CPT code 92230: Fluorescein angioscopy, with interpretation and report2026 Medicare rate & RVUs
Fluorescein angioscopy examines ocular vascular circulation after dye administration, with interpretation and a report documenting the findings for the tested eye.
Medicare pays $132.94 for 92230 nationally in the office and $26.72 in a hospital or facility. Local office rates run $116.51–$183.94.
Medicare rate · 92230
Fluorescein angioscopy, with interpretation and report
- Work RVUs
- 0.59
- Total RVUs
- 3.98
- Global days
- XXX
National rate · 2026
$132.94
Office setting, before claim adjustments.
See every locality for 92230 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 92230 covers
Fluorescein angioscopy is a direct examination of ocular circulation after fluorescein dye is administered. An ophthalmologist, often a retina specialist, evaluates the vascular appearance and documents the interpretation; the service is commonly performed in an ophthalmology office. It is distinct from photographic angiography, which records a series of images for interpretation.
Report the service for the eye examined, with documentation identifying the eye, the clinical reason for the examination, and the interpreted findings. The interpretation and report are part of the service, not separate services to code again. When both eyes are examined, CMS pays each side separately at 100%; report the service for each side under the applicable claim-line conventions.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 92230 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$116.51 to $183.94
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $118.37 | $25.43 |
| Alaska | $149.46 | $36.34 |
| Arizona | $129.27 | $26.35 |
| Arkansas | $116.51 | $25.27 |
| Atlanta, GA | $135.05 | $27.14 |
| Austin, TX | $139.31 | $26.94 |
| Bakersfield, CA | $143.53 | $27.12 |
| Baltimore area, MD | $141.74 | $27.77 |
| Beaumont, TX | $122.77 | $26.11 |
| Brazoria, TX | $131.79 | $26.53 |
| Chicago, IL | $135.36 | $28.62 |
| Chico, CA | $143.39 | $26.98 |
| Colorado | $140.04 | $27.03 |
| Connecticut | $142.23 | $27.83 |
| Dallas, TX | $132.48 | $26.69 |
| Delaware | $131.56 | $26.62 |
| Detroit, MI | $129.94 | $27.44 |
| East St. Louis, IL | $125.34 | $27.62 |
| El Centro, CA | $143.40 | $26.99 |
| Fort Lauderdale, FL | $135.47 | $27.87 |
| Fort Worth, TX | $131.37 | $26.65 |
| Fresno, CA | $143.39 | $26.98 |
| Galveston, TX | $132.08 | $26.61 |
| Hanford, CA | $143.39 | $26.98 |
| Hawaii, Guam, HI | $147.70 | $26.94 |
| Houston, TX | $132.81 | $27.34 |
| Idaho | $123.28 | $25.56 |
| Indiana | $124.08 | $25.62 |
| Iowa | $122.62 | $25.43 |
| Kansas | $121.53 | $25.51 |
| Kentucky | $120.40 | $25.98 |
| King County, WA | $159.08 | $28.75 |
| Los Angeles, CA | $153.77 | $28.12 |
| Madera, CA | $143.39 | $26.98 |
| Manhattan, NY | $153.11 | $29.68 |
| Marin County, CA | $179.96 | $30.20 |
| Merced, CA | $143.39 | $26.98 |
| Metropolitan Boston, MA | $155.30 | $28.48 |
| Metropolitan Kansas City, MO | $126.08 | $26.34 |
| Metropolitan Philadelphia, PA | $138.14 | $27.57 |
| Metropolitan St. Louis, MO | $127.57 | $26.45 |
| Miami, FL | $139.57 | $29.00 |
| Minnesota | $135.24 | $25.94 |
| Mississippi | $117.03 | $25.58 |
| Modesto, CA | $143.39 | $26.98 |
| Montana | $132.93 | $26.72 |
| Napa, CA | $169.10 | $29.11 |
| Nebraska | $123.49 | $25.45 |
| Nevada | $132.82 | $26.50 |
| New Hampshire | $137.36 | $26.79 |
| New Mexico | $123.92 | $26.52 |
| New Orleans, LA | $126.52 | $26.57 |
| North Carolina | $124.96 | $25.86 |
| North Dakota | $132.14 | $25.93 |
| Northern New Jersey | $152.17 | $28.96 |
| NYC suburbs and Long Island, NY | $156.49 | $30.20 |
| Ohio | $123.21 | $26.24 |
| Oklahoma | $120.67 | $25.82 |
| Oxnard, CA | $153.35 | $27.80 |
| Portland, OR | $145.33 | $27.32 |
| Poughkeepsie and northern NYC suburbs, NY | $144.73 | $28.43 |
| Puerto Rico | $134.15 | $26.76 |
| Queens, NY | $155.15 | $29.61 |
| Redding, CA | $143.39 | $26.98 |
| Rest of California | $143.39 | $26.98 |
| Rest of Florida | $128.68 | $27.14 |
| Rest of Georgia | $121.11 | $26.36 |
| Rest of Illinois | $123.95 | $26.98 |
| Rest of Louisiana | $120.01 | $26.01 |
| Rest of Maine | $123.48 | $25.76 |
| Rest of Maryland | $134.37 | $26.88 |
| Rest of Massachusetts | $138.91 | $27.07 |
| Rest of Michigan | $123.37 | $26.40 |
| Rest of Missouri | $117.46 | $25.90 |
| Rest of New Jersey | $144.15 | $28.16 |
| Rest of New York | $126.94 | $26.04 |
| Rest of Oregon | $132.09 | $26.30 |
| Rest of Pennsylvania | $123.69 | $26.18 |
| Rest of Texas | $127.10 | $26.30 |
| Rest of Washington | $138.80 | $26.96 |
| Rhode Island | $136.86 | $27.14 |
| Riverside, CA | $143.84 | $27.42 |
| Sacramento, CA | $151.26 | $27.74 |
| Salinas, CA | $150.72 | $27.61 |
| San Benito County, CA | $183.94 | $30.78 |
| San Diego, CA | $154.85 | $27.81 |
| San Francisco, CA | $179.92 | $30.15 |
| San Luis Obispo, CA | $148.20 | $27.23 |
| Santa Clara County, CA | $183.75 | $30.59 |
| Santa Cruz, CA | $156.79 | $27.74 |
| Santa Maria, CA | $151.44 | $27.60 |
| Santa Rosa, CA | $158.42 | $27.99 |
| South Carolina | $124.23 | $26.09 |
| South Dakota | $132.05 | $25.83 |
| Southern Maine, ME | $131.44 | $26.18 |
| Stockton, CA | $143.39 | $26.98 |
| Suburban Chicago, IL | $137.13 | $28.04 |
| Tennessee | $122.13 | $25.59 |
| Utah | $126.09 | $26.24 |
| Vallejo, CA | $169.04 | $29.05 |
| Vermont | $131.16 | $26.00 |
| Virgin Islands, VI | $134.15 | $26.76 |
| Virginia | $130.64 | $26.23 |
| Visalia, CA | $143.39 | $26.98 |
| Washington, DC area | $154.07 | $28.95 |
| West Virginia | $118.85 | $26.55 |
| Wisconsin | $127.31 | $25.56 |
| Wyoming | $132.59 | $26.37 |
| Yuba City, CA | $143.39 | $26.98 |
92230 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$116.51
$163.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $149.46 | 1 |
| AL | $118.37 | 1 |
| AR | $116.51 | 1 |
| AZ | $129.27 | 1 |
| CA | $143.39–$183.94 | 29 |
| CO | $140.04 | 1 |
| CT | $142.23 | 1 |
| DC | $154.07 | 1 |
| DE | $131.56 | 1 |
| FL | $128.68–$139.57 | 3 |
| GA | $121.11–$135.05 | 2 |
| GU | $147.70 | 1 |
| HI | $147.70 | 1 |
| IA | $122.62 | 1 |
| ID | $123.28 | 1 |
| IL | $123.95–$137.13 | 4 |
| IN | $124.08 | 1 |
| KS | $121.53 | 1 |
| KY | $120.40 | 1 |
| LA | $120.01–$126.52 | 2 |
| MA | $138.91–$155.30 | 2 |
| MD | $134.37–$154.07 | 3 |
| ME | $123.48–$131.44 | 2 |
| MI | $123.37–$129.94 | 2 |
| MN | $135.24 | 1 |
| MO | $117.46–$127.57 | 3 |
| MS | $117.03 | 1 |
| MT | $132.93 | 1 |
| NC | $124.96 | 1 |
| ND | $132.14 | 1 |
| NE | $123.49 | 1 |
| NH | $137.36 | 1 |
| NJ | $144.15–$152.17 | 2 |
| NM | $123.92 | 1 |
| NV | $132.82 | 1 |
| NY | $126.94–$156.49 | 5 |
| OH | $123.21 | 1 |
| OK | $120.67 | 1 |
| OR | $132.09–$145.33 | 2 |
| PA | $123.69–$138.14 | 2 |
| PR | $134.15 | 1 |
| RI | $136.86 | 1 |
| SC | $124.23 | 1 |
| SD | $132.05 | 1 |
| TN | $122.13 | 1 |
| TX | $122.77–$139.31 | 8 |
| UT | $126.09 | 1 |
| VA | $130.64–$154.07 | 2 |
| VI | $134.15 | 1 |
| VT | $131.16 | 1 |
| WA | $138.80–$159.08 | 2 |
| WI | $127.31 | 1 |
| WV | $118.85 | 1 |
| WY | $132.59 | 1 |
How the 92230 rate is calculated
Each of 92230’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92230
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense3.35
3.35 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
3.9800
Conversion factor
$33.4009
Medicare rate
$132.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92230
The CMS indicators that decide how 92230 is paid alongside other services.
CMS payment indicators · 92230
Fluorescein angioscopy, with interpretation and report
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
92230 without 50 · national office
$132.94
Fluorescein angioscopy, with interpretation and report
92230-50 · Each side: 200%
$265.88
Each side is paid at 100% of the fee schedule amount.
92230 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92235Fluorescein angiographyMultiframe retinal imaging
- Choose 92230 for direct fluorescein angioscopy; choose 92235 for multiframe fluorescein angiography with image interpretation.
- 92242Retinal angiographyFluorescein and ICG
- 92242 is combined fluorescein and indocyanine green angiography, not direct fluorescein angioscopy.
- 92250Fundus photographyRetinal photos with interpretation
- 92250 reports fundus photography with interpretation; 92230 is a fluorescein-based vascular examination.
92230 billing questions
How is 92230 different from fluorescein angiography?
92230 describes direct fluorescein angioscopy with interpretation and a report. Use 92235 when the service is multiframe fluorescein angiography rather than direct angioscopic examination.
What documentation supports 92230?
Document the eye examined, the clinical indication, and the findings and interpretation. The service includes its interpretation and report.
How is 92230 paid when both eyes are examined?
CMS pays each side separately at 100%. Report each examined side using the applicable claim-line conventions.
Can 92230 be reported with 92235?
They describe different examination methods: direct angioscopy versus multiframe fluorescein angiography. Report both only when both distinct services were actually performed and documented.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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