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

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 Washington, DC area, Medicare pays $154.07 for 92230 in the office and $28.95 when it’s performed in a hospital or facility.

$154.07Office (non-facility)
$28.95Hospital or facility
+15.9%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $154.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

92230 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$154.07
  2. Los Angeles, CA · California$153.77−$0.30
  3. Miami, FL · Florida$139.57−$14.50
  4. Chicago, IL · Illinois$135.36−$18.71
  5. Manhattan, NY · New York$153.11−$0.96
  6. Alaska · Alaska$149.46−$4.61
  7. Alabama · Alabama$118.37−$35.70

Other areas in District of Columbia 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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 92230 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0540.6219
Practice expense3.35× 1.1783.9463
Malpractice0.04× 1.1130.0445
Total RVUs4.6127
Conversion factor× 33.4009

Office rate, Washington, DC area$154.07

Office: (0.59 × 1.054 + 3.35 × 1.178 + 0.04 × 1.113) × $33.4009 = $154.07

Facility: (0.59 × 1.054 + 0.17 × 1.178 + 0.04 × 1.113) × $33.4009 = $28.95

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, Washington, DC area
Used instead
92235Fluorescein angiography, multiframe retinal imagingMultiframe fluorescein angiography is a photographic vascular study rather than direct angioscopy.$188.16
92240ICG angiography, unilateral or bilateralUses indocyanine green for angiography instead of fluorescein angioscopy.$285.79
92242Retinal angiography, fluorescein and ICGCombines fluorescein and indocyanine green angiography in one imaging service.$392.28

How 92230 has changed in Washington, DC area

92230 · Office / nonfacility

$154.07

Effective 2026-10-01

The base rate is $10.59 higher than on 2025-10-01, moving from $143.48 to $154.07 (7.4%).

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

    $143.48changed to$154.07

    • 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
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $160.36changed to$143.48

    • 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

    $157.74changed to$160.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $134.63changed to$157.74

    • 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
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $119.49changed to$134.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.71
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $110.56changed to$119.49

    • 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

    $92.40changed to$110.56

    • 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
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $76.07changed to$92.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.20 changed to 1.55
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $67.75changed to$76.07

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $67.18changed to$67.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.00 changed to 1.01
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $67.53changed to$67.18

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.01 changed to 1.00
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $67.34changed to$67.53

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.00 changed to 1.01

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $67.00changed to$67.34

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $68.65changed to$67.00

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.03 changed to 1.00
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $68.60changed to$68.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.12 changed to 1.03
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $68.60

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$154.07$28.95RVU26D
2026-07-01$154.07$28.95RVU26C
2026-04-01$154.07$28.95RVU26B
2026-01-01$154.07$28.95RVU26A
2025-10-01$143.48$33.59RVU25D
2025-07-01$143.48$33.59RVU25C
2025-04-01$143.48$33.59RVU25B
2025-01-01$143.48$33.59RVU25A
2024-10-01$160.36$37.75RVU24D
2024-07-01$160.36$37.75RVU24C
2024-04-01$160.36$37.75RVU24B
2024-03-09$160.36$37.75RVU24AR
2024-01-01$157.74$37.14RVU24A
2023-10-01$134.63$38.77RVU23D
2023-07-01$134.63$38.77RVU23C
2023-04-01$134.63$38.77RVU23B
2023-01-01$134.63$38.77RVU23A
2022-10-01$119.49$36.94RVU22D
2022-07-01$119.49$36.94RVU22C
2022-04-01$119.49$36.94RVU22B
2022-01-01$119.49$36.94RVU22A
2021-10-01$110.56$38.10RVU21D
2021-07-01$110.56$38.10RVU21C
2021-04-01$110.56$38.10RVU21B
2021-01-01$110.56$38.10RVU21A
2020-10-01$92.40$38.20RVU20D
2020-07-01$92.40$38.20RVU20C
2020-04-01$92.40$38.20RVU20B
2020-01-01$92.40$38.20RVU20A
2019-10-01$76.07$37.86RVU19D
2019-07-01$76.07$37.86RVU19C
2019-04-01$76.07$37.86RVU19B
2019-01-01$76.07$37.86RVU19A
2018-10-01$67.75$37.38RVU18D
2018-07-01$67.75$37.38RVU18C
2018-04-01$67.75$37.38RVU18B
2018-01-01$67.75$37.38RVU18AR1
2017-10-01$67.18$36.91RVU17D
2017-07-01$67.18$36.91RVU17C
2017-04-01$67.18$36.91RVU17B
2017-01-01$67.18$36.91RVU17A
2016-10-01$67.53$37.76RVU16D
2016-07-01$67.53$37.76RVU16C
2016-04-01$67.53$37.76RVU16B
2016-01-01$67.53$37.76RVU16A
2015-10-01$67.34$37.46RVU15D
2015-07-01$67.34$37.46RVU15C
2015-04-01$67.00$37.28RVU15B
2015-01-01$67.00$37.28RVU15A
2014-10-01$68.65$38.94RVU14D
2014-07-01$68.65$38.94RVU14C
2014-04-01$68.65$38.94RVU14B
2014-01-01$68.65$38.94RVU14A
2013-10-01$68.60$37.63RVU13D
2013-07-01$68.60$37.63RVU13C
2013-04-01$68.60$37.63RVU13B
2013-01-01$68.60$37.63RVU13AR

Price 92230 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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