CPT code 92285: External eye photography, external structures2026 Medicare rate & RVUs in Beaumont, TX

External ocular photography records visible eye and adnexal findings for clinical assessment or comparison over time, with physician interpretation and a report.

CMS RVU26DEffective Oct 1, 2026One payment locality453.9K Medicare services in 2024

In Beaumont, TX, Medicare pays $21.74 for 92285 in the office.

$21.74Office (non-facility)
Not available in this settingHospital or facility
−8.3%vs the national office rate ($23.71)

Check a contract rate as a % of Medicare · 92285 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 92285 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Beaumont, TX
  2. What 92285 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 92285 covers

An ophthalmic photographer or trained office staff member captures images of visible ocular structures, often using close-up or slit-lamp photography. Ophthalmologists and optometrists use the images to document findings such as eyelid or conjunctival lesions, corneal changes, and other external abnormalities, and to compare appearance at later visits. The service is commonly performed in an eye-care office or clinic.

Report 92285 when the record supports medically necessary external-eye imaging and includes the images and an interpretation or report. The code has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. The ophthalmology diagnostic multiple procedure reduction applies to the technical component. CMS prices the code as bilateral, so modifier 50 does not increase payment when both eyes are photographed.

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 Beaumont, TX compares for 92285

Across 109 of 109 payment localities, the office rate for 92285 runs from $20.38 in Arkansas to $33.04 in San Benito County, CA. Beaumont, TX pays $21.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

92285 in Beaumont, TX vs other payment areas
  1. Beaumont, TX · this page$21.74
  2. Austin, TX · Texas$24.88+$3.14
  3. Brazoria, TX · Texas$23.39+$1.65
  4. Dallas, TX · Texas$23.55+$1.81
  5. Fort Worth, TX · Texas$23.34+$1.60
  6. Galveston, TX · Texas$23.46+$1.72
  7. Houston, TX · Texas$23.83+$2.09

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

Every other payment area

92285 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$22.56—
Los Angeles, CACalifornia$27.47—
Washington, DC areaDistrict of Columbia$27.69—
Miami, FLFlorida$25.61—
Chicago, ILIllinois$24.70—
Manhattan, NYNew York$27.68—
AlaskaAlaska$25.64—
AlabamaAlabama$20.75—

92285 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.

$20.38

$29.27

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

View every state and territory as a table
92285 office rate range by state
State / territoryOffice rate rangeLocalities
AK$25.641
AL$20.751
AR$20.381
AZ$22.961
CA$25.49–$33.0429
CO$24.961
CT$25.531
DC$27.691
DE$23.401
FL$23.11–$25.613
GA$21.53–$24.202
GU$26.361
HI$26.361
IA$21.491
ID$21.651
IL$22.23–$24.824
IN$21.811
KS$21.331
KY$21.291
LA$21.23–$22.542
MA$24.74–$27.862
MD$23.93–$27.693
ME$21.75–$23.282
MI$21.94–$23.422
MN$23.861
MO$20.75–$22.693
MS$20.571
MT$23.711
NC$22.041
ND$23.321
NE$21.651
NH$24.511
NJ$25.81–$27.292
NM$22.071
NV$23.621
NY$22.45–$28.435
OH$21.861
OK$21.281
OR$23.43–$25.942
PA$21.93–$24.752
PR$23.941
RI$24.381
SC$21.991
SD$23.271
TN$21.461
TX$21.74–$24.888
UT$22.361
VA$23.15–$27.692
VI$23.941
VT$23.171
WA$24.71–$28.532
WI$22.351
WV$21.201
WY$23.541

See 92285 in every payment locality

How the 92285 rate is calculated

Each of 92285’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 · 92285

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.05

0.05 RVUs× 1.000 GPCI

Practice expense0.64

0.64 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7100

Conversion factor

$33.4009

Medicare rate

$23.71

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

The exact Beaumont, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,744

Code
92285
Physician work
0.05
Practice expense
0.64
Malpractice
0.02

GPCI2026.csv

97

Locality
Beaumont, TX
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office calculation for 92285 in Beaumont, TX
ComponentRVULocality factorAdjusted
Physician work0.05× 1.0000.0500
Practice expense0.64× 0.9100.5824
Malpractice0.02× 0.9290.0186
Total RVUs0.6510
Conversion factor× 33.4009

Office rate, Beaumont, TX$21.74

Office: (0.05 × 1 + 0.64 × 0.91 + 0.02 × 0.929) × $33.4009 = $21.74

Open 92285 in the RVU calculator

Payment rules and modifiers for 92285

The CMS indicators that decide how 92285 is paid alongside other services.

CMS payment indicators · 92285

External eye photography, external structures

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

92285 without 26 · national office

$23.71

External eye photography, external structures

92285-26 · Professional component

$3.01

Pays only the interpretation and report.

When to use modifier 26

How 92285 has changed in Beaumont, TX

92285 · Office / nonfacility

$21.74

Effective 2026-10-01

The base rate is $1.40 higher than on 2025-10-01, moving from $20.34 to $21.74 (6.9%).

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

    $20.34changed to$21.74

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.62 changed to 0.64
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $21.23changed to$20.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.63 changed to 0.62

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $20.89changed to$21.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $21.62changed to$20.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.62 changed to 0.63
    • Practice expense GPCI 0.924 changed to 0.903
    • Malpractice GPCI 0.749 changed to 0.947
  5. January 1, 2023

    RVU23A

    $22.04changed to$21.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.61 changed to 0.62
    • Practice expense GPCI 0.944 changed to 0.924
    • Malpractice GPCI 0.550 changed to 0.749

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $21.89changed to$22.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.60 changed to 0.61

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $20.85changed to$21.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.55 changed to 0.60
    • Practice expense GPCI 0.934 changed to 0.944
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $20.39changed to$20.85

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.54 changed to 0.55
    • Practice expense GPCI 0.924 changed to 0.934
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.70changed to$20.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.52 changed to 0.54

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $19.48changed to$19.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $18.94changed to$19.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.51 changed to 0.52
    • Practice expense GPCI 0.902 changed to 0.913
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $19.01changed to$18.94

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $18.92changed to$19.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $18.89changed to$18.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.899 changed to 0.902
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $19.40changed to$18.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.56 changed to 0.51
    • Practice expense GPCI 0.896 changed to 0.899
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $19.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$21.74Not available in this settingRVU26D
2026-07-01$21.74Not available in this settingRVU26C
2026-04-01$21.74Not available in this settingRVU26B
2026-01-01$21.74Not available in this settingRVU26A
2025-10-01$20.34Not available in this settingRVU25D
2025-07-01$20.34Not available in this settingRVU25C
2025-04-01$20.34Not available in this settingRVU25B
2025-01-01$20.34Not available in this settingRVU25A
2024-10-01$21.23Not available in this settingRVU24D
2024-07-01$21.23Not available in this settingRVU24C
2024-04-01$21.23Not available in this settingRVU24B
2024-03-09$21.23Not available in this settingRVU24AR
2024-01-01$20.89Not available in this settingRVU24A
2023-10-01$21.62Not available in this settingRVU23D
2023-07-01$21.62Not available in this settingRVU23C
2023-04-01$21.62Not available in this settingRVU23B
2023-01-01$21.62Not available in this settingRVU23A
2022-10-01$22.04Not available in this settingRVU22D
2022-07-01$22.04Not available in this settingRVU22C
2022-04-01$22.04Not available in this settingRVU22B
2022-01-01$22.04Not available in this settingRVU22A
2021-10-01$21.89Not available in this settingRVU21D
2021-07-01$21.89Not available in this settingRVU21C
2021-04-01$21.89Not available in this settingRVU21B
2021-01-01$21.89Not available in this settingRVU21A
2020-10-01$20.85Not available in this settingRVU20D
2020-07-01$20.85Not available in this settingRVU20C
2020-04-01$20.85Not available in this settingRVU20B
2020-01-01$20.85Not available in this settingRVU20A
2019-10-01$20.39Not available in this settingRVU19D
2019-07-01$20.39Not available in this settingRVU19C
2019-04-01$20.39Not available in this settingRVU19B
2019-01-01$20.39Not available in this settingRVU19A
2018-10-01$19.70Not available in this settingRVU18D
2018-07-01$19.70Not available in this settingRVU18C
2018-04-01$19.70Not available in this settingRVU18B
2018-01-01$19.70Not available in this settingRVU18AR1
2017-10-01$19.48Not available in this settingRVU17D
2017-07-01$19.48Not available in this settingRVU17C
2017-04-01$19.48Not available in this settingRVU17B
2017-01-01$19.48Not available in this settingRVU17A
2016-10-01$18.94Not available in this settingRVU16D
2016-07-01$18.94Not available in this settingRVU16C
2016-04-01$18.94Not available in this settingRVU16B
2016-01-01$18.94Not available in this settingRVU16A
2015-10-01$19.01Not available in this settingRVU15D
2015-07-01$19.01Not available in this settingRVU15C
2015-04-01$18.92Not available in this settingRVU15B
2015-01-01$18.92Not available in this settingRVU15A
2014-10-01$18.89Not available in this settingRVU14D
2014-07-01$18.89Not available in this settingRVU14C
2014-04-01$18.89Not available in this settingRVU14B
2014-01-01$18.89Not available in this settingRVU14A
2013-10-01$19.40Not available in this settingRVU13D
2013-07-01$19.40Not available in this settingRVU13C
2013-04-01$19.40Not available in this settingRVU13B
2013-01-01$19.40Not available in this settingRVU13AR

Price 92285 for an earlier date of service

Where the Beaumont, TX rate applies

Beaumont, TX is a Medicare payment area, not a city. Our Census mapping connects it to 13 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Beaumont
  • Beauxart Gardens
  • Bevil Oaks
  • Central Gardens
  • China
  • Fannett
  • Groves
  • Hamshire

Browse all communities in Texas

92285 billing questions

When should 92285 be used instead of 92250?

Use 92285 for photographs of visible external ocular structures, such as eyelids, conjunctiva, or corneal surface. Use 92250 for fundus photography of the posterior segment.

Does 92285 include the interpretation?

Yes. The global service includes the professional interpretation and report along with the technical service. Modifier 26 identifies the professional component when billed separately.

When is modifier TC appropriate?

Use TC when billing only the technical component, including the equipment and staff service. The technical component is subject to the ophthalmology diagnostic multiple procedure reduction.

Should modifier 50 be appended when both eyes are photographed?

No. CMS prices 92285 as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 92285?

Keep the external ocular images and a report documenting the findings and their clinical relevance. The record should show why photography was performed, such as documenting an eyelid lesion or a change in the ocular surface.

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 92285PPRRVU2026_Oct_nonQPP.csv, line 11,744 (RVU26D)
Geographic factors for Beaumont, TXGPCI2026.csv, line 97 (RVU26D)

Open CMS sourceHow we calculate rates

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