CPT code 92274: Multifocal ERG, interpretation and report2026 Medicare rate & RVUs in Hawaii, Guam, HI

Multifocal electroretinography maps localized retinal electrical responses to evaluate suspected macular or other focal retinal dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality4.1K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $101.74 for 92274 in the office.

$101.74Office (non-facility)
Not available in this settingHospital or facility
+10.4%vs the national office rate ($92.19)

Check a contract rate as a % of Medicare · 92274 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 92274 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 92274 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 92274 covers

Multifocal electroretinography (mfERG) records electrical responses from multiple retinal locations in response to a patterned visual stimulus. An ophthalmologist, often a retina specialist, may use the test to evaluate unexplained central visual symptoms, suspected localized retinal dysfunction, or possible toxic maculopathy. Ophthalmic testing staff typically obtain the responses, which the physician interprets and reports in settings such as an eye clinic or hospital outpatient department.

Choose mfERG when the clinical question concerns localized retinal function; full-field ERG (92273) assesses a broader retinal response. Documentation should identify the reason for testing and include the test findings and interpretation. The code represents the bilateral service, so modifier 50 does not increase payment. The service may be billed globally or split into the professional interpretation with modifier 26 and the technical equipment and staff with modifier TC. The ophthalmology diagnostic multiple procedure reduction applies to the technical component.

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 Hawaii, Guam, HI compares for 92274

Across 109 of 109 payment localities, the office rate for 92274 runs from $81.74 in Arkansas to $125.79 in San Benito County, CA. Hawaii, Guam, HI pays $101.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

92274 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$101.74
  2. Los Angeles, CA · California$105.91+$4.17
  3. Washington, DC area · District of Columbia$106.11+$4.37
  4. Miami, FL · Florida$96.15−$5.59
  5. Chicago, IL · Illinois$93.55−$8.19
  6. Manhattan, NY · New York$105.47+$3.73
  7. Alaska · Alaska$106.41+$4.67

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

Every other payment area

92274 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$82.92—
ArkansasArkansas$81.74—
ArizonaArizona$89.86—
Bakersfield, CACalifornia$99.19—
Chico, CACalifornia$99.11—
El Centro, CACalifornia$99.11—
Fresno, CACalifornia$99.11—
Hanford, CACalifornia$99.11—

92274 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$81.74

$112.45

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

View every state and territory as a table
92274 office rate range by state
State / territoryOffice rate rangeLocalities
AK$106.411
AL$82.921
AR$81.741
AZ$89.861
CA$99.11–$125.7929
CO$96.871
CT$98.251
DC$106.111
DE$91.361
FL$89.36–$96.153
GA$84.56–$93.532
GU$101.741
HI$101.741
IA$85.681
ID$86.091
IL$86.31–$94.784
IN$86.601
KS$84.961
KY$84.161
LA$83.90–$88.042
MA$96.17–$106.852
MD$93.19–$106.113
ME$86.19–$91.292
MI$86.03–$90.132
MN$93.801
MO$82.26–$88.743
MS$82.031
MT$92.191
NC$87.131
ND$91.791
NE$86.241
NH$95.051
NJ$99.65–$104.962
NM$86.361
NV$92.151
NY$88.40–$107.595
OH$85.941
OK$84.351
OR$91.70–$100.302
PA$86.26–$95.612
PR$92.971
RI$94.861
SC$86.631
SD$91.741
TN$85.341
TX$85.68–$96.318
UT$87.811
VA$90.77–$106.112
VI$92.971
VT$91.141
WA$96.09–$109.352
WI$88.711
WV$83.071
WY$92.011

See 92274 in every payment locality

How the 92274 rate is calculated

Each of 92274’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 · 92274

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense2.15

2.15 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.7600

Conversion factor

$33.4009

Medicare rate

$92.19

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,735

Code
92274
Physician work
0.59
Practice expense
2.15
Malpractice
0.02

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 92274 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense2.15× 1.1372.4446
Malpractice0.02× 0.5790.0116
Total RVUs3.0461
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$101.74

Office: (0.59 × 1 + 2.15 × 1.137 + 0.02 × 0.579) × $33.4009 = $101.74

Open 92274 in the RVU calculator

Payment rules and modifiers for 92274

The CMS indicators that decide how 92274 is paid alongside other services.

CMS payment indicators · 92274

Multifocal ERG, 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

92274 without 26 · national office

$92.19

Multifocal ERG, interpretation and report

92274-26 · Professional component

$32.73

Pays only the interpretation and report.

When to use modifier 26

How 92274 has changed in Hawaii, Guam, HI

92274 · Office / nonfacility

$101.74

Effective 2026-10-01

The base rate is $5.46 higher than on 2025-10-01, moving from $96.28 to $101.74 (5.7%).

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

    $96.28changed to$101.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.61 changed to 0.59
    • Practice expense RVU 2.05 changed to 2.15
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $99.09changed to$96.28

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $97.47changed to$99.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $99.60changed to$97.47

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.02 changed to 2.05
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561
  5. January 1, 2023

    RVU23A

    $97.73changed to$99.60

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.92 changed to 2.02
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $100.54changed to$97.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.97 changed to 1.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $99.40changed to$100.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.86 changed to 1.97
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $102.16changed to$99.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.93 changed to 1.86
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$102.16

    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$101.74Not available in this settingRVU26D
2026-07-01$101.74Not available in this settingRVU26C
2026-04-01$101.74Not available in this settingRVU26B
2026-01-01$101.74Not available in this settingRVU26A
2025-10-01$96.28Not available in this settingRVU25D
2025-07-01$96.28Not available in this settingRVU25C
2025-04-01$96.28Not available in this settingRVU25B
2025-01-01$96.28Not available in this settingRVU25A
2024-10-01$99.09Not available in this settingRVU24D
2024-07-01$99.09Not available in this settingRVU24C
2024-04-01$99.09Not available in this settingRVU24B
2024-03-09$99.09Not available in this settingRVU24AR
2024-01-01$97.47Not available in this settingRVU24A
2023-10-01$99.60Not available in this settingRVU23D
2023-07-01$99.60Not available in this settingRVU23C
2023-04-01$99.60Not available in this settingRVU23B
2023-01-01$99.60Not available in this settingRVU23A
2022-10-01$97.73Not available in this settingRVU22D
2022-07-01$97.73Not available in this settingRVU22C
2022-04-01$97.73Not available in this settingRVU22B
2022-01-01$97.73Not available in this settingRVU22A
2021-10-01$100.54Not available in this settingRVU21D
2021-07-01$100.54Not available in this settingRVU21C
2021-04-01$100.54Not available in this settingRVU21B
2021-01-01$100.54Not available in this settingRVU21A
2020-10-01$99.40Not available in this settingRVU20D
2020-07-01$99.40Not available in this settingRVU20C
2020-04-01$99.40Not available in this settingRVU20B
2020-01-01$99.40Not available in this settingRVU20A
2019-10-01$102.16Not available in this settingRVU19D
2019-07-01$102.16Not available in this settingRVU19C
2019-04-01$102.16Not available in this settingRVU19B
2019-01-01$102.16Not 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 92274 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

92274 billing questions

How does 92274 differ from full-field ERG 92273?

Multifocal ERG evaluates responses from multiple localized retinal areas, while 92273 measures a broader, full-field retinal response. Select the test that matches the clinical question and the procedure performed.

Does 92274 include the physician's interpretation?

Yes. The global service includes the test's professional interpretation and technical work; modifier 26 identifies the professional component when billed separately.

Can the technical component be billed separately?

Yes. Modifier TC identifies the equipment and staff portion when the technical service is billed separately. The ophthalmology diagnostic multiple procedure reduction applies to that technical component.

Should modifier 50 be reported for testing both eyes?

The code is priced as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 92274?

Record the clinical reason for evaluating localized retinal function, the mfERG findings, and the physician's interpretation and report. The documentation should support that multifocal ERG was performed rather than a full-field ERG.

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 92274PPRRVU2026_Oct_nonQPP.csv, line 11,735 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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