$30.49
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.
On this page
CMS RVU26D · Effective 2026-10-01
92227 Retinal imaging Medicare reimbursement rates in Minnesota
Technical retinal imaging acquired by staff to support remote detection of retinal disease, commonly used in screening pathways such as diabetic retinopathy. Compare 92227 office and facility rates across CMS payment localities in Minnesota.
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 92227 in Minnesota?
Minnesota 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
$19.00
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Ophthalmology imaging
About 92227: Staff-acquired remote retinal screening images
Technical retinal imaging acquired by staff to support remote detection of retinal disease, commonly used in screening pathways such as diabetic retinopathy.
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.
CMS billing rules for 92227
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- 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) RVU0.55 · 98%
- Malpractice RVU0.01 · 2%
1.6K
Medicare services in 2024 · #2619 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.
92227 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$47.87
92229 describes point-of-care retinal imaging with automated analysis and reporting. 92227 is staff-acquired imaging for remote detection, with interpretation represented separately.
$37.28
92250 is fundus photography with interpretation and report. 92227 represents technical imaging for remote retinal disease detection, with a separate code covering interpretation.
Compare 92227 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
Minnesota →
Office / nonfacility
$19.00
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 92227 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
11,707
- Code
- 92227
- Physician work
- 0.00
- Practice expense
- 0.55
- Malpractice
- 0.01
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.55 | × 1.029 | 0.5659 |
| Malpractice | 0.01 | × 0.296 | 0.0030 |
| Total RVUs | 0.5689 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$19.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.55 | 1.029 |
| Malpractice | 0.01 | 0.296 |
(0 × 1 + 0.55 × 1.029 + 0.01 × 0.296) × $33.4009 = $19.00
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.
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 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.
11,70492145,TC,Corneal hysteresis deter,A,,0.00,0.23,,0.23,NA,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,70592201,,Opscpy extnd rta draw uni/bi,A,,0.39,0.34,,0.14,,0.02,0.75,0.55,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,70692202,,Opscpy extnd on/mac draw,A,,0.25,0.21,,0.09,,0.01,0.47,0.35,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,70792227,,Img rta detcj/mntr ds staff,A,,0.00,0.55,,0.55,NA,0.01,0.56,0.56,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,1.77,1.77,0.03
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002