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

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 Iowa, Medicare pays $122.62 for 92230 in the office and $25.43 when it’s performed in a hospital or facility.

$122.62Office (non-facility)
$25.43Hospital or facility
−7.8%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 Iowa
  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 Iowa 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. Iowa pays $122.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

92230 in Iowa vs other payment areas
  1. Iowa · this page$122.62
  2. Los Angeles, CA · California$153.77+$31.15
  3. Washington, DC area · District of Columbia$154.07+$31.45
  4. Miami, FL · Florida$139.57+$16.95
  5. Chicago, IL · Illinois$135.36+$12.74
  6. Manhattan, NY · New York$153.11+$30.49
  7. Alaska · Alaska$149.46+$26.84

Other areas in Iowa 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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 92230 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense3.35× 0.9153.0653
Malpractice0.04× 0.3970.0159
Total RVUs3.6711
Conversion factor× 33.4009

Office rate, Iowa$122.62

Office: (0.59 × 1 + 3.35 × 0.915 + 0.04 × 0.397) × $33.4009 = $122.62

Facility: (0.59 × 1 + 0.17 × 0.915 + 0.04 × 0.397) × $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, Iowa
Used instead
92235Fluorescein angiography, multiframe retinal imagingMultiframe fluorescein angiography is a photographic vascular study rather than direct angioscopy.$150.26
92240ICG angiography, unilateral or bilateralUses indocyanine green for angiography instead of fluorescein angioscopy.$225.46
92242Retinal angiography, fluorescein and ICGCombines fluorescein and indocyanine green angiography in one imaging service.$309.71

How 92230 has changed in Iowa

92230 · Office / nonfacility

$122.62

Effective 2026-10-01

The base rate is $9.59 higher than on 2025-10-01, moving from $113.03 to $122.62 (8.5%).

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

    $113.03changed to$122.62

    • 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 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $126.19changed to$113.03

    • 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

    $124.13changed to$126.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $104.50changed to$124.13

    • 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 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $91.66changed to$104.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.24 changed to 2.71
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $85.14changed to$91.66

    • 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

    $72.85changed to$85.14

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $61.31changed to$72.85

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.20 changed to 1.55
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $55.03changed to$61.31

    • 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

    $54.40changed to$55.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.00 changed to 1.01
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $54.41changed to$54.40

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.01 changed to 1.00
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.29changed to$54.41

    • 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

    $54.02changed to$54.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $55.09changed to$54.02

    • 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 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $54.83changed to$55.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.12 changed to 1.03
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $54.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$122.62$25.43RVU26D
2026-07-01$122.62$25.43RVU26C
2026-04-01$122.62$25.43RVU26B
2026-01-01$122.62$25.43RVU26A
2025-10-01$113.03$28.86RVU25D
2025-07-01$113.03$28.86RVU25C
2025-04-01$113.03$28.86RVU25B
2025-01-01$113.03$28.86RVU25A
2024-10-01$126.19$32.28RVU24D
2024-07-01$126.19$32.28RVU24C
2024-04-01$126.19$32.28RVU24B
2024-03-09$126.19$32.28RVU24AR
2024-01-01$124.13$31.75RVU24A
2023-10-01$104.50$32.65RVU23D
2023-07-01$104.50$32.65RVU23C
2023-04-01$104.50$32.65RVU23B
2023-01-01$104.50$32.65RVU23A
2022-10-01$91.66$31.08RVU22D
2022-07-01$91.66$31.08RVU22C
2022-04-01$91.66$31.08RVU22B
2022-01-01$91.66$31.08RVU22A
2021-10-01$85.14$31.97RVU21D
2021-07-01$85.14$31.97RVU21C
2021-04-01$85.14$31.97RVU21B
2021-01-01$85.14$31.97RVU21A
2020-10-01$72.85$32.59RVU20D
2020-07-01$72.85$32.59RVU20C
2020-04-01$72.85$32.59RVU20B
2020-01-01$72.85$32.59RVU20A
2019-10-01$61.31$32.54RVU19D
2019-07-01$61.31$32.54RVU19C
2019-04-01$61.31$32.54RVU19B
2019-01-01$61.31$32.54RVU19A
2018-10-01$55.03$32.18RVU18D
2018-07-01$55.03$32.18RVU18C
2018-04-01$55.03$32.18RVU18B
2018-01-01$55.03$32.18RVU18AR1
2017-10-01$54.40$31.74RVU17D
2017-07-01$54.40$31.74RVU17C
2017-04-01$54.40$31.74RVU17B
2017-01-01$54.40$31.74RVU17A
2016-10-01$54.41$32.28RVU16D
2016-07-01$54.41$32.28RVU16C
2016-04-01$54.41$32.28RVU16B
2016-01-01$54.41$32.28RVU16A
2015-10-01$54.29$32.07RVU15D
2015-07-01$54.29$32.07RVU15C
2015-04-01$54.02$31.91RVU15B
2015-01-01$54.02$31.91RVU15A
2014-10-01$55.09$33.04RVU14D
2014-07-01$55.09$33.04RVU14C
2014-04-01$55.09$33.04RVU14B
2014-01-01$55.09$33.04RVU14A
2013-10-01$54.83$31.90RVU13D
2013-07-01$54.83$31.90RVU13C
2013-04-01$54.83$31.90RVU13B
2013-01-01$54.83$31.90RVU13AR

Price 92230 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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