$94.86
Choose 92273 for a full-field assessment of generalized retinal function. Choose 92274 when the study measures responses across multiple localized retinal areas.
On this page
CMS RVU26D · Effective 2026-10-01
92273 Full-field ERG Medicare reimbursement rates in Rhode Island
Full-field electroretinography records generalized retinal responses to flashes of light and is reported with the physician’s interpretation and report. Compare 92273 office and facility rates across CMS payment localities in Rhode Island.
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 92273 in Rhode Island?
Rhode Island 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
$126.86
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 diagnostic testing
About 92273: Full-field electroretinography with interpretation
Full-field electroretinography records generalized retinal responses to flashes of light and is reported with the physician’s interpretation and report.
Full-field electroretinography (ERG) measures the retina’s electrical response to flashes of light, commonly using electrodes on or near the eye. Ophthalmic staff typically acquire the recordings in an eye clinic or diagnostic testing area, while an ophthalmologist interprets the waveforms and reports the findings. The test helps assess generalized retinal function in conditions such as inherited retinal dystrophies or unexplained visual dysfunction; it is distinct from imaging that depicts retinal anatomy.
Report the test when the full-field recording and interpretation are performed, and document the clinical question, testing protocol, recorded responses, and physician interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The ophthalmology diagnostic multiple-procedure reduction applies to the technical component when multiple applicable tests are billed. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 92273
- 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 RVU0.67 · 18%
- Practice expense (office) RVU2.99 · 81%
- Malpractice RVU0.03 · 1%
159.6K
Medicare services in 2024 · #435 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.
92273 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$129.57
Code 92270 is electro-oculography, which records changes in the eye’s standing electrical potential; 92273 records flash-evoked retinal responses.
$38.02
Code 92250 documents fundus appearance photographically. Code 92273 measures retinal electrical function rather than producing retinal images.
Compare 92273 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
Rhode Island →
Office / nonfacility
$126.86
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 92273 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,732
- Code
- 92273
- Physician work
- 0.67
- Practice expense
- 2.99
- Malpractice
- 0.03
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.67 | × 1.019 | 0.6827 |
| Practice expense | 2.99 | × 1.033 | 3.0887 |
| Malpractice | 0.03 | × 0.892 | 0.0268 |
| Total RVUs | 3.7982 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$126.86
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.67 | 1.019 |
| Practice expense | 2.99 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(0.67 × 1.019 + 2.99 × 1.033 + 0.03 × 0.892) × $33.4009 = $126.86
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.
92273 billing questions
How does full-field ERG differ from multifocal ERG, code 92274?
Full-field ERG assesses generalized retinal responses to flashes. Multifocal ERG evaluates responses from multiple localized retinal areas.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, or modifier TC for the equipment and staff. Without either modifier, the claim represents the global service.
Should modifier 50 be added for testing both eyes?
No. CMS prices 92273 as bilateral, and modifier 50 does not increase payment.
What does the multiple-procedure reduction affect?
For applicable multiple ophthalmology diagnostic procedures, the reduction applies to the technical component. It does not apply to the professional component under the CMS rule supplied for this code.
What documentation supports reporting 92273?
Document the reason for testing, the full-field protocol and responses, and the interpreting physician’s findings. The record should support that generalized flash-evoked retinal function was evaluated.
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.
11,72992270,,Electro-oculography w/i&r,A,,0.79,2.95,,2.95,NA,0.03,3.77,3.77,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,73092270,26,Electro-oculography w/i&r,A,,0.79,0.46,,0.46,,0.01,1.26,1.26,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,73192270,TC,Electro-oculography w/i&r,A,,0.00,2.49,,2.49,NA,0.02,2.51,2.51,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,73292273,,Full field erg w/i&r,A,,0.67,2.99,,2.99,NA,0.03,3.69,3.69,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,73392273,26,Full field erg w/i&r,A,,0.67,0.35,,0.35,,0.01,1.03,1.03,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,73492273,TC,Full field erg w/i&r,A,,0.00,2.64,,2.64,NA,0.02,2.66,2.66,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,73592274,,Multifocal erg w/i&r,A,,0.59,2.15,,2.15,NA,0.02,2.76,2.76,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537