CPT code 92235: Fluorescein angiography, multiframe retinal imaging2026 Medicare rate & RVUs

Medicare pays $162.33 for 92235 nationally in the office. Local office rates run $142.65–$225.38.

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

What 92235 covers

A fluorescein angiogram uses injected dye and sequential retinal images to show blood flow, leakage, and areas of poor perfusion. Ophthalmology practices, including retina clinics, commonly use the study to evaluate diabetic retinopathy, retinal vascular occlusions, macular disease, or suspected abnormal new vessels. Imaging staff may acquire the sequence, while the physician interprets the findings and prepares the report. The service may be performed in an office or outpatient facility.

Report the code when the documented study includes multiframe fluorescein angiography and a physician interpretation and report. The record should support the clinical indication, images obtained, and diagnostic findings. The code is priced as a bilateral service, so modifier 50 does not increase payment. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical imaging service. Without either modifier, the claim represents the global service. When multiple ophthalmology diagnostic procedures are reported, the multiple-procedure reduction applies to the technical component.

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.

Where 92235 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92235 rates by state

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

How the 92235 rate is calculated

Each of 92235’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.

Payment rules and modifiers for 92235

The CMS indicators that decide how 92235 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

92235 compared with similar codes

How to choose

92230Fluorescein angioscopyWith interpretation and report

92230 describes fluorescein angioscopy; use 92235 for multiframe fluorescein angiographic imaging with interpretation and report.

92240ICG angiographyUnilateral or bilateral

92240 is for indocyanine green angiography. This code is for fluorescein angiography.

92242Retinal angiographyFluorescein and ICG

92242 describes a combined fluorescein and indocyanine green angiographic study; this code describes fluorescein angiography alone.

92250Fundus photographyRetinal photos with interpretation

92250 captures fundus photographs. This code reports the dye-based, sequential imaging used to assess retinal circulation and leakage.

Codes related to 92235

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

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

Open CMS sourceHow we calculate rates