Billing code 92229: Retinal imagingMedicare rate & RVUs in Alaska

Reports point-of-care retinal imaging analyzed autonomously to detect or monitor retinal disease, such as diabetic retinopathy, in either or both eyes.

CMS RVU26DEffective Oct 1, 20261 payment locality5.1K Medicare services in 2024

Medicare pays $49.63 for 92229 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$49.63Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92229 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 92229 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 92229 covers

This service combines retinal image capture at the point of care with automated analysis and a resulting report. It is commonly used to screen for or monitor diabetic retinopathy in primary care, endocrinology, and eye-care settings, including when a patient with diabetes is being evaluated outside an ophthalmology office. The workflow uses an imaging device and autonomous analysis rather than remote review by clinical staff or physician interpretation of the images.

Report one unit for the point-of-care service whether one or both eyes are imaged; the code is priced as bilateral. Documentation should identify the clinical reason for imaging, the eyes evaluated, and the resulting analysis or report. This is a technical-component-only code, so interpretation is covered by a separate code when separately reported. The ophthalmology diagnostic multiple procedure reduction applies to its technical component when applicable. 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.

92229 in Alaska*

92229 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$49.63Unavailable

How the 92229 rate is calculated

Each of 92229’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 · 92229

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 1.39Malpractice 0.01

1.4000 adjusted RVUs×$33.4009 conversion factor=$46.76

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 92229

The CMS indicators that decide how 92229 is paid alongside other services.

CMS payment indicators · 92229

Retinal imaging

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

92229 compared with similar codes

Compare codes

92229 vs 92227 vs 92228 vs 92250: national Medicare rates

Swap in your local Medicare rate.

  • 92229
    Retinal imaging · 0 wRVU
    $46.76
  • 92227
    Retinal imaging · 0 wRVU
    $18.70−$28.06
  • 92228
    Retinal imaging · 0.31 wRVU
    $30.39−$16.37
  • 92250
    Fundus photography · 0.39 wRVU
    $37.07−$9.69

How to choose

92227Retinal imaging
Choose 92229 for point-of-care autonomous image analysis. Choose 92227 when images are handled through remote clinical staff review and reporting.
92228Retinal imaging
92229 is the autonomous point-of-care pathway; 92228 involves physician or qualified professional interpretation and reporting of retinal images.
92250Fundus photography
92250 reports fundus photography with interpretation and report. 92229 is for point-of-care retinal imaging analyzed autonomously to detect or monitor disease.

92229 billing questions

How is this different from 92227?

92229 describes point-of-care imaging with autonomous analysis. 92227 is the pathway involving remote clinical staff review and a report.

How is this different from 92228?

Use 92229 for point-of-care autonomous analysis. 92228 describes retinal imaging with physician or other qualified health care professional interpretation and reporting.

Should modifier 50 be appended when both eyes are imaged?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

Can interpretation be billed under 92229?

No. CMS identifies 92229 as technical-component-only; a separate code covers interpretation when that service is reported.

Can the technical component be reduced when other eye tests are billed?

The ophthalmology diagnostic multiple procedure reduction applies to the technical component when applicable.

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
RVUs for 92229PPRRVU2026_Oct_nonQPP.csv, line 11,711 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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