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See a sample rate comparisonCPT 92284 Fee Schedule
Last Verified: October 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.
Retina Eye (Light) Test, Test To Measure Responsiveness Of Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain) To Light And Other External Stimuli. Used To Detect Damage To The Retina.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $33.07 national non-facility rate (2026) · View Medicare rates for 92284 |
| Medicaid Fee Schedule | $26.87 median of the 8 states in the free preview · View Medicaid rates for 92284 |
National average reimbursement for CPT 92284 by major payers:
$60.21
$73.90
$63.25
$82.28
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CPT 92284
5 of 25 sample ratesHigher to lower in this preview
Farha Tokarz
Advocate Health And Hospitals Corporation
$127.51Published rateHaidar Kabbani
Osf Multi-Specialty Group
$98.66Published ratePaul Berkowitz
Presence Healthcare Services
$76.40Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$30.67Published rateLubov Romantseva
Rush University Medical Center
$22.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92284 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92284 code is part of the Medicine Services and Procedures services used for Ophthalmology 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 92284 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 |
|---|---|---|
| 92283-CPT | Low | Color Vision Examination Exte, Color Vision Examination Extended Eg Anomaloscope Orequivalent Color Vision Examination Extended Eg Anomaloscope Or |
| 92284-CPT | Low | Retina Eye (Light) Test, Test To Measure Responsiveness Of Retina (Layer Of Tissue In The Eye That Sends Sight Messages To The Brain) To Light And Other External Stimuli. Used To Detect Damage To The Retina. |
| 92285-CPT | Low | External Ocular Photography, External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress Eg Close Up Photography Slit Lamp Photography Goniophotography Stereo Photography |
| 92286-CPT | Low | Special Anterior Segment Photo, Special Anterior Segment Photography With Interpretation Andreport With Specular Endothelial Microscopy And Cell Count Special Anterior Segment Photography With Interpretation And |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92284. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92284 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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