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CPT code 92230: Fluorescein angioscopy, with interpretation and report2026 Medicare rate & RVUs in Alabama

Fluorescein angioscopy examines ocular vascular circulation after dye administration, with interpretation and a report documenting the findings for the tested eye.

CMS RVU26DEffective Oct 1, 2026One payment locality154 Medicare services in 2024

In Alabama, Medicare pays $118.37 for 92230 in the office and $25.43 when it’s performed in a hospital or facility.

$118.37Office (non-facility)
$25.43Hospital or facility
−11.0%vs the national office rate ($132.94)

Check a contract rate as a % of Medicare · 92230 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92230 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 92230 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Alabama compares for 92230

Across 109 of 109 payment localities, the office rate for 92230 runs from $116.51 in Arkansas to $183.94 in San Benito County, CA. Alabama pays $118.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

92230 in Alabama vs other payment areas
  1. Alabama · this page$118.37
  2. Los Angeles, CA · California$153.77+$35.40
  3. Washington, DC area · District of Columbia$154.07+$35.70
  4. Miami, FL · Florida$139.57+$21.20
  5. Chicago, IL · Illinois$135.36+$16.99
  6. Manhattan, NY · New York$153.11+$34.74
  7. Alaska · Alaska$149.46+$31.09

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

92230 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$116.51$25.27
ArizonaArizona$129.27$26.35
Bakersfield, CACalifornia$143.53$27.12
Chico, CACalifornia$143.39$26.98
El Centro, CACalifornia$143.40$26.99
Fresno, CACalifornia$143.39$26.98
Hanford, CACalifornia$143.39$26.98
Madera, CACalifornia$143.39$26.98

92230 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
92230 office rate range by state
State / territoryOffice rate rangeLocalities
AK$149.461
AL$118.371
AR$116.511
AZ$129.271
CA$143.39–$183.9429
CO$140.041
CT$142.231
DC$154.071
DE$131.561
FL$128.68–$139.573
GA$121.11–$135.052
GU$147.701
HI$147.701
IA$122.621
ID$123.281
IL$123.95–$137.134
IN$124.081
KS$121.531
KY$120.401
LA$120.01–$126.522
MA$138.91–$155.302
MD$134.37–$154.073
ME$123.48–$131.442
MI$123.37–$129.942
MN$135.241
MO$117.46–$127.573
MS$117.031
MT$132.931
NC$124.961
ND$132.141
NE$123.491
NH$137.361
NJ$144.15–$152.172
NM$123.921
NV$132.821
NY$126.94–$156.495
OH$123.211
OK$120.671
OR$132.09–$145.332
PA$123.69–$138.142
PR$134.151
RI$136.861
SC$124.231
SD$132.051
TN$122.131
TX$122.77–$139.318
UT$126.091
VA$130.64–$154.072
VI$134.151
VT$131.161
WA$138.80–$159.082
WI$127.311
WV$118.851
WY$132.591

See 92230 in every payment locality

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

Office or facility?

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.

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,712

Code
92230
Physician work
0.59
Practice expense
3.35
Malpractice
0.04

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 92230 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense3.35× 0.8752.9312
Malpractice0.04× 0.5660.0226
Total RVUs3.5439
Conversion factor× 33.4009

Office rate, Alabama$118.37

Office: (0.59 × 1 + 3.35 × 0.875 + 0.04 × 0.566) × $33.4009 = $118.37

Facility: (0.59 × 1 + 0.17 × 0.875 + 0.04 × 0.566) × $33.4009 = $25.43

Open 92230 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)3Each side paid at 100% (no 150% cap).
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

When to use modifier 50

Codes related to 92230

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92230
CodeHow it relatesOffice range, Alabama
Used instead
92235Fluorescein angiography, multiframe retinal imagingMultiframe fluorescein angiography is a photographic vascular study rather than direct angioscopy.$144.88
92240ICG angiography, unilateral or bilateralUses indocyanine green for angiography instead of fluorescein angioscopy.$217.24
92242Retinal angiography, fluorescein and ICGCombines fluorescein and indocyanine green angiography in one imaging service.$297.77

How 92230 has changed in Alabama

92230 · Office / nonfacility

$118.37

Effective 2026-10-01

The base rate is $9.67 higher than on 2025-10-01, moving from $108.70 to $118.37 (8.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $108.70changed to$118.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 3.15 changed to 3.35
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $121.21changed to$108.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.48 changed to 3.15
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $119.23changed to$121.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $101.98changed to$119.23

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.71 changed to 3.48
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575

  5. January 1, 2023

    RVU23A

    $90.87changed to$101.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.71
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $84.50changed to$90.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.01 changed to 2.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $72.15changed to$84.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.55 changed to 2.01
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $60.65changed to$72.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.20 changed to 1.55
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.49changed to$60.65

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.01 changed to 1.20

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$54.49

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$118.37$25.43RVU26D
2026-07-01$118.37$25.43RVU26C
2026-04-01$118.37$25.43RVU26B
2026-01-01$118.37$25.43RVU26A
2025-10-01$108.70$28.58RVU25D
2025-07-01$108.70$28.58RVU25C
2025-04-01$108.70$28.58RVU25B
2025-01-01$108.70$28.58RVU25A
2024-10-01$121.21$31.83RVU24D
2024-07-01$121.21$31.83RVU24C
2024-04-01$121.21$31.83RVU24B
2024-03-09$121.21$31.83RVU24AR
2024-01-01$119.23$31.31RVU24A
2023-10-01$101.98$32.65RVU23D
2023-07-01$101.98$32.65RVU23C
2023-04-01$101.98$32.65RVU23B
2023-01-01$101.98$32.65RVU23A
2022-10-01$90.87$31.57RVU22D
2022-07-01$90.87$31.57RVU22C
2022-04-01$90.87$31.57RVU22B
2022-01-01$90.87$31.57RVU22A
2021-10-01$84.50$32.45RVU21D
2021-07-01$84.50$32.45RVU21C
2021-04-01$84.50$32.45RVU21B
2021-01-01$84.50$32.45RVU21A
2020-10-01$72.15$32.69RVU20D
2020-07-01$72.15$32.69RVU20C
2020-04-01$72.15$32.69RVU20B
2020-01-01$72.15$32.69RVU20A
2019-10-01$60.65$32.42RVU19D
2019-07-01$60.65$32.42RVU19C
2019-04-01$60.65$32.42RVU19B
2019-01-01$60.65$32.42RVU19A
2018-10-01$54.49$32.06RVU18D
2018-07-01$54.49$32.06RVU18C
2018-04-01$54.49$32.06RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92230 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

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
RVUs for 92230PPRRVU2026_Oct_nonQPP.csv, line 11,712 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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