CPT code 92235: Fluorescein angiography, multiframe retinal imaging2026 Medicare rate & RVUs in Missouri
Reports multiframe retinal fluorescein angiography used to assess retinal and choroidal circulation, leakage, and abnormal vascular growth.
Medicare pays $143.37–$155.74 for 92235 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$143.37 to $155.74
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $153.94 | Unavailable |
| Metropolitan St. Louis, MO | $155.74 | Unavailable |
| Rest of Missouri | $143.37 | Unavailable |
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.
How the rate is built · 92235
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense4.11
4.11 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
4.8600
Conversion factor
$33.4009
Medicare rate
$162.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92235
The CMS indicators that decide how 92235 is paid alongside other services.
CMS payment indicators · 92235
Fluorescein angiography, multiframe retinal imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92235 without 26 · national office
$162.33
Fluorescein angiography, multiframe retinal imaging
92235-26 · Professional component
$41.75
Pays only the interpretation and report.
92235 compared with similar codes
Compare codes · National
5 codes, side by side
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.
92235 billing questions
When should this be reported instead of fundus photography?
Report this code for sequential fluorescein images that evaluate circulation, leakage, or perfusion. Fundus photography documents retinal appearance without the angiographic dye sequence.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the physician's interpretation and report, and modifier TC identifies the technical imaging service. Without a component modifier, the claim represents the global service.
Does modifier 50 apply when both eyes are imaged?
The code is priced as bilateral, and modifier 50 does not increase payment. Document the eyes examined and the images obtained.
How does the multiple-procedure reduction affect this code?
When multiple ophthalmology diagnostic procedures are reported, the reduction applies to this code's technical component. It does not apply to the professional interpretation.
What documentation supports reporting the angiogram?
Document the clinical indication, the multiframe fluorescein imaging performed, and the physician's interpretation and findings. The report should support the diagnostic question, such as retinal leakage or impaired perfusion.
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
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