$33.83–$35.95
92285 documents visible external structures such as the eyelids or conjunctiva; 92250 photographs the fundus in the posterior segment.
On this page
CMS RVU26D · Effective 2026-10-01
92285 External eye photography Medicare reimbursement rates in Missouri
External ocular photography records visible eye and adnexal findings for clinical assessment or comparison over time, with physician interpretation and a report. Compare 92285 office and facility rates across CMS payment localities in Missouri.
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 92285 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$20.75–$22.69
3 of 3 localities have a supported rate.
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.
Where 92285 pays more and less in Missouri
3 payment localities
$20.75 to $22.69
Ophthalmic imaging
About 92285: External ocular photography and interpretation
External ocular photography records visible eye and adnexal findings for clinical assessment or comparison over time, with physician interpretation and a report.
An ophthalmic photographer or trained office staff member captures images of visible ocular structures, often using close-up or slit-lamp photography. Ophthalmologists and optometrists use the images to document findings such as eyelid or conjunctival lesions, corneal changes, and other external abnormalities, and to compare appearance at later visits. The service is commonly performed in an eye-care office or clinic.
Report 92285 when the record supports medically necessary external-eye imaging and includes the images and an interpretation or report. The code has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. The ophthalmology diagnostic multiple procedure reduction applies to the technical component. CMS prices the code as bilateral, so modifier 50 does not increase payment when both eyes are photographed.
CMS billing rules for 92285
- 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 RVU0.05 · 7%
- Practice expense (office) RVU0.64 · 90%
- Malpractice RVU0.02 · 3%
453.9K
Medicare services in 2024 · #241 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.
92285 compared with similar codes
Office rates for Missouri, from the same CMS release.
$35.85–$38.18
92285 records external ocular appearance. 92286 is used for anterior-segment imaging with specular microscopy.
$118.48–$129.44
Choose 92285 for external ocular photographs; 92287 is for anterior-segment imaging using fluorescein angiography.
$143.37–$155.74
92285 documents external eye findings, while 92235 evaluates retinal circulation with fluorescein angiography.
Compare 92285 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$22.40
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$22.69
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$20.75
Facility
Unavailable
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92285 billing questions
When should 92285 be used instead of 92250?
Use 92285 for photographs of visible external ocular structures, such as eyelids, conjunctiva, or corneal surface. Use 92250 for fundus photography of the posterior segment.
Does 92285 include the interpretation?
Yes. The global service includes the professional interpretation and report along with the technical service. Modifier 26 identifies the professional component when billed separately.
When is modifier TC appropriate?
Use TC when billing only the technical component, including the equipment and staff service. The technical component is subject to the ophthalmology diagnostic multiple procedure reduction.
Should modifier 50 be appended when both eyes are photographed?
No. CMS prices 92285 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 92285?
Keep the external ocular images and a report documenting the findings and their clinical relevance. The record should show why photography was performed, such as documenting an eyelid lesion or a change in the ocular surface.
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.
11,74192284,,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
11,74592285,26,External ocular photography,A,,0.05,0.03,,0.03,,0.01,0.09,0.09,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,74692285,TC,External ocular photography,A,,0.00,0.61,,0.61,NA,0.01,0.62,0.62,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,1.12,1.12,0.02
11,74792286,,Ant sgm img i&r speclr mic,A,,0.39,0.77,,0.77,NA,0.02,1.18,1.18,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,4.23,4.23,0.08