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CMS RVU26D · Effective 2026-10-01

92284 in Redding

Office / nonfacility

$35.13

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmic testing

About 92284: Diagnostic dark adaptation examination

A diagnostic dark-adaptation study evaluates recovery of visual sensitivity in darkness, typically when symptoms or findings raise concern for impaired rod function.

This examination measures how visual sensitivity recovers after the eyes move from light into darkness. Ophthalmologists and optometrists may use it when a patient reports difficulty seeing in dim conditions or when findings raise concern about retinal rod function. Testing is generally performed in an eye-care office with dark-adaptation equipment; the service includes interpretation and a report of the diagnostic findings.

Report 92284 for diagnostic testing, rather than the screening measurement represented by 92288. Documentation should identify the clinical reason for testing and include the results and interpretation. The code may be billed globally, or the professional interpretation and technical testing may be billed separately with modifiers 26 and TC. When multiple ophthalmic diagnostic procedures are performed, the Medicare multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.

CMS billing rules for 92284

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.28 · 28%
  • Practice expense (office) RVU0.69 · 70%
  • Malpractice RVU0.02 · 2%

29.1K

Medicare services in 2024 · #984 by national volume

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.

92284 compared with similar codes

Office rates for Redding, from the same CMS release.

92288

Scr dark adaptation meas i&r

No office rate

92284 is the diagnostic dark-adaptation examination; 92288 is the screening measurement. The clinical purpose distinguishes the two.

92273

Full-field ERG

With interpretation and report

$132.75

92273 records full-field retinal electrical activity. Choose it when that response is being tested, rather than recovery of visual sensitivity in darkness.

92274

Multifocal ERG

Interpretation and report

$99.11

92274 evaluates multifocal retinal electrical responses across the retina. It is not a dark-adaptation measurement.

92283

Color vision exam

Extended testing

$59.58

92283 is an extended color-vision examination; 92284 evaluates adaptation to darkness and related visual sensitivity.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 92284 is $35.20—$0.07 higher than the $35.13 rate in Redding. Both use the same code, release and participation basis.

92284 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $35.13

  2. Bakersfield

    $35.20

    $0.07 higher than Redding

  3. Chico

    $35.13

    The same base rate than Redding

  4. El Centro

    $35.13

    The same base rate than Redding

  5. Fresno

    $35.13

    The same base rate than Redding

  6. Hanford-Corcoran

    $35.13

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $37.44

    $2.31 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92284 ranges from $29.49 in Arkansas to $43.97 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 92284

    Office

    $40.66

    Facility

    Unavailable

    $5.53 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92284

    Office

    $37.27

    Facility

    Unavailable

    $2.14 higher than Redding for the office setting.

  • Rest Of California

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92284

    Office

    $35.35

    Facility

    Unavailable

    $0.22 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92284

    Office

    $36.85

    Facility

    Unavailable

    $1.72 higher than Redding for the office setting.

  • Salinas

    California · 92284

    Office

    $36.71

    Facility

    Unavailable

    $1.58 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92284

    Office

    $37.56

    Facility

    Unavailable

    $2.43 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92284

    Office

    $43.04

    Facility

    Unavailable

    $7.91 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92284

    Office

    $43.02

    Facility

    Unavailable

    $7.89 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92284

    Office

    $43.97

    Facility

    Unavailable

    $8.84 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92284

    Office

    $43.88

    Facility

    Unavailable

    $8.75 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92284

    Office

    $36.12

    Facility

    Unavailable

    $0.99 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 92284

    Office

    $37.91

    Facility

    Unavailable

    $2.78 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 92284

    Office

    $36.84

    Facility

    Unavailable

    $1.71 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 92284

    Office

    $38.29

    Facility

    Unavailable

    $3.16 higher than Redding for the office setting.

  • Stockton

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 92284

    Office

    $40.62

    Facility

    Unavailable

    $5.49 higher than Redding for the office setting.

  • Visalia

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 92284

    Office

    $35.13

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92284

    Office

    $37.75

    Facility

    Unavailable

    $2.62 higher than Redding for the office setting.

  • Miami

    Florida · 92284

    Office

    $35.03

    Facility

    Unavailable

    $0.10 lower than Redding for the office setting.

  • Chicago

    Illinois · 92284

    Office

    $34.11

    Facility

    Unavailable

    $1.02 lower than Redding for the office setting.

  • Manhattan

    New York · 92284

    Office

    $37.79

    Facility

    Unavailable

    $2.66 higher than Redding for the office setting.

  • Alaska*

    Alaska · 92284

    Office

    $38.94

    Facility

    Unavailable

    $3.81 higher than Redding for the office setting.

  • Alabama

    Alabama · 92284

    Office

    $29.90

    Facility

    Unavailable

    $5.23 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 92284

    Office

    $29.49

    Facility

    Unavailable

    $5.64 lower than Redding for the office setting.

  • Arizona

    Arizona · 92284

    Office

    $32.26

    Facility

    Unavailable

    $2.87 lower than Redding for the office setting.

  • Colorado

    Colorado · 92284

    Office

    $34.51

    Facility

    Unavailable

    $0.62 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 92284

    Office

    $35.17

    Facility

    Unavailable

    $0.04 higher than Redding for the office setting.

  • Delaware

    Delaware · 92284

    Office

    $32.77

    Facility

    Unavailable

    $2.36 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 92284

    Office

    $33.91

    Facility

    Unavailable

    $1.22 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 92284

    Office

    $32.39

    Facility

    Unavailable

    $2.74 lower than Redding for the office setting.

  • Atlanta

    Georgia · 92284

    Office

    $33.60

    Facility

    Unavailable

    $1.53 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 92284

    Office

    $30.71

    Facility

    Unavailable

    $4.42 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 92284

    Office

    $35.94

    Facility

    Unavailable

    $0.81 higher than Redding for the office setting.

  • Iowa

    Iowa · 92284

    Office

    $30.71

    Facility

    Unavailable

    $4.42 lower than Redding for the office setting.

  • Idaho

    Idaho · 92284

    Office

    $30.87

    Facility

    Unavailable

    $4.26 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 92284

    Office

    $31.90

    Facility

    Unavailable

    $3.23 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 92284

    Office

    $31.44

    Facility

    Unavailable

    $3.69 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 92284

    Office

    $34.27

    Facility

    Unavailable

    $0.86 lower than Redding for the office setting.

  • Indiana

    Indiana · 92284

    Office

    $31.04

    Facility

    Unavailable

    $4.09 lower than Redding for the office setting.

  • Kansas

    Kansas · 92284

    Office

    $30.52

    Facility

    Unavailable

    $4.61 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 92284

    Office

    $30.45

    Facility

    Unavailable

    $4.68 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 92284

    Office

    $31.80

    Facility

    Unavailable

    $3.33 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 92284

    Office

    $30.39

    Facility

    Unavailable

    $4.74 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 92284

    Office

    $37.85

    Facility

    Unavailable

    $2.72 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92284

    Office

    $34.30

    Facility

    Unavailable

    $0.83 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92284

    Office

    $35.06

    Facility

    Unavailable

    $0.07 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 92284

    Office

    $33.38

    Facility

    Unavailable

    $1.75 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 92284

    Office

    $30.97

    Facility

    Unavailable

    $4.16 lower than Redding for the office setting.

  • Southern Maine

    Maine · 92284

    Office

    $32.61

    Facility

    Unavailable

    $2.52 lower than Redding for the office setting.

  • Detroit

    Michigan · 92284

    Office

    $32.72

    Facility

    Unavailable

    $2.41 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 92284

    Office

    $31.15

    Facility

    Unavailable

    $3.98 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 92284

    Office

    $33.26

    Facility

    Unavailable

    $1.87 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 92284

    Office

    $31.65

    Facility

    Unavailable

    $3.48 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 92284

    Office

    $31.96

    Facility

    Unavailable

    $3.17 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 92284

    Office

    $29.87

    Facility

    Unavailable

    $5.26 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 92284

    Office

    $29.69

    Facility

    Unavailable

    $5.44 lower than Redding for the office setting.

  • Montana**

    Montana · 92284

    Office

    $33.07

    Facility

    Unavailable

    $2.06 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 92284

    Office

    $31.28

    Facility

    Unavailable

    $3.85 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 92284

    Office

    $32.67

    Facility

    Unavailable

    $2.46 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 92284

    Office

    $30.88

    Facility

    Unavailable

    $4.25 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 92284

    Office

    $33.93

    Facility

    Unavailable

    $1.20 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 92284

    Office

    $37.39

    Facility

    Unavailable

    $2.26 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 92284

    Office

    $35.63

    Facility

    Unavailable

    $0.50 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 92284

    Office

    $31.29

    Facility

    Unavailable

    $3.84 lower than Redding for the office setting.

  • Nevada**

    Nevada · 92284

    Office

    $32.98

    Facility

    Unavailable

    $2.15 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92284

    Office

    $38.59

    Facility

    Unavailable

    $3.46 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92284

    Office

    $35.82

    Facility

    Unavailable

    $0.69 higher than Redding for the office setting.

  • Queens

    New York · 92284

    Office

    $38.16

    Facility

    Unavailable

    $3.03 higher than Redding for the office setting.

  • Rest Of New York

    New York · 92284

    Office

    $31.72

    Facility

    Unavailable

    $3.41 lower than Redding for the office setting.

  • Ohio

    Ohio · 92284

    Office

    $31.07

    Facility

    Unavailable

    $4.06 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 92284

    Office

    $30.45

    Facility

    Unavailable

    $4.68 lower than Redding for the office setting.

  • Portland

    Oregon · 92284

    Office

    $35.60

    Facility

    Unavailable

    $0.47 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 92284

    Office

    $32.78

    Facility

    Unavailable

    $2.35 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92284

    Office

    $34.31

    Facility

    Unavailable

    $0.82 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92284

    Office

    $31.14

    Facility

    Unavailable

    $3.99 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 92284

    Office

    $33.31

    Facility

    Unavailable

    $1.82 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 92284

    Office

    $33.93

    Facility

    Unavailable

    $1.20 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 92284

    Office

    $31.22

    Facility

    Unavailable

    $3.91 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 92284

    Office

    $32.62

    Facility

    Unavailable

    $2.51 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 92284

    Office

    $30.66

    Facility

    Unavailable

    $4.47 lower than Redding for the office setting.

  • Austin

    Texas · 92284

    Office

    $34.35

    Facility

    Unavailable

    $0.78 lower than Redding for the office setting.

  • Beaumont

    Texas · 92284

    Office

    $30.95

    Facility

    Unavailable

    $4.18 lower than Redding for the office setting.

  • Brazoria

    Texas · 92284

    Office

    $32.79

    Facility

    Unavailable

    $2.34 lower than Redding for the office setting.

  • Dallas

    Texas · 92284

    Office

    $32.96

    Facility

    Unavailable

    $2.17 lower than Redding for the office setting.

  • Fort Worth

    Texas · 92284

    Office

    $32.74

    Facility

    Unavailable

    $2.39 lower than Redding for the office setting.

  • Galveston

    Texas · 92284

    Office

    $32.87

    Facility

    Unavailable

    $2.26 lower than Redding for the office setting.

  • Houston

    Texas · 92284

    Office

    $33.23

    Facility

    Unavailable

    $1.90 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 92284

    Office

    $31.83

    Facility

    Unavailable

    $3.30 lower than Redding for the office setting.

  • Utah

    Utah · 92284

    Office

    $31.62

    Facility

    Unavailable

    $3.51 lower than Redding for the office setting.

  • Virginia

    Virginia · 92284

    Office

    $32.48

    Facility

    Unavailable

    $2.65 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92284

    Office

    $33.31

    Facility

    Unavailable

    $1.82 lower than Redding for the office setting.

  • Vermont

    Vermont · 92284

    Office

    $32.51

    Facility

    Unavailable

    $2.62 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 92284

    Office

    $34.25

    Facility

    Unavailable

    $0.88 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 92284

    Office

    $38.64

    Facility

    Unavailable

    $3.51 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 92284

    Office

    $31.64

    Facility

    Unavailable

    $3.49 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 92284

    Office

    $30.34

    Facility

    Unavailable

    $4.79 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 92284

    Office

    $32.89

    Facility

    Unavailable

    $2.24 lower than Redding for the office setting.

See how rates vary across the country

92284 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$29.49

$39.55

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$38.941
AL$29.901
AR$29.491
AZ$32.261
CA$35.13–$43.9729
CO$34.511
CT$35.171
DC$37.751
DE$32.771
FL$32.39–$35.033
GA$30.71–$33.602
GU$35.941
HI$35.941
IA$30.711
ID$30.871
IL$31.44–$34.274
IN$31.041
KS$30.521
KY$30.451
LA$30.39–$31.802
MA$34.30–$37.852
MD$33.38–$37.753
ME$30.97–$32.612
MI$31.15–$32.722
MN$33.261
MO$29.87–$31.963
MS$29.691
MT$33.071
NC$31.281
ND$32.671
NE$30.881
NH$33.931
NJ$35.63–$37.392
NM$31.291
NV$32.981
NY$31.72–$38.595
OH$31.071
OK$30.451
OR$32.78–$35.602
PA$31.14–$34.312
PR$33.311
RI$33.931
SC$31.221
SD$32.621
TN$30.661
TX$30.95–$34.358
UT$31.621
VA$32.48–$37.752
VI$33.311
VT$32.511
WA$34.25–$38.642
WI$31.641
WV$30.341
WY$32.891

Explore 92284 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92284 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$38.64

$35.13 × 110% = $38.64

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92284 in Redding.

PPRRVU2026_Oct_nonQPP.csv

11,741

Code
92284
Physician work
0.28
Practice expense
0.69
Malpractice
0.02

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92284 in Redding
ComponentRVULocality factorAdjusted
Physician work0.28× 1.0170.2848
Practice expense0.69× 1.0960.7562
Malpractice0.02× 0.5360.0107
Total RVUs1.0517
Conversion factor× 33.4009

Office / nonfacility rate, Redding$35.13

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92284 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.281.017
Practice expense0.691.096
Malpractice0.020.536

(0.28 × 1.017 + 0.69 × 1.096 + 0.02 × 0.536) × $33.4009 = $35.13

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92284 · Office / nonfacility

$35.13

Effective 2026-10-01

The base rate is $3.13 higher than on 2025-10-01, moving from $32.00 to $35.13 (9.8%).

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

    $32.00changed to$35.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.00 changed to 0.28
    • Practice expense RVU 0.90 changed to 0.69
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $32.00

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$35.13Not available in this settingRVU26D
2026-07-01$35.13Not available in this settingRVU26C
2026-04-01$35.13Not available in this settingRVU26B
2026-01-01$35.13Not available in this settingRVU26A
2025-10-01$32.00Not available in this settingRVU25D
2025-07-01$32.00Not available in this settingRVU25C
2025-04-01$32.00Not available in this settingRVU25B
2025-01-01$32.00Not available in this settingRVU25A

92284 billing questions

When should 92284 be used instead of 92288?

Use 92284 for a diagnostic dark-adaptation examination prompted by symptoms or clinical findings. Code 92288 describes a screening dark-adaptation measurement.

Can the professional and technical services be billed separately?

Yes. Report modifier 26 for the professional interpretation and modifier TC for the technical service; billing without either modifier represents the global service.

Does modifier 50 increase payment for testing both eyes?

No. CMS prices 92284 as bilateral, and modifier 50 does not increase payment.

How does the multiple-procedure reduction affect 92284?

When multiple ophthalmic diagnostic procedures are performed, the reduction applies to the technical component of 92284.

What documentation supports reporting 92284?

The record should support the diagnostic reason for testing and contain the dark-adaptation findings and interpretation. A screening service is reported with 92288 instead.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92284PPRRVU2026_Oct_nonQPP.csv, line 11,741 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet