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

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 Delaware, Medicare pays $131.56 for 92230 in the office and $26.62 when it’s performed in a hospital or facility.

$131.56Office (non-facility)
$26.62Hospital or facility
−1.0%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 Delaware
  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 Delaware 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. Delaware pays $131.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

92230 in Delaware vs other payment areas
  1. Delaware · this page$131.56
  2. Los Angeles, CA · California$153.77+$22.21
  3. Washington, DC area · District of Columbia$154.07+$22.51
  4. Miami, FL · Florida$139.57+$8.01
  5. Chicago, IL · Illinois$135.36+$3.80
  6. Manhattan, NY · New York$153.11+$21.55
  7. Alaska · Alaska$149.46+$17.90

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

Every other payment area

92230 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$118.37$25.43
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

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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 92230 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0050.5929
Practice expense3.35× 0.9883.3098
Malpractice0.04× 0.8990.0360
Total RVUs3.9387
Conversion factor× 33.4009

Office rate, Delaware$131.56

Office: (0.59 × 1.005 + 3.35 × 0.988 + 0.04 × 0.899) × $33.4009 = $131.56

Facility: (0.59 × 1.005 + 0.17 × 0.988 + 0.04 × 0.899) × $33.4009 = $26.62

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, Delaware
Used instead
92235Fluorescein angiography, multiframe retinal imagingMultiframe fluorescein angiography is a photographic vascular study rather than direct angioscopy.$160.74
92240ICG angiography, unilateral or bilateralUses indocyanine green for angiography instead of fluorescein angioscopy.$242.76
92242Retinal angiography, fluorescein and ICGCombines fluorescein and indocyanine green angiography in one imaging service.$332.72

How 92230 has changed in Delaware

92230 · Office / nonfacility

$131.56

Effective 2026-10-01

The base rate is $9.67 higher than on 2025-10-01, moving from $121.89 to $131.56 (7.9%).

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

    $121.89changed to$131.56

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $136.01changed to$121.89

    • 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

    $133.79changed to$136.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $114.22changed to$133.79

    • 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 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $101.37changed to$114.22

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.71
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $94.01changed to$101.37

    • 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

    $80.00changed to$94.01

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $67.05changed to$80.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.20 changed to 1.55
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $60.01changed to$67.05

    • 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

    $59.72changed to$60.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.00 changed to 1.01
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $60.19changed to$59.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.01 changed to 1.00
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $60.03changed to$60.19

    • 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

    $59.74changed to$60.03

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $61.31changed to$59.74

    • 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
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.36changed to$61.31

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.12 changed to 1.03
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$131.56$26.62RVU26D
2026-07-01$131.56$26.62RVU26C
2026-04-01$131.56$26.62RVU26B
2026-01-01$131.56$26.62RVU26A
2025-10-01$121.89$30.44RVU25D
2025-07-01$121.89$30.44RVU25C
2025-04-01$121.89$30.44RVU25B
2025-01-01$121.89$30.44RVU25A
2024-10-01$136.01$33.98RVU24D
2024-07-01$136.01$33.98RVU24C
2024-04-01$136.01$33.98RVU24B
2024-03-09$136.01$33.98RVU24AR
2024-01-01$133.79$33.42RVU24A
2023-10-01$114.22$34.71RVU23D
2023-07-01$114.22$34.71RVU23C
2023-04-01$114.22$34.71RVU23B
2023-01-01$114.22$34.71RVU23A
2022-10-01$101.37$33.11RVU22D
2022-07-01$101.37$33.11RVU22C
2022-04-01$101.37$33.11RVU22B
2022-01-01$101.37$33.11RVU22A
2021-10-01$94.01$34.10RVU21D
2021-07-01$94.01$34.10RVU21C
2021-04-01$94.01$34.10RVU21B
2021-01-01$94.01$34.10RVU21A
2020-10-01$80.00$34.68RVU20D
2020-07-01$80.00$34.68RVU20C
2020-04-01$80.00$34.68RVU20B
2020-01-01$80.00$34.68RVU20A
2019-10-01$67.05$34.74RVU19D
2019-07-01$67.05$34.74RVU19C
2019-04-01$67.05$34.74RVU19B
2019-01-01$67.05$34.74RVU19A
2018-10-01$60.01$34.33RVU18D
2018-07-01$60.01$34.33RVU18C
2018-04-01$60.01$34.33RVU18B
2018-01-01$60.01$34.33RVU18AR1
2017-10-01$59.72$33.97RVU17D
2017-07-01$59.72$33.97RVU17C
2017-04-01$59.72$33.97RVU17B
2017-01-01$59.72$33.97RVU17A
2016-10-01$60.19$34.72RVU16D
2016-07-01$60.19$34.72RVU16C
2016-04-01$60.19$34.72RVU16B
2016-01-01$60.19$34.72RVU16A
2015-10-01$60.03$34.47RVU15D
2015-07-01$60.03$34.47RVU15C
2015-04-01$59.74$34.30RVU15B
2015-01-01$59.74$34.30RVU15A
2014-10-01$61.31$35.65RVU14D
2014-07-01$61.31$35.65RVU14C
2014-04-01$61.31$35.65RVU14B
2014-01-01$61.31$35.65RVU14A
2013-10-01$61.36$34.36RVU13D
2013-07-01$61.36$34.36RVU13C
2013-04-01$61.36$34.36RVU13B
2013-01-01$61.36$34.36RVU13AR

Price 92230 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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