CPT code 92286: Specular microscopy, anterior segment endothelial imaging2026 Medicare rate & RVUs in Montana
Reports specular microscopy of the corneal endothelium, including image acquisition and interpretation to assess endothelial cell density and appearance.
In Montana, Medicare pays $39.41 for 92286 in the office.
Check a contract rate as a % of Medicare · 92286 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 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.
How Montana compares for 92286
Across 109 of 109 payment localities, the office rate for 92286 runs from $35.46 in Arkansas to $51.90 in San Benito County, CA. Montana pays $39.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$39.41
- Los Angeles, CA · California$44.43+$5.02
- Washington, DC area · District of Columbia$44.77+$5.36
- Miami, FL · Florida$41.49+$2.08
- Chicago, IL · Illinois$40.50+$1.09
- Manhattan, NY · New York$44.80+$5.39
- Alaska · Alaska$47.30+$7.89
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $35.91 | — |
| ArkansasArkansas | $35.46 | — |
| ArizonaArizona | $38.52 | — |
| Bakersfield, CACalifornia | $41.87 | — |
| Chico, CACalifornia | $41.79 | — |
| El Centro, CACalifornia | $41.80 | — |
| Fresno, CACalifornia | $41.79 | — |
| Hanford, CACalifornia | $41.79 | — |
| Madera, CACalifornia | $41.79 | — |
| Merced, CACalifornia | $41.79 | — |
| Modesto, CACalifornia | $41.79 | — |
| Napa, CACalifornia | $48.08 | — |
| Oxnard, CACalifornia | $44.21 | — |
| Redding, CACalifornia | $41.79 | — |
| Rest of CaliforniaCalifornia | $41.79 | — |
| Riverside, CACalifornia | $42.02 | — |
| Sacramento, CACalifornia | $43.76 | — |
| Salinas, CACalifornia | $43.60 | — |
| San Diego, CACalifornia | $44.54 | — |
| Marin County, CACalifornia | $50.83 | — |
| San Francisco, CACalifornia | $50.81 | — |
| San Benito County, CACalifornia | $51.90 | — |
| Santa Clara County, CACalifornia | $51.81 | — |
| San Luis Obispo, CACalifornia | $42.90 | — |
| Santa Cruz, CACalifornia | $44.91 | — |
| Santa Maria, CACalifornia | $43.74 | — |
| Santa Rosa, CACalifornia | $45.36 | — |
| Stockton, CACalifornia | $41.79 | — |
| Vallejo, CACalifornia | $48.05 | — |
| Visalia, CACalifornia | $41.79 | — |
| Yuba City, CACalifornia | $41.79 | — |
| ColoradoColorado | $41.07 | — |
| ConnecticutConnecticut | $41.79 | — |
| DelawareDelaware | $39.10 | — |
| Fort Lauderdale, FLFlorida | $40.29 | — |
| Rest of FloridaFlorida | $38.62 | — |
| Atlanta, GAGeorgia | $40.00 | — |
| Rest of GeorgiaGeorgia | $36.76 | — |
| Hawaii, Guam, HIHawaii | $42.66 | — |
| IowaIowa | $36.82 | — |
| IdahoIdaho | $37.00 | — |
| East St. Louis, ILIllinois | $38.03 | — |
| Rest of IllinoisIllinois | $37.55 | — |
| Suburban Chicago, ILIllinois | $40.71 | — |
| IndianaIndiana | $37.19 | — |
| KansasKansas | $36.61 | — |
| KentuckyKentucky | $36.50 | — |
| New Orleans, LALouisiana | $37.99 | — |
| Rest of LouisianaLouisiana | $36.43 | — |
| Metropolitan Boston, MAMassachusetts | $44.86 | — |
| Rest of MassachusettsMassachusetts | $40.85 | — |
| Baltimore area, MDMaryland | $41.66 | — |
| Rest of MarylandMaryland | $39.80 | — |
| Rest of MaineMaine | $37.10 | — |
| Southern Maine, MEMaine | $38.94 | — |
| Detroit, MIMichigan | $38.97 | — |
| Rest of MichiganMichigan | $37.26 | — |
| MinnesotaMinnesota | $39.69 | — |
| Metropolitan Kansas City, MOMissouri | $37.83 | — |
| Metropolitan St. Louis, MOMissouri | $38.18 | — |
| Rest of MissouriMissouri | $35.85 | — |
| MississippiMississippi | $35.66 | — |
| North CarolinaNorth Carolina | $37.45 | — |
| North DakotaNorth Dakota | $39.02 | — |
| NebraskaNebraska | $37.02 | — |
| New HampshireNew Hampshire | $40.38 | — |
| Northern New JerseyNew Jersey | $44.39 | — |
| Rest of New JerseyNew Jersey | $42.37 | — |
| New MexicoNew Mexico | $37.41 | — |
| NevadaNevada | $39.33 | — |
| NYC suburbs and Long Island, NYNew York | $45.68 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $42.58 | — |
| Queens, NYNew York | $45.22 | — |
| Rest of New YorkNew York | $37.93 | — |
| OhioOhio | $37.18 | — |
| OklahomaOklahoma | $36.51 | — |
| Portland, OROregon | $42.31 | — |
| Rest of OregonOregon | $39.11 | — |
| Metropolitan Philadelphia, PAPennsylvania | $40.83 | — |
| Rest of PennsylvaniaPennsylvania | $37.27 | — |
| Puerto RicoPuerto Rico | $39.69 | — |
| Rhode IslandRhode Island | $40.44 | — |
| South CarolinaSouth Carolina | $37.36 | — |
| South DakotaSouth Dakota | $38.97 | — |
| TennesseeTennessee | $36.76 | — |
| Austin, TXTexas | $40.85 | — |
| Beaumont, TXTexas | $37.05 | — |
| Brazoria, TXTexas | $39.14 | — |
| Dallas, TXTexas | $39.33 | — |
| Fort Worth, TXTexas | $39.08 | — |
| Galveston, TXTexas | $39.22 | — |
| Houston, TXTexas | $39.59 | — |
| Rest of TexasTexas | $38.04 | — |
| UtahUtah | $37.80 | — |
| VirginiaVirginia | $38.78 | — |
| Virgin Islands, VIUnited States Virgin Islands | $39.69 | — |
| VermontVermont | $38.83 | — |
| Rest of WashingtonWashington | $40.79 | — |
| King County, WAWashington | $45.78 | — |
| WisconsinWisconsin | $37.87 | — |
| West VirginiaWest Virginia | $36.33 | — |
| WyomingWyoming | $39.24 | — |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,747
- Code
- 92286
- Physician work
- 0.39
- Practice expense
- 0.77
- Malpractice
- 0.02
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.39 | × 1.000 | 0.3900 |
| Practice expense | 0.77 | × 1.000 | 0.7700 |
| Malpractice | 0.02 | × 0.998 | 0.0200 |
| Total RVUs | 1.1800 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$39.41
Office: (0.39 × 1 + 0.77 × 1 + 0.02 × 0.998) × $33.4009 = $39.41
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.
How 92286 has changed in Montana
92286 · Office / nonfacility
$39.41
Effective 2026-10-01
The base rate is $1.90 higher than on 2025-10-01, moving from $37.51 to $39.41 (5.1%).
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
$37.51changed to$39.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.40 changed to 0.39
- Practice expense RVU 0.74 changed to 0.77
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$38.93changed to$37.51
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.75 changed to 0.74
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$38.30changed to$38.93
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$39.29changed to$38.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.74 changed to 0.75
January 1, 2023
RVU23A
$39.78changed to$39.29
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.73 changed to 0.74
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$39.76changed to$39.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.72 changed to 0.73
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$39.92changed to$39.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.68 changed to 0.72
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$40.10changed to$39.92
- Conversion factor 36.0391 changed to 36.0896
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$39.69changed to$40.10
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.67 changed to 0.68
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$39.43changed to$39.69
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$38.83changed to$39.43
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.66 changed to 0.67
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$38.97changed to$38.83
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$38.78changed to$38.97
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$38.81changed to$38.78
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$38.86changed to$38.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.72 changed to 0.66
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $38.86
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $39.41 | Not available in this setting | RVU26D |
| 2026-07-01 | $39.41 | Not available in this setting | RVU26C |
| 2026-04-01 | $39.41 | Not available in this setting | RVU26B |
| 2026-01-01 | $39.41 | Not available in this setting | RVU26A |
| 2025-10-01 | $37.51 | Not available in this setting | RVU25D |
| 2025-07-01 | $37.51 | Not available in this setting | RVU25C |
| 2025-04-01 | $37.51 | Not available in this setting | RVU25B |
| 2025-01-01 | $37.51 | Not available in this setting | RVU25A |
| 2024-10-01 | $38.93 | Not available in this setting | RVU24D |
| 2024-07-01 | $38.93 | Not available in this setting | RVU24C |
| 2024-04-01 | $38.93 | Not available in this setting | RVU24B |
| 2024-03-09 | $38.93 | Not available in this setting | RVU24AR |
| 2024-01-01 | $38.30 | Not available in this setting | RVU24A |
| 2023-10-01 | $39.29 | Not available in this setting | RVU23D |
| 2023-07-01 | $39.29 | Not available in this setting | RVU23C |
| 2023-04-01 | $39.29 | Not available in this setting | RVU23B |
| 2023-01-01 | $39.29 | Not available in this setting | RVU23A |
| 2022-10-01 | $39.78 | Not available in this setting | RVU22D |
| 2022-07-01 | $39.78 | Not available in this setting | RVU22C |
| 2022-04-01 | $39.78 | Not available in this setting | RVU22B |
| 2022-01-01 | $39.78 | Not available in this setting | RVU22A |
| 2021-10-01 | $39.76 | Not available in this setting | RVU21D |
| 2021-07-01 | $39.76 | Not available in this setting | RVU21C |
| 2021-04-01 | $39.76 | Not available in this setting | RVU21B |
| 2021-01-01 | $39.76 | Not available in this setting | RVU21A |
| 2020-10-01 | $39.92 | Not available in this setting | RVU20D |
| 2020-07-01 | $39.92 | Not available in this setting | RVU20C |
| 2020-04-01 | $39.92 | Not available in this setting | RVU20B |
| 2020-01-01 | $39.92 | Not available in this setting | RVU20A |
| 2019-10-01 | $40.10 | Not available in this setting | RVU19D |
| 2019-07-01 | $40.10 | Not available in this setting | RVU19C |
| 2019-04-01 | $40.10 | Not available in this setting | RVU19B |
| 2019-01-01 | $40.10 | Not available in this setting | RVU19A |
| 2018-10-01 | $39.69 | Not available in this setting | RVU18D |
| 2018-07-01 | $39.69 | Not available in this setting | RVU18C |
| 2018-04-01 | $39.69 | Not available in this setting | RVU18B |
| 2018-01-01 | $39.69 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $39.43 | Not available in this setting | RVU17D |
| 2017-07-01 | $39.43 | Not available in this setting | RVU17C |
| 2017-04-01 | $39.43 | Not available in this setting | RVU17B |
| 2017-01-01 | $39.43 | Not available in this setting | RVU17A |
| 2016-10-01 | $38.83 | Not available in this setting | RVU16D |
| 2016-07-01 | $38.83 | Not available in this setting | RVU16C |
| 2016-04-01 | $38.83 | Not available in this setting | RVU16B |
| 2016-01-01 | $38.83 | Not available in this setting | RVU16A |
| 2015-10-01 | $38.97 | Not available in this setting | RVU15D |
| 2015-07-01 | $38.97 | Not available in this setting | RVU15C |
| 2015-04-01 | $38.78 | Not available in this setting | RVU15B |
| 2015-01-01 | $38.78 | Not available in this setting | RVU15A |
| 2014-10-01 | $38.81 | Not available in this setting | RVU14D |
| 2014-07-01 | $38.81 | Not available in this setting | RVU14C |
| 2014-04-01 | $38.81 | Not available in this setting | RVU14B |
| 2014-01-01 | $38.81 | Not available in this setting | RVU14A |
| 2013-10-01 | $38.86 | Not available in this setting | RVU13D |
| 2013-07-01 | $38.86 | Not available in this setting | RVU13C |
| 2013-04-01 | $38.86 | Not available in this setting | RVU13B |
| 2013-01-01 | $38.86 | Not available in this setting | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
Fee sheets · Coming soon
Put 92286 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist