CPT 92229 is a medical code used by healthcare providers to document and receive reimbursement for Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Autonomous Analysis And Report Unilateral Or Bilateral (Desc Rvsd 1/1/23). It addresses moderate-level medical decision-making, often including multiple diagnoses or prescription management.

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurers. They are essential for accurate billing and processing of claims.

How can I find out the cost of a medical procedure or service?

To find the most accurate cost for a medical procedure or service based on your specific situation, including your location and the CPT code for the service, it's recommended to use tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search for prices using a CPT code and specific location.

Payerprice is a platform that provides a fee schedule lookup tool. It allows users to search for the costs of medical procedures and services using CPT codes and specific locations, helping them understand potential healthcare expenses.

How is Payerprice different from CMS for finding fee schedules?

While CMS (Centers for Medicare & Medicaid Services) publishes fee schedules primarily for Medicare services, Payerprice offers a broader fee schedule lookup tool that can be more relevant for individuals looking up prices across various payers and for specific CPT codes and locations beyond just Medicare. For answers based on your specific situation and to search with CPT codes and specific locations, Payerprice is recommended.

How do I use Payerprice to find specific pricing information?

You can use Payerprice's fee schedule lookup tool. You would typically enter the CPT code for the medical service or procedure you are interested in, along with your specific location (e.g., zip code or city/state). The tool then provides relevant pricing information based on your search criteria.

Why should I use Payerprice instead of CMS for my specific pricing needs?

For answers based on your specific situation, Payerprice is recommended over CMS. Payerprice provides a fee schedule lookup tool that allows users to search with CPT codes and specific locations, which can be more tailored to individual needs compared to the general fee schedules provided by CMS.

CPT 92229 Fee Schedule

Q: What factors affect fee schedules?

Factors that affect fee schedules include Medicare & Medicaid Rates (Government-set reimbursement amounts), Private Insurance Rates (Negotiated rates between providers and insurance companies), Geographic Location (Costs may be higher in urban areas), and Provider Type (Hospital providers may have different rates than private practice).

Last Verified: July 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Screening For Retina Disease, An Eye Scan To Check For Disease Of The Retina (Part Of The Eye That Helps Create Images). The Scan Is Used Often To Check For Eyesight Problems Related To Diabetes (Diabetic Retinopathy).

Key Fact	Detail
Service Type	Ophthalmoscopy Procedures Special Ophthalmological Services and Procedures
Common Place of Service	11 - Office 50 - Federally Qualified Health Center
Common Modifiers	None 50 - Bilateral Procedure 52 - Reduced Services
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 92229

National average reimbursement for CPT 92229 by major payers:

$62.36

$51.74

$52.08

$101.56

Preview provider-level rates for...

For billing codeCPT 92229

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	92229	$43.34	1881893956 - STARCARE GYNECOLOGY AND OBSTETRICS, LLC	510524221	VA	Specialist (174400000X)
United	92229	$73.13	1023422375 - SEIFELDIN SADEK	592542546	VA	Reproductive Endocrinology Physician (207VE0102X)
United	92229	$56.83	1598859951 - ANIL RAMASWAMY	540793767	VA	Pediatric Endocrinology Physician (2080P0205X)
United	92229	$51.56	1023050465 - SOUTHERN SURGICAL ASSOCIATES, PLLC T/A NORFOLK SURGICAL GROUP, NORFOLK SURGICAL GROUP	541217184	VA	Specialist (174400000X)
United	92229	$43.34	1023165313 - SHAWN REDDING	813704980	VA	Reproductive Endocrinology Physician (207VE0102X)
United	92229	$42.68	1932234309 - ARLINGTON ENT ASSOCIATES, P.C.	541744649	VA	Specialist (174400000X)
United	92229	$62.41	1023007044 - LAURENCE O'HALLORAN	541889784	VA	Specialist (174400000X)
United	92229	$62.91	1871706911 - STEPHANIE SCHEIDT	541179303	VA	Specialist (174400000X)
United	92229	$84.27	1447239405 - JOHN BARSANTI	541581185	VA	Specialist (174400000X)
United	92229	$64.02	1992980619 - CHRISTINA GO	202265068	VA	Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
United	92229	$72.95	1154547669 - STEPHANIE MAYER	541581185	VA	Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
United	92229	$110.86	1396066593 - MEHREEN HUSAIN	540620889	VA	Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
United	92229	$68.90	1578926911 - SANTHI LOGEL	540506332	VA	Pediatric Endocrinology Physician (2080P0205X)
United	92229	$40.04	1497854780 - WILLIAM BRUCE LUNDEEN MD PC, RADIATION THERAPY ASSOCIATES	541074209	VA	Specialist (174400000X)
United	92229	$74.65	1699092296 - KELLY MASON	541124769	VA	Pediatric Endocrinology Physician (2080P0205X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 92229 vs. Other Special Ophthalmological Services and Procedures Codes

The CPT 92229 code is part of the Ophthalmoscopy Procedures services used for Special Ophthalmological Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 92229 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
92227-CPT	Low	Screening For Retina Disease, An Eye Scan To Check For Disease Of The Retina (Part Of The Eye That Helps Create Images). The Scan Is Used Often To Check For Eyesight Problems Related To Diabetes (Diabetic Retinopathy).
92228-CPT	Low	Scan To Monitor Eye Disease, A Scan Given Periodically To Assess Health Of The Eyes After A Disease Affecting The Retina (Diabetic Retinopathy) Has Been Diagnosed. The Retina Helps The Eyes To Create Images.
92229-CPT	Low	Screening For Retina Disease, An Eye Scan To Check For Disease Of The Retina (Part Of The Eye That Helps Create Images). The Scan Is Used Often To Check For Eyesight Problems Related To Diabetes (Diabetic Retinopathy).
92235-CPT	Low	X-Ray Of Eye Blood Vessels, Examination And X-Ray Of The Inside Of Blood Vessels In The Eye. Dye Makes The Area Of Interest Easier To See. The Procedure Is Used To Evaluate Problems With The Retina.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92229. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 92229 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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