Billing code 92227: Retinal imagingMedicare rate & RVUs in Alaska
Technical retinal imaging acquired by staff to support remote detection of retinal disease, commonly used in screening pathways such as diabetic retinopathy.
Medicare pays $19.75 for 92227 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
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 9 sections
What 92227 covers
This service covers retinal images acquired by clinic staff and used for remote detection of disease, often in screening for diabetic retinopathy. It is performed in settings such as a primary care or eye-care office where staff capture the images under physician supervision. The images support disease detection; this code does not include the physician’s interpretation and report.
Report 92227 for the technical imaging service when the purpose is detection rather than management of known active retinal disease. Documentation should identify the clinical reason for imaging, the eyes imaged, and the image-acquisition service; document the interpretation separately when performed. CMS classifies 92227 as technical-component-only, with a separate code covering interpretation. The service 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.
92227 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $19.75 | Unavailable |
How the 92227 rate is calculated
Each of 92227’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 · 92227
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 0.55Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92227
The CMS indicators that decide how 92227 is paid alongside other services.
CMS payment indicators · 92227
Retinal imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 3 | Technical component only. |
92227 compared with similar codes
Compare codes
92227 vs 92228 vs 92229 vs 92250: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92228Retinal imaging
- Choose 92227 for remote imaging to detect disease. Choose 92228 when imaging supports monitoring and management of active retinal disease and includes physician or qualified health professional review, interpretation, and reporting.
- 92229Retinal imaging
- 92229 describes point-of-care retinal imaging with automated analysis and reporting. 92227 is staff-acquired imaging for remote detection, with interpretation represented separately.
- 92250Fundus photography
- 92250 is fundus photography with interpretation and report. 92227 represents technical imaging for remote retinal disease detection, with a separate code covering interpretation.
92227 billing questions
When should 92227 be used instead of 92228?
Use 92227 for staff-acquired remote imaging intended to detect retinal disease. 92228 is for remote imaging used to monitor and manage active retinal disease with physician or qualified health professional review, interpretation, and report.
Does 92227 include the physician’s interpretation?
No. CMS identifies 92227 as a technical-component-only code; the interpretation is covered by a separate code.
Should modifier 50 be added when both eyes are imaged?
The code is already priced as bilateral. Modifier 50 does not increase payment.
What documentation supports reporting 92227?
Document the reason for retinal disease detection, which eyes were imaged, and the staff-performed imaging service. Record the interpretation separately when one is performed.
How does 92227 differ from 92229?
92227 describes staff-acquired imaging for remote disease detection. 92229 is the point-of-care option with automated analysis and reporting.
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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