CPT code 92286: Specular microscopy, anterior segment endothelial imaging2026 Medicare rate & RVUs
Reports specular microscopy of the corneal endothelium, including image acquisition and interpretation to assess endothelial cell density and appearance.
Medicare pays $39.41 for 92286 nationally in the office. Local office rates run $35.46–$51.90.
Medicare rate · 92286
Specular microscopy, anterior segment endothelial imaging
- Work RVUs
- 0.39
- Total RVUs
- 1.18
- Global days
- XXX
National rate · 2026
$39.41
Office setting, before claim adjustments.
See every locality for 92286 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 92286 covers
Specular microscopy captures magnified images of the corneal endothelium, allowing assessment of endothelial cell density, size, and shape. Ophthalmologists commonly use it when evaluating corneal endothelial disorders, such as Fuchs dystrophy, or assessing endothelial reserve before a procedure that may affect the cornea. The test is generally performed in an eye-care setting with a specular microscope, and the service includes interpretation and a report.
Report the code when the record supports medically necessary anterior-segment endothelial imaging and documents the findings and their clinical significance. The service may be billed globally, or divided between the professional interpretation and technical image acquisition using modifier 26 or TC. Medicare applies its ophthalmology diagnostic multiple-procedure reduction to the technical component. 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.
Where 92286 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$35.46 to $51.90
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $35.91 | Unavailable |
| Alaska | $47.30 | Unavailable |
| Arizona | $38.52 | Unavailable |
| Arkansas | $35.46 | Unavailable |
| Atlanta, GA | $40.00 | Unavailable |
| Austin, TX | $40.85 | Unavailable |
| Bakersfield, CA | $41.87 | Unavailable |
| Baltimore area, MD | $41.66 | Unavailable |
| Beaumont, TX | $37.05 | Unavailable |
| Brazoria, TX | $39.14 | Unavailable |
| Chicago, IL | $40.50 | Unavailable |
| Chico, CA | $41.79 | Unavailable |
| Colorado | $41.07 | Unavailable |
| Connecticut | $41.79 | Unavailable |
| Dallas, TX | $39.33 | Unavailable |
| Delaware | $39.10 | Unavailable |
| Detroit, MI | $38.97 | Unavailable |
| East St. Louis, IL | $38.03 | Unavailable |
| El Centro, CA | $41.80 | Unavailable |
| Fort Lauderdale, FL | $40.29 | Unavailable |
| Fort Worth, TX | $39.08 | Unavailable |
| Fresno, CA | $41.79 | Unavailable |
| Galveston, TX | $39.22 | Unavailable |
| Hanford, CA | $41.79 | Unavailable |
| Hawaii, Guam, HI | $42.66 | Unavailable |
| Houston, TX | $39.59 | Unavailable |
| Idaho | $37.00 | Unavailable |
| Indiana | $37.19 | Unavailable |
| Iowa | $36.82 | Unavailable |
| Kansas | $36.61 | Unavailable |
| Kentucky | $36.50 | Unavailable |
| King County, WA | $45.78 | Unavailable |
| Los Angeles, CA | $44.43 | Unavailable |
| Madera, CA | $41.79 | Unavailable |
| Manhattan, NY | $44.80 | Unavailable |
| Marin County, CA | $50.83 | Unavailable |
| Merced, CA | $41.79 | Unavailable |
| Metropolitan Boston, MA | $44.86 | Unavailable |
| Metropolitan Kansas City, MO | $37.83 | Unavailable |
| Metropolitan Philadelphia, PA | $40.83 | Unavailable |
| Metropolitan St. Louis, MO | $38.18 | Unavailable |
| Miami, FL | $41.49 | Unavailable |
| Minnesota | $39.69 | Unavailable |
| Mississippi | $35.66 | Unavailable |
| Modesto, CA | $41.79 | Unavailable |
| Montana | $39.41 | Unavailable |
| Napa, CA | $48.08 | Unavailable |
| Nebraska | $37.02 | Unavailable |
| Nevada | $39.33 | Unavailable |
| New Hampshire | $40.38 | Unavailable |
| New Mexico | $37.41 | Unavailable |
| New Orleans, LA | $37.99 | Unavailable |
| North Carolina | $37.45 | Unavailable |
| North Dakota | $39.02 | Unavailable |
| Northern New Jersey | $44.39 | Unavailable |
| NYC suburbs and Long Island, NY | $45.68 | Unavailable |
| Ohio | $37.18 | Unavailable |
| Oklahoma | $36.51 | Unavailable |
| Oxnard, CA | $44.21 | Unavailable |
| Portland, OR | $42.31 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $42.58 | Unavailable |
| Puerto Rico | $39.69 | Unavailable |
| Queens, NY | $45.22 | Unavailable |
| Redding, CA | $41.79 | Unavailable |
| Rest of California | $41.79 | Unavailable |
| Rest of Florida | $38.62 | Unavailable |
| Rest of Georgia | $36.76 | Unavailable |
| Rest of Illinois | $37.55 | Unavailable |
| Rest of Louisiana | $36.43 | Unavailable |
| Rest of Maine | $37.10 | Unavailable |
| Rest of Maryland | $39.80 | Unavailable |
| Rest of Massachusetts | $40.85 | Unavailable |
| Rest of Michigan | $37.26 | Unavailable |
| Rest of Missouri | $35.85 | Unavailable |
| Rest of New Jersey | $42.37 | Unavailable |
| Rest of New York | $37.93 | Unavailable |
| Rest of Oregon | $39.11 | Unavailable |
| Rest of Pennsylvania | $37.27 | Unavailable |
| Rest of Texas | $38.04 | Unavailable |
| Rest of Washington | $40.79 | Unavailable |
| Rhode Island | $40.44 | Unavailable |
| Riverside, CA | $42.02 | Unavailable |
| Sacramento, CA | $43.76 | Unavailable |
| Salinas, CA | $43.60 | Unavailable |
| San Benito County, CA | $51.90 | Unavailable |
| San Diego, CA | $44.54 | Unavailable |
| San Francisco, CA | $50.81 | Unavailable |
| San Luis Obispo, CA | $42.90 | Unavailable |
| Santa Clara County, CA | $51.81 | Unavailable |
| Santa Cruz, CA | $44.91 | Unavailable |
| Santa Maria, CA | $43.74 | Unavailable |
| Santa Rosa, CA | $45.36 | Unavailable |
| South Carolina | $37.36 | Unavailable |
| South Dakota | $38.97 | Unavailable |
| Southern Maine, ME | $38.94 | Unavailable |
| Stockton, CA | $41.79 | Unavailable |
| Suburban Chicago, IL | $40.71 | Unavailable |
| Tennessee | $36.76 | Unavailable |
| Utah | $37.80 | Unavailable |
| Vallejo, CA | $48.05 | Unavailable |
| Vermont | $38.83 | Unavailable |
| Virgin Islands, VI | $39.69 | Unavailable |
| Virginia | $38.78 | Unavailable |
| Visalia, CA | $41.79 | Unavailable |
| Washington, DC area | $44.77 | Unavailable |
| West Virginia | $36.33 | Unavailable |
| Wisconsin | $37.87 | Unavailable |
| Wyoming | $39.24 | Unavailable |
| Yuba City, CA | $41.79 | Unavailable |
92286 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.
$35.46
$47.30
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 | $47.30 | 1 |
| AL | $35.91 | 1 |
| AR | $35.46 | 1 |
| AZ | $38.52 | 1 |
| CA | $41.79–$51.90 | 29 |
| CO | $41.07 | 1 |
| CT | $41.79 | 1 |
| DC | $44.77 | 1 |
| DE | $39.10 | 1 |
| FL | $38.62–$41.49 | 3 |
| GA | $36.76–$40.00 | 2 |
| GU | $42.66 | 1 |
| HI | $42.66 | 1 |
| IA | $36.82 | 1 |
| ID | $37.00 | 1 |
| IL | $37.55–$40.71 | 4 |
| IN | $37.19 | 1 |
| KS | $36.61 | 1 |
| KY | $36.50 | 1 |
| LA | $36.43–$37.99 | 2 |
| MA | $40.85–$44.86 | 2 |
| MD | $39.80–$44.77 | 3 |
| ME | $37.10–$38.94 | 2 |
| MI | $37.26–$38.97 | 2 |
| MN | $39.69 | 1 |
| MO | $35.85–$38.18 | 3 |
| MS | $35.66 | 1 |
| MT | $39.41 | 1 |
| NC | $37.45 | 1 |
| ND | $39.02 | 1 |
| NE | $37.02 | 1 |
| NH | $40.38 | 1 |
| NJ | $42.37–$44.39 | 2 |
| NM | $37.41 | 1 |
| NV | $39.33 | 1 |
| NY | $37.93–$45.68 | 5 |
| OH | $37.18 | 1 |
| OK | $36.51 | 1 |
| OR | $39.11–$42.31 | 2 |
| PA | $37.27–$40.83 | 2 |
| PR | $39.69 | 1 |
| RI | $40.44 | 1 |
| SC | $37.36 | 1 |
| SD | $38.97 | 1 |
| TN | $36.76 | 1 |
| TX | $37.05–$40.85 | 8 |
| UT | $37.80 | 1 |
| VA | $38.78–$44.77 | 2 |
| VI | $39.69 | 1 |
| VT | $38.83 | 1 |
| WA | $40.79–$45.78 | 2 |
| WI | $37.87 | 1 |
| WV | $36.33 | 1 |
| WY | $39.24 | 1 |
How the 92286 rate is calculated
Each of 92286’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 · 92286
RVUs × geographic indexes × conversion factor
Work0.39
0.39 RVUs× 1.000 GPCI
Practice expense0.77
0.77 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.1800
Conversion factor
$33.4009
Medicare rate
$39.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92286
The CMS indicators that decide how 92286 is paid alongside other services.
CMS payment indicators · 92286
Specular microscopy, anterior segment endothelial imaging
| 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
92286 without 26 · national office
$39.41
Specular microscopy, anterior segment endothelial imaging
92286-26 · Professional component
$21.04
Pays only the interpretation and report.
92286 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92287Eye angiographyAnterior segment
- 92286 uses specular microscopy to assess the corneal endothelium. 92287 is anterior-segment imaging with fluorescein angiography.
- 92285External eye photographyExternal structures
- 92285 captures external ocular photographs. Choose 92286 when the service is specular imaging of corneal endothelial cells.
- 92250Fundus photographyRetinal photos with interpretation
- 92250 documents the fundus, including posterior-segment structures. 92286 evaluates the corneal endothelium in the anterior segment.
92286 billing questions
When should this code be chosen over 92287?
Use 92286 for specular microscopy focused on the corneal endothelium. Code 92287 describes anterior-segment imaging using fluorescein angiography.
Can the interpretation and image acquisition be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Does modifier 50 increase payment for both eyes?
No. Medicare prices 92286 as bilateral, and modifier 50 does not increase payment.
How does the multiple-procedure reduction affect this code?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when applicable. It applies to the TC portion, not the professional interpretation.
What should the record support?
Document the clinical reason for endothelial imaging, the images or test results, and an interpretation tied to the patient’s corneal findings or management.
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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