{
    "code": "92250",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92250/2015/D",
    "release_specific_url": "https://localishealth.com/cpt/92250/2015/D",
    "description": "Photographs of the back of the eye, capturing the retina, optic nerve, and blood vessels, together with the clinician's interpretation and written report. The pupils are often dilated first, and the camera flashes once per eye; no dye is injected, which is what separates this from angiography. The images provide a permanent record that later photographs can be compared against, making slow change visible in a way that memory and notes cannot. The report on the findings is part of the service, not an extra.",
    "answer": {
        "question": "How much did Medicare pay for CPT 92250 in Q4 2015?",
        "text": "Medicare paid $79.77 for CPT 92250 in the office (non-facility) setting and $79.77 in a facility under the Q4 2015 Physician Fee Schedule, effective October 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "D",
        "label": "Q4 2015",
        "effective": "October 1 – December 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 79.77,
        "facility": 79.77,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.44,
        "practice_expense_non_facility": 1.76,
        "practice_expense_facility": 1.76,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.9335,
    "source": {
        "label": "Physician relative value file (Q4 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/D",
        "file": "PPRRVU15_OCT05_V1001.csv",
        "row": 14774,
        "sha256": "302a55af716b26df5b42e80da7b2bd7cf5268007658df88133553f5e4e75523f"
    },
    "modified_at": "2026-08-04T03:06:14+00:00"
}