{
    "code": "92285",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92285/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/92285/2024/D",
    "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 Q4 2024?",
        "text": "Medicare paid $23.30 for CPT 92285 in the office (non-facility) setting and $23.30 in a facility under the Q4 2024 Physician Fee Schedule, effective October 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "D",
        "label": "Q4 2024",
        "effective": "October 1 – December 31, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 23.3,
        "facility": 23.3,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.05,
        "practice_expense_non_facility": 0.63,
        "practice_expense_facility": 0.63,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q4 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/D",
        "file": "PPRRVU24_OCT.csv",
        "row": 17299,
        "sha256": "8ff8133723cdaa4d6d2b1680ff97286ffa7ab38dcd54b9108fc6020e633ef20b"
    },
    "modified_at": "2026-08-04T03:14:25+00:00"
}