# CPT 92285

> Medicare paid $23.38 for CPT 92285 in the office (non-facility) setting and $23.38 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 4.5% increase from the previous quarter.

## What it is

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.

## Selected release

- Release: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $23.38
- Facility national allowed amount: $23.38
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.05
- Office (non-facility) practice expense RVU: 0.60
- Facility practice expense RVU: 0.60
- Malpractice RVU: 0.02
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 15,946
- Canonical page: https://localishealth.com/cpt/92285/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/92285/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00