CPT code 92240: ICG angiography, unilateral or bilateral2026 Medicare rate & RVUs

Reports indocyanine green angiography of one or both eyes to assess choroidal and retinal circulation, including suspected choroidal vascular abnormalities.

CMS RVU26DEffective Oct 1, 2026109 payment localities6.1K Medicare services in 2024

Medicare pays $245.50 for 92240 nationally in the office. Local office rates run $213.64–$342.94.

Medicare rate · 92240

ICG angiography, unilateral or bilateral

Office or facility?

Work RVUs
0.78
Total RVUs
7.35
Global days
XXX

National rate · 2026

$245.50

Office setting, before claim adjustments.

See every locality for 92240 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92240 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92240 covers

Indocyanine green angiography uses injected dye and ophthalmic imaging equipment to visualize blood flow, particularly in the choroid beneath the retina. Retina specialists commonly use it when assessing suspected choroidal neovascularization or other abnormalities that may be difficult to characterize with examination alone. The study may be performed in an ophthalmology office or a facility, with a qualified clinician interpreting the images and documenting the findings.

Report 92240 for the ICG angiographic study of one or both eyes; the code is already priced as bilateral, so modifier 50 does not increase payment. Documentation should identify the clinical reason for imaging and include the interpretation and report. The service has professional and technical components: modifier 26 reports interpretation, modifier TC reports equipment and staff, and no component modifier represents the global service. When multiple ophthalmic diagnostic procedures are performed, 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 92240 pays more and less

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

109 payment localities

$213.64 to $342.94

$213.64$278.29$342.94
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92240 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$217.24Unavailable
Alaska$271.41Unavailable
Arizona$238.39Unavailable
Arkansas$213.64Unavailable
Atlanta, GA$249.58Unavailable
Austin, TX$257.82Unavailable
Bakersfield, CA$265.76Unavailable
Baltimore area, MD$262.37Unavailable
Beaumont, TX$225.80Unavailable
Brazoria, TX$243.17Unavailable

92240 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.

$213.64

$304.23

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

View every state and territory as a table
92240 office rate range by state
State / territoryOffice rate rangeLocalities
AK$271.411
AL$217.241
AR$213.641
AZ$238.391
CA$265.51–$342.9429
CO$259.101
CT$263.271
DC$285.791
DE$242.761
FL$237.30–$258.473
GA$222.60–$249.582
GU$274.071
HI$274.071
IA$225.461
ID$226.751
IL$228.14–$253.594
IN$228.301
KS$223.361
KY$221.211
LA$220.46–$233.072
MA$256.86–$288.322
MD$248.14–$285.793
ME$227.14–$242.562
MI$226.98–$239.742
MN$249.901
MO$215.51–$235.103
MS$214.671
MT$245.491
NC$230.011
ND$243.911
NE$227.141
NH$254.051
NJ$266.74–$282.002
NM$228.041
NV$245.271
NY$233.86–$290.425
OH$226.661
OK$221.711
OR$243.84–$269.292
PA$227.57–$255.372
PR$247.841
RI$252.861
SC$228.621
SD$243.721
TN$224.531
TX$225.80–$257.828
UT$232.221
VA$241.03–$285.792
VI$247.841
VT$242.011
WA$256.69–$295.522
WI$234.541
WV$218.251
WY$244.801

How the 92240 rate is calculated

Each of 92240’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 · 92240

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense6.49

6.49 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

7.3500

Conversion factor

$33.4009

Medicare rate

$245.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 92240

The CMS indicators that decide how 92240 is paid alongside other services.

CMS payment indicators · 92240

ICG angiography, unilateral or bilateral

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

92240 without 26 · national office

$245.50

ICG angiography, unilateral or bilateral

92240-26 · Professional component

$46.76

Pays only the interpretation and report.

When to use modifier 26

92240 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92240

    ICG angiography, unilateral or bilateral0.78 wRVU

    $245.50

  • 92242

    Retinal angiography, fluorescein and ICG0.93 wRVU

    $336.35+$90.85

  • 92235

    Fluorescein angiography, multiframe retinal imaging0.73 wRVU

    $162.33−$83.17

  • 92250

    Fundus photography, retinal photos with interpretation0.39 wRVU

    $37.07−$208.43

How to choose

92242Retinal angiographyFluorescein and ICG
92242 represents combined fluorescein and ICG angiography. Use 92240 when the study is ICG angiography alone.
92235Fluorescein angiographyMultiframe retinal imaging
92235 reports fluorescein angiography; 92240 reports ICG angiography. Select the code for the dye study performed.
92250Fundus photographyRetinal photos with interpretation
92250 reports fundus photography with interpretation and report, not dye-based angiography of the ocular circulation.

92240 billing questions

When should 92240 be used instead of 92242?

Use 92240 for ICG angiography alone. When both fluorescein and ICG angiography are performed, 92242 describes the combined study.

Can 92240 be reported for both eyes?

Yes. The code covers unilateral or bilateral imaging, and modifier 50 does not increase payment because bilateral pricing is already built in.

How are the professional and technical services reported?

Use modifier 26 for the interpretation and report, modifier TC for the equipment and staff, or neither modifier when billing the global service.

Does the multiple-procedure reduction affect 92240?

When multiple ophthalmic diagnostic procedures are performed, the reduction applies to the technical component of 92240.

What documentation supports 92240?

Document the reason for the ICG study and the interpretation and report of the images, including the relevant findings.

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 92240PPRRVU2026_Oct_nonQPP.csv, line 11,716 (RVU26D)

Open CMS sourceHow we calculate rates

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