 | — |
| Rest of MissouriMissouri | $109.44 | — |
| MississippiMississippi | $109.11 | — |
| MontanaMontana | $123.25 | — |
| North CarolinaNorth Carolina | $116.20 | — |
| North DakotaNorth Dakota | $122.65 | — |
| NebraskaNebraska | $114.94 | — |
| New HampshireNew Hampshire | $127.22 | — |
| Northern New JerseyNew Jersey | $140.71 | — |
| Rest of New JerseyNew Jersey | $133.43 | — |
| New MexicoNew Mexico | $115.16 | — |
| NevadaNevada | $123.18 | — |
| NYC suburbs and Long Island, NYNew York | $144.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $133.95 | — |
| Queens, NYNew York | $143.30 | — |
| Rest of New YorkNew York | $117.96 | — |
| OhioOhio | $114.57 | — |
| OklahomaOklahoma | $112.34 | — |
| Portland, OROregon | $134.44 | — |
| Rest of OregonOregon | $122.55 | — |
| Metropolitan Philadelphia, PAPennsylvania | $127.94 | — |
| Rest of PennsylvaniaPennsylvania | $115.00 | — |
| Puerto RicoPuerto Rico | $124.33 | — |
| Rhode IslandRhode Island | $126.86 | — |
| South CarolinaSouth Carolina | $115.51 | — |
| South DakotaSouth Dakota | $122.58 | — |
| TennesseeTennessee | $113.70 | — |
| Austin, TXTexas | $128.97 | — |
| Beaumont, TXTexas | $114.19 | — |
| Brazoria, TXTexas | $122.31 | — |
| Dallas, TXTexas | $122.91 | — |
| Fort Worth, TXTexas | $121.92 | — |
| Galveston, TXTexas | $122.56 | — |
| Houston, TXTexas | $123.11 | — |
| Rest of TexasTexas | $118.06 | — |
| UtahUtah | $117.15 | — |
| VirginiaVirginia | $121.26 | — |
| Virgin Islands, VIUnited States Virgin Islands | $124.33 | — |
| VermontVermont | $121.76 | — |
| Rest of WashingtonWashington | $128.59 | — |
| King County, WAWashington | $146.86 | — |
| West VirginiaWest Virginia | $110.60 | — |
| WyomingWyoming | $122.99 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $140.48 | 1 |
| AL | $110.33 | 1 |
| AR | $108.68 | 1 |
| AZ | $120.01 | 1 |
| CA | $132.75–$169.39 | 29 |
| CO | $129.69 | 1 |
| CT | $131.60 | 1 |
| DC | $142.35 | 1 |
| DE | $122.06 | 1 |
| FL | $119.36–$128.88 | 3 |
| GA | $112.66–$125.12 | 2 |
| GU | $136.51 | 1 |
| HI | $136.51 | 1 |
| IA | $114.16 | 1 |
| ID | $114.73 | 1 |
| IL | $115.12–$126.88 | 4 |
| IN | $115.44 | 1 |
| KS | $113.16 | 1 |
| KY | $112.08 | 1 |
| LA | $111.72–$117.49 | 2 |
| MA | $128.70–$143.43 | 2 |
| MD | $124.59–$142.35 | 3 |
| ME | $114.88–$121.98 | 2 |
| MI | $114.69–$120.44 | 2 |
| MN | $125.44 | 1 |
| MO | $109.44–$118.46 | 3 |
| MS | $109.11 | 1 |
| MT | $123.25 | 1 |
| NC | $116.20 | 1 |
| ND | $122.65 | 1 |
| NE | $114.94 | 1 |
| NH | $127.22 | 1 |
| NJ | $133.43–$140.71 | 2 |
| NM | $115.16 | 1 |
| NV | $123.18 | 1 |
| NY | $117.96–$144.42 | 5 |
| OH | $114.57 | 1 |
| OK | $112.34 | 1 |
| OR | $122.55–$134.44 | 2 |
| PA | $115.00–$127.94 | 2 |
| PR | $124.33 | 1 |
| RI | $126.86 | 1 |
| SC | $115.51 | 1 |
| SD | $122.58 | 1 |
| TN | $113.70 | 1 |
| TX | $114.19–$128.97 | 8 |
| UT | $117.15 | 1 |
| VA | $121.26–$142.35 | 2 |
| VI | $124.33 | 1 |
| VT | $121.76 | 1 |
| WA | $128.59–$146.86 | 2 |
| WI | $118.36 | 1 |
| WV | $110.60 | 1 |
| WY | $122.99 | 1 |
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
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 Wisconsin 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
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.67 | × 1.000 | 0.6700 |
| Practice expense | 2.99 | × 0.958 | 2.8644 |
| Malpractice | 0.03 | × 0.308 | 0.0092 |
| Total RVUs | 3.5437 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wisconsin$118.36
Office: (0.67 × 1 + 2.99 × 0.958 + 0.03 × 0.308) × $33.4009 = $118.36
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
| 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 | 1 | Diagnostic 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.
How 92273 has changed in Wisconsin
92273 · Office / nonfacility
$118.36
Effective 2026-10-01
The base rate is $3.47 higher than on 2025-10-01, moving from $114.89 to $118.36 (3.0%).
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
$114.89changed to$118.36
- 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 0.957 changed to 0.958
- Malpractice GPCI 0.331 changed to 0.308
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$120.78changed to$114.89
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.06 changed to 2.98
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$118.81changed to$120.78
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$122.21changed to$118.81
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.950 changed to 0.957
- Malpractice GPCI 0.314 changed to 0.331
January 1, 2023
RVU23A
$122.31changed to$122.21
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.01 changed to 3.06
- Practice expense GPCI 0.942 changed to 0.950
- Malpractice GPCI 0.296 changed to 0.314
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$126.61changed to$122.31
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.11 changed to 3.01
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$126.63changed to$126.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.96 changed to 3.11
- Practice expense GPCI 0.949 changed to 0.942
- Malpractice GPCI 0.322 changed to 0.296
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$131.00changed to$126.63
- 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 0.957 changed to 0.949
- Malpractice GPCI 0.347 changed to 0.322
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$131.00
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $118.36 | Not available in this setting | RVU26D |
| 2026-07-01 | $118.36 | Not available in this setting | RVU26C |
| 2026-04-01 | $118.36 | Not available in this setting | RVU26B |
| 2026-01-01 | $118.36 | Not available in this setting | RVU26A |
| 2025-10-01 | $114.89 | Not available in this setting | RVU25D |
| 2025-07-01 | $114.89 | Not available in this setting | RVU25C |
| 2025-04-01 | $114.89 | Not available in this setting | RVU25B |
| 2025-01-01 | $114.89 | Not available in this setting | RVU25A |
| 2024-10-01 | $120.78 | Not available in this setting | RVU24D |
| 2024-07-01 | $120.78 | Not available in this setting | RVU24C |
| 2024-04-01 | $120.78 | Not available in this setting | RVU24B |
| 2024-03-09 | $120.78 | Not available in this setting | RVU24AR |
| 2024-01-01 | $118.81 | Not available in this setting | RVU24A |
| 2023-10-01 | $122.21 | Not available in this setting | RVU23D |
| 2023-07-01 | $122.21 | Not available in this setting | RVU23C |
| 2023-04-01 | $122.21 | Not available in this setting | RVU23B |
| 2023-01-01 | $122.21 | Not available in this setting | RVU23A |
| 2022-10-01 | $122.31 | Not available in this setting | RVU22D |
| 2022-07-01 | $122.31 | Not available in this setting | RVU22C |
| 2022-04-01 | $122.31 | Not available in this setting | RVU22B |
| 2022-01-01 | $122.31 | Not available in this setting | RVU22A |
| 2021-10-01 | $126.61 | Not available in this setting | RVU21D |
| 2021-07-01 | $126.61 | Not available in this setting | RVU21C |
| 2021-04-01 | $126.61 | Not available in this setting | RVU21B |
| 2021-01-01 | $126.61 | Not available in this setting | RVU21A |
| 2020-10-01 | $126.63 | Not available in this setting | RVU20D |
| 2020-07-01 | $126.63 | Not available in this setting | RVU20C |
| 2020-04-01 | $126.63 | Not available in this setting | RVU20B |
| 2020-01-01 | $126.63 | Not available in this setting | RVU20A |
| 2019-10-01 | $131.00 | Not available in this setting | RVU19D |
| 2019-07-01 | $131.00 | Not available in this setting | RVU19C |
| 2019-04-01 | $131.00 | Not available in this setting | RVU19B |
| 2019-01-01 | $131.00 | Not available in this setting | 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 Wisconsin rate applies
Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.
- Abbotsford
- Abrams
- Adams
- Adell
- Albany
- Algoma
- Allens Grove
- Allenton
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
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