$16.64
Choose 92229 for point-of-care autonomous image analysis. Choose 92227 when images are handled through remote clinical staff review and reporting.
On this page
CMS RVU26D · Effective 2026-10-01
92229 Retinal imaging Medicare reimbursement rates in Kentucky
Reports point-of-care retinal imaging analyzed autonomously to detect or monitor retinal disease, such as diabetic retinopathy, in either or both eyes. Compare 92229 office and facility rates across CMS payment localities in Kentucky.
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 92229 in Kentucky?
Kentucky 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
$41.58
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 imaging
About 92229: Autonomous point-of-care retinal imaging
Reports point-of-care retinal imaging analyzed autonomously to detect or monitor retinal disease, such as diabetic retinopathy, in either or both eyes.
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.
CMS billing rules for 92229
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- 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 RVU0.00 · 0%
- Practice expense (office) RVU1.39 · 99%
- Malpractice RVU0.01 · 1%
5.1K
Medicare services in 2024 · #1857 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.
92229 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$28.19
92229 is the autonomous point-of-care pathway; 92228 involves physician or qualified professional interpretation and reporting of retinal images.
$34.42
92250 reports fundus photography with interpretation and report. 92229 is for point-of-care retinal imaging analyzed autonomously to detect or monitor disease.
Compare 92229 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
Kentucky →
Office / nonfacility
$41.58
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 92229 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
11,711
- Code
- 92229
- Physician work
- 0.00
- Practice expense
- 1.39
- Malpractice
- 0.01
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.39 | × 0.889 | 1.2357 |
| Malpractice | 0.01 | × 0.915 | 0.0092 |
| Total RVUs | 1.2449 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$41.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.39 | 0.889 |
| Malpractice | 0.01 | 0.915 |
(0 × 1 + 1.39 × 0.889 + 0.01 × 0.915) × $33.4009 = $41.58
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.
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 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.
11,70892228,,Img rta detc/mntr ds phy/qhp,A,,0.31,0.58,,0.58,NA,0.02,0.91,0.91,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.29,1.29,0.04
11,70992228,26,Img rta detc/mntr ds phy/qhp,A,,0.31,0.17,,0.17,,0.01,0.49,0.49,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,71092228,TC,Img rta detc/mntr ds phy/qhp,A,,0.00,0.41,,0.41,NA,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,1.12,1.12,0.03
11,71192229,,Img rta detc/mntr ds poc aly,A,,0.00,1.39,,1.39,NA,0.01,1.40,1.40,3,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.79,1.79,0.01
11,71292230,,Fluorescein angioscopy i&r,A,,0.59,3.35,,0.17,,0.04,3.98,0.80,0,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,71392235,,Fluorescein angrph mltiframe,A,,0.73,4.11,,4.11,NA,0.02,4.86,4.86,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,7.10,7.10,0.03
11,71492235,26,Fluorescein angrph mltiframe,A,,0.73,0.51,,0.51,,0.01,1.25,1.25,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631