{
    "code": "92285",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92285/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/92285/2020/B",
    "description": "Photographs of the outside of the eye and the surrounding structures, including the eyelids, lashes, conjunctiva, cornea, and iris. Unlike retinal photography, the camera is aimed at the visible front surface rather than the interior, often through a slit lamp for close detail. The images document the size, position and appearance of a lesion, scar, droop, or misalignment so that change over time can be judged objectively. Photographs of this kind also support surgical planning and prior authorization requests.",
    "answer": {
        "question": "How much did Medicare pay for CPT 92285 in Q2 2020?",
        "text": "Medicare paid $22.38 for CPT 92285 in the office (non-facility) setting and $22.38 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 1.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "B",
        "label": "Q2 2020",
        "effective": "April 1 – June 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 22.38,
        "facility": 22.38,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.05,
        "practice_expense_non_facility": 0.55,
        "practice_expense_facility": 0.55,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q2 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/B",
        "file": "PPRRVU20_APR.csv",
        "row": 15872,
        "sha256": "672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b"
    },
    "modified_at": "2026-08-04T03:09:33+00:00"
}