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See a sample rate comparisonCPT 92285 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.
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
| 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $23.72 national non-facility rate (2026) · View Medicare rates for 92285 |
| Medicaid Fee Schedule | $19.50 median of the 8 states in the free preview · View Medicaid rates for 92285 |
National average reimbursement for CPT 92285 by major payers:
$32.02
$32.69
$33.20
$40.08
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CPT 92285
5 of 25 sample ratesHigher to lower in this preview
Tiffany Davis-Garcia
Salina Regional Health Center Inc
$42.02Published rateBrian Smith
$22.82Published rateAlla Zlotina
$14.93Published rateJonathan Hernandez
Carroll County Med-Services, Inc.
$7.36Published rateGwenda Gnadt
Eye Vision Associates LLP
$1.69Published rate
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See a sample payer proposalCPT 92285 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92285 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 92285 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 |
| 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 |
| 92287-CPT | Low | Special Anterior Segment Photo, Special Anterior Segment Photography With Interpretation Andreport With Fluorescein Angiography 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 92285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92285 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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