{
    "code": "92025",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92025/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/92025/2022/D",
    "description": "A scan that maps the shape and curvature of the cornea, the clear dome at the front of the eye, and produces a color-coded map of steep and flat areas. The patient looks into a device that projects rings or light patterns onto the eye; nothing touches the eye and no drops are required. The map reveals irregularities that a standard glasses measurement would miss, such as the cone-shaped thinning of keratoconus or distortion from scarring or previous surgery. It is a separate diagnostic test rather than part of a routine refraction.",
    "answer": {
        "question": "How much did Medicare pay for CPT 92025 in Q4 2022?",
        "text": "Medicare paid $36.68 for CPT 92025 in the office (non-facility) setting and $36.68 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "D",
        "label": "Q4 2022",
        "effective": "October 1 – December 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 36.68,
        "facility": 36.68,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.35,
        "practice_expense_non_facility": 0.69,
        "practice_expense_facility": 0.69,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q4 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/D",
        "file": "PPRRVU22_OCT.csv",
        "row": 16264,
        "sha256": "f8774a019545e1fd71536837b20b74674c014b1acef3435d93456857885190ab"
    },
    "modified_at": "2026-08-04T03:12:03+00:00"
}