CPT code 92230: Fluorescein angioscopy, with interpretation and report2026 Medicare rate & RVUs in Virginia
Fluorescein angioscopy examines ocular vascular circulation after dye administration, with interpretation and a report documenting the findings for the tested eye.
In Virginia, Medicare pays $130.64 for 92230 in the office and $26.23 when it’s performed in a hospital or facility.
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.
On this page 11 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.
How Virginia 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. Virginia pays $130.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$130.64
- Los Angeles, CA · California$153.77+$23.13
- Washington, DC area · District of Columbia$154.07+$23.43
- Miami, FL · Florida$139.57+$8.93
- Chicago, IL · Illinois$135.36+$4.72
- Manhattan, NY · New York$153.11+$22.47
- Alaska · Alaska$149.46+$18.82
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $143.39 | $26.98 |
| Merced, CACalifornia | $143.39 | $26.98 |
| Modesto, CACalifornia | $143.39 | $26.98 |
| Napa, CACalifornia | $169.10 | $29.11 |
| Oxnard, CACalifornia | $153.35 | $27.80 |
| Redding, CACalifornia | $143.39 | $26.98 |
| Rest of CaliforniaCalifornia | $143.39 | $26.98 |
| Riverside, CACalifornia | $143.84 | $27.42 |
| Sacramento, CACalifornia | $151.26 | $27.74 |
| Salinas, CACalifornia | $150.72 | $27.61 |
| San Diego, CACalifornia | $154.85 | $27.81 |
| Marin County, CACalifornia | $179.96 | $30.20 |
| San Francisco, CACalifornia | $179.92 | $30.15 |
| San Benito County, CACalifornia | $183.94 | $30.78 |
| Santa Clara County, CACalifornia | $183.75 | $30.59 |
| San Luis Obispo, CACalifornia | $148.20 | $27.23 |
| Santa Cruz, CACalifornia | $156.79 | $27.74 |
| Santa Maria, CACalifornia | $151.44 | $27.60 |
| Santa Rosa, CACalifornia | $158.42 | $27.99 |
| Stockton, CACalifornia | $143.39 | $26.98 |
| Vallejo, CACalifornia | $169.04 | $29.05 |
| Visalia, CACalifornia | $143.39 | $26.98 |
| Yuba City, CACalifornia | $143.39 | $26.98 |
| ColoradoColorado | $140.04 | $27.03 |
| ConnecticutConnecticut | $142.23 | $27.83 |
| DelawareDelaware | $131.56 | $26.62 |
| Fort Lauderdale, FLFlorida | $135.47 | $27.87 |
| Rest of FloridaFlorida | $128.68 | $27.14 |
| Atlanta, GAGeorgia | $135.05 | $27.14 |
| Rest of GeorgiaGeorgia | $121.11 | $26.36 |
| Hawaii, Guam, HIHawaii | $147.70 | $26.94 |
| IowaIowa | $122.62 | $25.43 |
| IdahoIdaho | $123.28 | $25.56 |
| East St. Louis, ILIllinois | $125.34 | $27.62 |
| Rest of IllinoisIllinois | $123.95 | $26.98 |
| Suburban Chicago, ILIllinois | $137.13 | $28.04 |
| IndianaIndiana | $124.08 | $25.62 |
| KansasKansas | $121.53 | $25.51 |
| KentuckyKentucky | $120.40 | $25.98 |
| New Orleans, LALouisiana | $126.52 | $26.57 |
| Rest of LouisianaLouisiana | $120.01 | $26.01 |
| Metropolitan Boston, MAMassachusetts | $155.30 | $28.48 |
| Rest of MassachusettsMassachusetts | $138.91 | $27.07 |
| Baltimore area, MDMaryland | $141.74 | $27.77 |
| Rest of MarylandMaryland | $134.37 | $26.88 |
| Rest of MaineMaine | $123.48 | $25.76 |
| Southern Maine, MEMaine | $131.44 | $26.18 |
| Detroit, MIMichigan | $129.94 | $27.44 |
| Rest of MichiganMichigan | $123.37 | $26.40 |
| MinnesotaMinnesota | $135.24 | $25.94 |
| Metropolitan Kansas City, MOMissouri | $126.08 | $26.34 |
| Metropolitan St. Louis, MOMissouri | $127.57 | $26.45 |
| Rest of MissouriMissouri | $117.46 | $25.90 |
| MississippiMississippi | $117.03 | $25.58 |
| MontanaMontana | $132.93 | $26.72 |
| North CarolinaNorth Carolina | $124.96 | $25.86 |
| North DakotaNorth Dakota | $132.14 | $25.93 |
| NebraskaNebraska | $123.49 | $25.45 |
| New HampshireNew Hampshire | $137.36 | $26.79 |
| Northern New JerseyNew Jersey | $152.17 | $28.96 |
| Rest of New JerseyNew Jersey | $144.15 | $28.16 |
| New MexicoNew Mexico | $123.92 | $26.52 |
| NevadaNevada | $132.82 | $26.50 |
| NYC suburbs and Long Island, NYNew York | $156.49 | $30.20 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $144.73 | $28.43 |
| Queens, NYNew York | $155.15 | $29.61 |
| Rest of New YorkNew York | $126.94 | $26.04 |
| OhioOhio | $123.21 | $26.24 |
| OklahomaOklahoma | $120.67 | $25.82 |
| Portland, OROregon | $145.33 | $27.32 |
| Rest of OregonOregon | $132.09 | $26.30 |
| Metropolitan Philadelphia, PAPennsylvania | $138.14 | $27.57 |
| Rest of PennsylvaniaPennsylvania | $123.69 | $26.18 |
| Puerto RicoPuerto Rico | $134.15 | $26.76 |
| Rhode IslandRhode Island | $136.86 | $27.14 |
| South CarolinaSouth Carolina | $124.23 | $26.09 |
| South DakotaSouth Dakota | $132.05 | $25.83 |
| TennesseeTennessee | $122.13 | $25.59 |
| Austin, TXTexas | $139.31 | $26.94 |
| Beaumont, TXTexas | $122.77 | $26.11 |
| Brazoria, TXTexas | $131.79 | $26.53 |
| Dallas, TXTexas | $132.48 | $26.69 |
| Fort Worth, TXTexas | $131.37 | $26.65 |
| Galveston, TXTexas | $132.08 | $26.61 |
| Houston, TXTexas | $132.81 | $27.34 |
| Rest of TexasTexas | $127.10 | $26.30 |
| UtahUtah | $126.09 | $26.24 |
| Virgin Islands, VIUnited States Virgin Islands | $134.15 | $26.76 |
| VermontVermont | $131.16 | $26.00 |
| Rest of WashingtonWashington | $138.80 | $26.96 |
| King County, WAWashington | $159.08 | $28.75 |
| WisconsinWisconsin | $127.31 | $25.56 |
| West VirginiaWest Virginia | $118.85 | $26.55 |
| WyomingWyoming | $132.59 | $26.37 |
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.
The exact Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 3.35 | × 0.983 | 3.2931 |
| Malpractice | 0.04 | × 0.706 | 0.0282 |
| Total RVUs | 3.9113 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$130.64
Office: (0.59 × 1 + 3.35 × 0.983 + 0.04 × 0.706) × $33.4009 = $130.64
Facility: (0.59 × 1 + 0.17 × 0.983 + 0.04 × 0.706) × $33.4009 = $26.23
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.
How 92230 has changed in Virginia
92230 · Office / nonfacility
$130.64
Effective 2026-10-01
The base rate is $9.96 higher than on 2025-10-01, moving from $120.68 to $130.64 (8.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$120.68changed to$130.64
- 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 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$134.75changed to$120.68
- 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.
March 9, 2024
RVU24AR
$132.55changed to$134.75
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$112.37changed to$132.55
- 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 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$99.14changed to$112.37
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.24 changed to 2.71
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$91.97changed to$99.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.01 changed to 2.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$78.07changed to$91.97
- 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 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$65.25changed to$78.07
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.20 changed to 1.55
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$58.43changed to$65.25
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.01 changed to 1.20
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$57.82changed to$58.43
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.00 changed to 1.01
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$57.92changed to$57.82
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.01 changed to 1.00
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$57.77changed to$57.92
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.00 changed to 1.01
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$57.48changed to$57.77
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$58.77changed to$57.48
- 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 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$58.64changed to$58.77
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.12 changed to 1.03
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $58.64
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $130.64 | $26.23 | RVU26D |
| 2026-07-01 | $130.64 | $26.23 | RVU26C |
| 2026-04-01 | $130.64 | $26.23 | RVU26B |
| 2026-01-01 | $130.64 | $26.23 | RVU26A |
| 2025-10-01 | $120.68 | $29.97 | RVU25D |
| 2025-07-01 | $120.68 | $29.97 | RVU25C |
| 2025-04-01 | $120.68 | $29.97 | RVU25B |
| 2025-01-01 | $120.68 | $29.97 | RVU25A |
| 2024-10-01 | $134.75 | $33.54 | RVU24D |
| 2024-07-01 | $134.75 | $33.54 | RVU24C |
| 2024-04-01 | $134.75 | $33.54 | RVU24B |
| 2024-03-09 | $134.75 | $33.54 | RVU24AR |
| 2024-01-01 | $132.55 | $32.99 | RVU24A |
| 2023-10-01 | $112.37 | $34.20 | RVU23D |
| 2023-07-01 | $112.37 | $34.20 | RVU23C |
| 2023-04-01 | $112.37 | $34.20 | RVU23B |
| 2023-01-01 | $112.37 | $34.20 | RVU23A |
| 2022-10-01 | $99.14 | $32.68 | RVU22D |
| 2022-07-01 | $99.14 | $32.68 | RVU22C |
| 2022-04-01 | $99.14 | $32.68 | RVU22B |
| 2022-01-01 | $99.14 | $32.68 | RVU22A |
| 2021-10-01 | $91.97 | $33.64 | RVU21D |
| 2021-07-01 | $91.97 | $33.64 | RVU21C |
| 2021-04-01 | $91.97 | $33.64 | RVU21B |
| 2021-01-01 | $91.97 | $33.64 | RVU21A |
| 2020-10-01 | $78.07 | $34.08 | RVU20D |
| 2020-07-01 | $78.07 | $34.08 | RVU20C |
| 2020-04-01 | $78.07 | $34.08 | RVU20B |
| 2020-01-01 | $78.07 | $34.08 | RVU20A |
| 2019-10-01 | $65.25 | $33.98 | RVU19D |
| 2019-07-01 | $65.25 | $33.98 | RVU19C |
| 2019-04-01 | $65.25 | $33.98 | RVU19B |
| 2019-01-01 | $65.25 | $33.98 | RVU19A |
| 2018-10-01 | $58.43 | $33.58 | RVU18D |
| 2018-07-01 | $58.43 | $33.58 | RVU18C |
| 2018-04-01 | $58.43 | $33.58 | RVU18B |
| 2018-01-01 | $58.43 | $33.58 | RVU18AR1 |
| 2017-10-01 | $57.82 | $33.07 | RVU17D |
| 2017-07-01 | $57.82 | $33.07 | RVU17C |
| 2017-04-01 | $57.82 | $33.07 | RVU17B |
| 2017-01-01 | $57.82 | $33.07 | RVU17A |
| 2016-10-01 | $57.92 | $33.63 | RVU16D |
| 2016-07-01 | $57.92 | $33.63 | RVU16C |
| 2016-04-01 | $57.92 | $33.63 | RVU16B |
| 2016-01-01 | $57.92 | $33.63 | RVU16A |
| 2015-10-01 | $57.77 | $33.40 | RVU15D |
| 2015-07-01 | $57.77 | $33.40 | RVU15C |
| 2015-04-01 | $57.48 | $33.23 | RVU15B |
| 2015-01-01 | $57.48 | $33.23 | RVU15A |
| 2014-10-01 | $58.77 | $34.54 | RVU14D |
| 2014-07-01 | $58.77 | $34.54 | RVU14C |
| 2014-04-01 | $58.77 | $34.54 | RVU14B |
| 2014-01-01 | $58.77 | $34.54 | RVU14A |
| 2013-10-01 | $58.64 | $33.38 | RVU13D |
| 2013-07-01 | $58.64 | $33.38 | RVU13C |
| 2013-04-01 | $58.64 | $33.38 | RVU13B |
| 2013-01-01 | $58.64 | $33.38 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
Fee sheets · Coming soon
Put 92230 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist