92288
No office rateScr dark adaptation meas i&r
92284 is the diagnostic dark-adaptation examination; 92288 is the screening measurement. The clinical purpose distinguishes the two.
On this page
CMS RVU26D · Effective 2026-10-01
92284 Dark adaptation Medicare reimbursement rates in Alabama
A diagnostic dark-adaptation study evaluates recovery of visual sensitivity in darkness, typically when symptoms or findings raise concern for impaired rod function. Compare 92284 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 92284 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$29.90
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, from the same CMS release.
$110.33
92273 records full-field retinal electrical activity. Choose it when that response is being tested, rather than recovery of visual sensitivity in darkness.
$82.92
92274 evaluates multifocal retinal electrical responses across the retina. It is not a dark-adaptation measurement.
$48.73
92283 is an extended color-vision examination; 92284 evaluates adaptation to darkness and related visual sensitivity.
Compare 92284 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$29.90
Facility
Unavailable
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,741
- Code
- 92284
- Physician work
- 0.28
- Practice expense
- 0.69
- Malpractice
- 0.02
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.28 | × 1.000 | 0.2800 |
| Practice expense | 0.69 | × 0.875 | 0.6038 |
| Malpractice | 0.02 | × 0.566 | 0.0113 |
| Total RVUs | 0.8951 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$29.90
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.28 | 1 |
| Practice expense | 0.69 | 0.875 |
| Malpractice | 0.02 | 0.566 |
(0.28 × 1 + 0.69 × 0.875 + 0.02 × 0.566) × $33.4009 = $29.90
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.
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.
11,73892283,,Extnd color vision xm,A,,0.17,1.46,,1.46,NA,0.02,1.65,1.65,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,73992283,26,Extnd color vision xm,A,,0.17,0.08,,0.08,,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,74092283,TC,Extnd color vision xm,A,,0.00,1.38,,1.38,NA,0.01,1.39,1.39,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,74192284,,Dx dark adaptation exam i&r,A,,0.28,0.69,,0.69,NA,0.02,0.99,0.99,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,74292284,26,Dx dark adaptation exam i&r,A,,0.28,0.12,,0.12,,0.01,0.41,0.41,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,74392284,TC,Dx dark adaptation exam i&r,A,,0.00,0.57,,0.57,NA,0.01,0.58,0.58,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,74492285,,External ocular photography,A,,0.05,0.64,,0.64,NA,0.02,0.71,0.71,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.15,1.15,0.03
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515