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

Reports multiframe retinal fluorescein angiography used to assess retinal and choroidal circulation, leakage, and abnormal vascular growth.

CMS RVU26DEffective Oct 1, 2026One payment locality243.4K Medicare services in 2024

In New Mexico, Medicare pays $151.07 for 92235 in the office.

$151.07Office (non-facility)
Not available in this settingHospital or facility
−6.9%vs the national office rate ($162.33)

Check a contract rate as a % of Medicare · 92235 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 92235 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 92235 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 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.

How New Mexico compares for 92235

Across 109 of 109 payment localities, the office rate for 92235 runs from $142.65 in Arkansas to $225.38 in San Benito County, CA. New Mexico pays $151.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

92235 in New Mexico vs other payment areas
  1. New Mexico · this page$151.07
  2. Los Angeles, CA · California$188.23+$37.16
  3. Washington, DC area · District of Columbia$188.16+$37.09
  4. Miami, FL · Florida$168.98+$17.91
  5. Chicago, IL · Illinois$164.05+$12.98
  6. Manhattan, NY · New York$186.52+$35.45
  7. Alaska · Alaska$183.14+$32.07

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

Every other payment area

92235 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$144.88—
ArkansasArkansas$142.65—
ArizonaArizona$157.98—
Bakersfield, CACalifornia$175.71—
Chico, CACalifornia$175.61—
El Centro, CACalifornia$175.61—
Fresno, CACalifornia$175.61—
Hanford, CACalifornia$175.61—

92235 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.

$142.65

$200.50

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92235 office rate range by state
State / territoryOffice rate rangeLocalities
AK$183.141
AL$144.881
AR$142.651
AZ$157.981
CA$175.61–$225.3829
CO$171.261
CT$173.531
DC$188.161
DE$160.741
FL$156.62–$168.983
GA$147.63–$164.732
GU$180.851
HI$180.851
IA$150.261
ID$150.991
IL$150.76–$166.724
IN$151.961
KS$148.821
KY$147.031
LA$146.51–$154.322
MA$169.86–$189.892
MD$164.16–$188.163
ME$151.09–$160.852
MI$150.47–$157.982
MN$165.841
MO$143.37–$155.743
MS$143.071
MT$162.331
NC$152.891
ND$161.931
NE$151.341
NH$167.871
NJ$176.00–$185.872
NM$151.071
NV$162.351
NY$155.27–$190.415
OH$150.391
OK$147.491
OR$161.58–$177.792
PA$151.03–$168.522
PR$163.831
RI$167.251
SC$151.801
SD$161.881
TN$149.531
TX$149.93–$170.268
UT$154.021
VA$159.80–$188.162
VI$163.831
VT$160.631
WA$169.76–$194.592
WI$156.101
WV$144.631
WY$162.151

See 92235 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,713

Code
92235
Physician work
0.73
Practice expense
4.11
Malpractice
0.02

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 92235 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense4.11× 0.9173.7689
Malpractice0.02× 1.2010.0240
Total RVUs4.5229
Conversion factor× 33.4009

Office rate, New Mexico$151.07

Office: (0.73 × 1 + 4.11 × 0.917 + 0.02 × 1.201) × $33.4009 = $151.07

Open 92235 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic 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.

When to use modifier 26

How 92235 has changed in New Mexico

92235 · Office / nonfacility

$151.07

Effective 2026-10-01

The base rate is $10.04 higher than on 2025-10-01, moving from $141.03 to $151.07 (7.1%).

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

    $141.03changed to$151.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 3.95 changed to 4.11
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $149.67changed to$141.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.10 changed to 3.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $147.23changed to$149.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $127.69changed to$147.23

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.32 changed to 4.10
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $117.30changed to$127.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.92 changed to 3.32
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $109.83changed to$117.30

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.65 changed to 2.92

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $98.72changed to$109.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.16 changed to 2.65
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $88.34changed to$98.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.82 changed to 2.16
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $83.27changed to$88.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.67 changed to 1.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $82.26changed to$83.27

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.65 changed to 1.67
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $104.20changed to$82.26

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 0.81 changed to 0.75
    • Practice expense RVU 2.26 changed to 1.65
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $104.57changed to$104.20

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $104.05changed to$104.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $104.23changed to$104.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.24 changed to 2.26
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $106.20changed to$104.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.48 changed to 2.24
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $106.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.07Not available in this settingRVU26D
2026-07-01$151.07Not available in this settingRVU26C
2026-04-01$151.07Not available in this settingRVU26B
2026-01-01$151.07Not available in this settingRVU26A
2025-10-01$141.03Not available in this settingRVU25D
2025-07-01$141.03Not available in this settingRVU25C
2025-04-01$141.03Not available in this settingRVU25B
2025-01-01$141.03Not available in this settingRVU25A
2024-10-01$149.67Not available in this settingRVU24D
2024-07-01$149.67Not available in this settingRVU24C
2024-04-01$149.67Not available in this settingRVU24B
2024-03-09$149.67Not available in this settingRVU24AR
2024-01-01$147.23Not available in this settingRVU24A
2023-10-01$127.69Not available in this settingRVU23D
2023-07-01$127.69Not available in this settingRVU23C
2023-04-01$127.69Not available in this settingRVU23B
2023-01-01$127.69Not available in this settingRVU23A
2022-10-01$117.30Not available in this settingRVU22D
2022-07-01$117.30Not available in this settingRVU22C
2022-04-01$117.30Not available in this settingRVU22B
2022-01-01$117.30Not available in this settingRVU22A
2021-10-01$109.83Not available in this settingRVU21D
2021-07-01$109.83Not available in this settingRVU21C
2021-04-01$109.83Not available in this settingRVU21B
2021-01-01$109.83Not available in this settingRVU21A
2020-10-01$98.72Not available in this settingRVU20D
2020-07-01$98.72Not available in this settingRVU20C
2020-04-01$98.72Not available in this settingRVU20B
2020-01-01$98.72Not available in this settingRVU20A
2019-10-01$88.34Not available in this settingRVU19D
2019-07-01$88.34Not available in this settingRVU19C
2019-04-01$88.34Not available in this settingRVU19B
2019-01-01$88.34Not available in this settingRVU19A
2018-10-01$83.27Not available in this settingRVU18D
2018-07-01$83.27Not available in this settingRVU18C
2018-04-01$83.27Not available in this settingRVU18B
2018-01-01$83.27Not available in this settingRVU18AR1
2017-10-01$82.26Not available in this settingRVU17D
2017-07-01$82.26Not available in this settingRVU17C
2017-04-01$82.26Not available in this settingRVU17B
2017-01-01$82.26Not available in this settingRVU17A
2016-10-01$104.20Not available in this settingRVU16D
2016-07-01$104.20Not available in this settingRVU16C
2016-04-01$104.20Not available in this settingRVU16B
2016-01-01$104.20Not available in this settingRVU16A
2015-10-01$104.57Not available in this settingRVU15D
2015-07-01$104.57Not available in this settingRVU15C
2015-04-01$104.05Not available in this settingRVU15B
2015-01-01$104.05Not available in this settingRVU15A
2014-10-01$104.23Not available in this settingRVU14D
2014-07-01$104.23Not available in this settingRVU14C
2014-04-01$104.23Not available in this settingRVU14B
2014-01-01$104.23Not available in this settingRVU14A
2013-10-01$106.20Not available in this settingRVU13D
2013-07-01$106.20Not available in this settingRVU13C
2013-04-01$106.20Not available in this settingRVU13B
2013-01-01$106.20Not available in this settingRVU13AR

Price 92235 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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
RVUs for 92235PPRRVU2026_Oct_nonQPP.csv, line 11,713 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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