# CPT 92227: Img Retina Detcj/mntr Ds Rem Clin Staff Uni/bi

Medicare CPT 92227 pays $18.70 in a non-facility setting and $18.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $15.95 in Arkansas to $22.01 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/92227-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $18.70 |
| National facility | $18.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $22.01 | $22.01 |
| California | $21.92 | $21.92 |
| Washington | $21.21 | $21.21 |
| Hawaii | $21.08 | $21.08 |
| New Jersey | $21.05 | $21.05 |
| New York | $20.95 | $20.95 |
| Massachusetts | $20.92 | $20.92 |
| Connecticut | $20.19 | $20.19 |
| Colorado | $19.81 | $19.81 |
| Alaska | $19.75 | $19.75 |
| Oregon | $19.60 | $19.60 |
| Maryland | $19.51 | $19.51 |
| New Hampshire | $19.42 | $19.42 |
| Rhode Island | $19.27 | $19.27 |
| Florida | $19.08 | $19.08 |
| Minnesota | $19.00 | $19.00 |
| Puerto Rico | $18.90 | $18.90 |
| Virgin Islands | $18.90 | $18.90 |
| Montana | $18.70 | $18.70 |
| Nevada | $18.67 | $18.67 |
| Wyoming | $18.62 | $18.62 |
| North Dakota | $18.51 | $18.51 |
| South Dakota | $18.48 | $18.48 |
| Delaware | $18.45 | $18.45 |
| Texas | $18.40 | $18.40 |
| Illinois | $18.39 | $18.39 |
| Vermont | $18.36 | $18.36 |
| Pennsylvania | $18.35 | $18.35 |
| Virginia | $18.29 | $18.29 |
| Arizona | $18.09 | $18.09 |
| Georgia | $17.93 | $17.93 |
| Maine | $17.77 | $17.77 |
| Michigan | $17.72 | $17.72 |
| Wisconsin | $17.70 | $17.70 |
| Utah | $17.57 | $17.57 |
| North Carolina | $17.35 | $17.35 |
| South Carolina | $17.26 | $17.26 |
| New Mexico | $17.25 | $17.25 |
| Indiana | $17.19 | $17.19 |
| Missouri | $17.19 | $17.19 |
| Louisiana | $17.13 | $17.13 |
| Ohio | $17.11 | $17.11 |
| Nebraska | $17.08 | $17.08 |
| Idaho | $17.06 | $17.06 |
| Iowa | $16.94 | $16.94 |
| Tennessee | $16.88 | $16.88 |
| Kansas | $16.78 | $16.78 |
| Oklahoma | $16.66 | $16.66 |
| Kentucky | $16.64 | $16.64 |
| West Virginia | $16.44 | $16.44 |
| Alabama | $16.26 | $16.26 |
| Mississippi | $16.06 | $16.06 |
| Arkansas | $15.95 | $15.95 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92227 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules