CPT code 92288: Dark adaptation, screening2026 Medicare rate & RVUs in Texas
Reports a screening measurement of dark adaptation, including interpretation and a report, rather than the diagnostic dark adaptation examination identified by 92284.
CMS doesn’t publish an office rate for 92288 in Texas.
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 9 sections
What 92288 covers
Code 92288 identifies a screening measurement of dark adaptation and includes interpretation and a report. It is selected for a screening service, not for the diagnostic dark adaptation examination represented by 92284. The distinction is the purpose of the dark adaptation service: screening measurement versus diagnostic examination. The reported service is the screening measurement with its interpretation and report, rather than a diagnostic dark adaptation examination.
Medicare lists this service as not covered, with physician fee schedule status N. Code 92288 represents screening dark adaptation measurement with interpretation and reporting; 92284 represents a diagnostic dark adaptation examination. These codes distinguish screening from diagnostic dark adaptation services. Select the code that corresponds to the service performed.
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 92288 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
How the 92288 rate is calculated
Each of 92288’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 · 92288
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.53
0.53 RVUs× 1.000 GPCI
Malpractice0.01
0.01 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.
Payment rules and modifiers for 92288
92288 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 92288
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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92288 isn’t priced in this setting.
92288 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92284Dark adaptationDiagnostic examination
- 92288 identifies screening dark adaptation measurement; 92284 identifies a diagnostic dark adaptation examination.
- 92273Full-field ERGWith interpretation and report
- 92273 identifies full-field electroretinography, not screening dark adaptation measurement.
- 92274Multifocal ERGInterpretation and report
- 92274 identifies multifocal electroretinography, not screening dark adaptation measurement.
92288 billing questions
When should 92288 be used instead of 92284?
Use 92288 for screening dark adaptation measurement with interpretation and a report. Code 92284 identifies a diagnostic dark adaptation examination.
Does 92288 include interpretation and a report?
Yes. Interpretation and reporting are included in the screening dark adaptation service.
Does Medicare cover 92288?
No. Medicare lists the service as not covered, with physician fee schedule status N.
Is 92288 the same as electroretinography?
No. Code 92288 identifies screening dark adaptation measurement; 92273 and 92274 identify electroretinography services.
Is 92288 a code for retinal imaging?
No. Code 92288 identifies screening dark adaptation measurement, while 92250 identifies fundus photography.
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
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