# CPT 92250: Fundus photography

Medicare CPT 92250 pays $37.07 in a non-facility setting and $37.07 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.45 in Arkansas to $44.81 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/92250-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $37.07 |
| National facility | $37.07 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $44.81 | $44.81 |
| District of Columbia | $42.02 | $42.02 |
| California | $41.52 | $41.52 |
| New Jersey | $40.75 | $40.75 |
| New York | $40.64 | $40.64 |
| Washington | $40.61 | $40.61 |
| Massachusetts | $40.23 | $40.23 |
| Hawaii | $40.00 | $40.00 |
| Connecticut | $39.28 | $39.28 |
| Colorado | $38.58 | $38.58 |
| Maryland | $38.29 | $38.29 |
| Oregon | $38.25 | $38.25 |
| Rhode Island | $38.02 | $38.02 |
| New Hampshire | $37.95 | $37.95 |
| Florida | $37.79 | $37.79 |
| Puerto Rico | $37.32 | $37.32 |
| Virgin Islands | $37.32 | $37.32 |
| Minnesota | $37.28 | $37.28 |
| Montana | $37.07 | $37.07 |
| Nevada | $36.99 | $36.99 |
| Illinois | $36.94 | $36.94 |
| Wyoming | $36.90 | $36.90 |
| Delaware | $36.79 | $36.79 |
| Pennsylvania | $36.76 | $36.76 |
| Texas | $36.74 | $36.74 |
| North Dakota | $36.68 | $36.68 |
| South Dakota | $36.63 | $36.63 |
| Vermont | $36.51 | $36.51 |
| Virginia | $36.48 | $36.48 |
| Arizona | $36.25 | $36.25 |
| Georgia | $36.15 | $36.15 |
| Michigan | $35.92 | $35.92 |
| Maine | $35.78 | $35.78 |
| Wisconsin | $35.63 | $35.63 |
| Utah | $35.60 | $35.60 |
| New Mexico | $35.27 | $35.27 |
| North Carolina | $35.27 | $35.27 |
| South Carolina | $35.20 | $35.20 |
| Missouri | $35.14 | $35.14 |
| Louisiana | $35.08 | $35.08 |
| Ohio | $35.05 | $35.05 |
| Indiana | $35.02 | $35.02 |
| Nebraska | $34.86 | $34.86 |
| Idaho | $34.85 | $34.85 |
| Iowa | $34.68 | $34.68 |
| Tennessee | $34.64 | $34.64 |
| Kansas | $34.50 | $34.50 |
| Kentucky | $34.42 | $34.42 |
| Oklahoma | $34.42 | $34.42 |
| West Virginia | $34.30 | $34.30 |
| Alabama | $33.86 | $33.86 |
| Mississippi | $33.65 | $33.65 |
| Arkansas | $33.45 | $33.45 |

## Related codes

- 92060: Sensorimotor examination with multiple measurements of ocular deviation — https://www.med-reveal.com/rates/92060-cpt-fee-schedule
- 92065: Orthoptic/pleoptic training — https://www.med-reveal.com/rates/92065-cpt-fee-schedule
- 92081: Visual field examination, unilateral or bilateral, limited — https://www.med-reveal.com/rates/92081-cpt-fee-schedule
- 92082: Visual field examination, intermediate — https://www.med-reveal.com/rates/92082-cpt-fee-schedule
- 92083: Visual field examination, extended — https://www.med-reveal.com/rates/92083-cpt-fee-schedule
- 92132: Computerized corneal topography — https://www.med-reveal.com/rates/92132-cpt-fee-schedule
- 92133: Computerized ophthalmic diagnostic imaging, optic nerve — https://www.med-reveal.com/rates/92133-cpt-fee-schedule
- 92134: Computerized ophthalmic diagnostic imaging, retina — https://www.med-reveal.com/rates/92134-cpt-fee-schedule

Commercial negotiated rates for 92250 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