CPT code 92240: ICG angiography, unilateral or bilateral2026 Medicare rate & RVUs in Virginia
Reports indocyanine green angiography of one or both eyes to assess choroidal and retinal circulation, including suspected choroidal vascular abnormalities.
In Virginia, Medicare pays $241.03 for 92240 in the office.
Check a contract rate as a % of Medicare · 92240 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 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.
How Virginia compares for 92240
Across 109 of 109 payment localities, the office rate for 92240 runs from $213.64 in Arkansas to $342.94 in San Benito County, CA. Virginia pays $241.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$241.03
- Los Angeles, CA · California$285.34+$44.31
- Washington, DC area · District of Columbia$285.79+$44.76
- Miami, FL · Florida$258.47+$17.44
- Chicago, IL · Illinois$250.22+$9.19
- Manhattan, NY · New York$283.85+$42.82
- Alaska · Alaska$271.41+$30.38
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $217.24 | — |
| ArkansasArkansas | $213.64 | — |
| ArizonaArizona | $238.39 | — |
| Bakersfield, CACalifornia | $265.76 | — |
| Chico, CACalifornia | $265.51 | — |
| El Centro, CACalifornia | $265.52 | — |
| Fresno, CACalifornia | $265.51 | — |
| Hanford, CACalifornia | $265.51 | — |
| Madera, CACalifornia | $265.51 | — |
| Merced, CACalifornia | $265.51 | — |
| Modesto, CACalifornia | $265.51 | — |
| Napa, CACalifornia | $314.76 | — |
| Oxnard, CACalifornia | $284.67 | — |
| Redding, CACalifornia | $265.51 | — |
| Rest of CaliforniaCalifornia | $265.51 | — |
| Riverside, CACalifornia | $266.38 | — |
| Sacramento, CACalifornia | $280.53 | — |
| Salinas, CACalifornia | $279.53 | — |
| San Diego, CACalifornia | $287.54 | — |
| Marin County, CACalifornia | $335.40 | — |
| San Francisco, CACalifornia | $335.31 | — |
| San Benito County, CACalifornia | $342.94 | — |
| Santa Clara County, CACalifornia | $342.56 | — |
| San Luis Obispo, CACalifornia | $274.83 | — |
| Santa Cruz, CACalifornia | $291.41 | — |
| Santa Maria, CACalifornia | $280.97 | — |
| Santa Rosa, CACalifornia | $294.46 | — |
| Stockton, CACalifornia | $265.51 | — |
| Vallejo, CACalifornia | $314.63 | — |
| Visalia, CACalifornia | $265.51 | — |
| Yuba City, CACalifornia | $265.51 | — |
| ColoradoColorado | $259.10 | — |
| ConnecticutConnecticut | $263.27 | — |
| DelawareDelaware | $242.76 | — |
| Fort Lauderdale, FLFlorida | $250.47 | — |
| Rest of FloridaFlorida | $237.30 | — |
| Atlanta, GAGeorgia | $249.58 | — |
| Rest of GeorgiaGeorgia | $222.60 | — |
| Hawaii, Guam, HIHawaii | $274.07 | — |
| IowaIowa | $225.46 | — |
| IdahoIdaho | $226.75 | — |
| East St. Louis, ILIllinois | $230.86 | — |
| Rest of IllinoisIllinois | $228.14 | — |
| Suburban Chicago, ILIllinois | $253.59 | — |
| IndianaIndiana | $228.30 | — |
| KansasKansas | $223.36 | — |
| KentuckyKentucky | $221.21 | — |
| New Orleans, LALouisiana | $233.07 | — |
| Rest of LouisianaLouisiana | $220.46 | — |
| Metropolitan Boston, MAMassachusetts | $288.32 | — |
| Rest of MassachusettsMassachusetts | $256.86 | — |
| Baltimore area, MDMaryland | $262.37 | — |
| Rest of MarylandMaryland | $248.14 | — |
| Rest of MaineMaine | $227.14 | — |
| Southern Maine, MEMaine | $242.56 | — |
| Detroit, MIMichigan | $239.74 | — |
| Rest of MichiganMichigan | $226.98 | — |
| MinnesotaMinnesota | $249.90 | — |
| Metropolitan Kansas City, MOMissouri | $232.21 | — |
| Metropolitan St. Louis, MOMissouri | $235.10 | — |
| Rest of MissouriMissouri | $215.51 | — |
| MississippiMississippi | $214.67 | — |
| MontanaMontana | $245.49 | — |
| North CarolinaNorth Carolina | $230.01 | — |
| North DakotaNorth Dakota | $243.91 | — |
| NebraskaNebraska | $227.14 | — |
| New HampshireNew Hampshire | $254.05 | — |
| Northern New JerseyNew Jersey | $282.00 | — |
| Rest of New JerseyNew Jersey | $266.74 | — |
| New MexicoNew Mexico | $228.04 | — |
| NevadaNevada | $245.27 | — |
| NYC suburbs and Long Island, NYNew York | $290.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $267.82 | — |
| Queens, NYNew York | $287.80 | — |
| Rest of New YorkNew York | $233.86 | — |
| OhioOhio | $226.66 | — |
| OklahomaOklahoma | $221.71 | — |
| Portland, OROregon | $269.29 | — |
| Rest of OregonOregon | $243.84 | — |
| Metropolitan Philadelphia, PAPennsylvania | $255.37 | — |
| Rest of PennsylvaniaPennsylvania | $227.57 | — |
| Puerto RicoPuerto Rico | $247.84 | — |
| Rhode IslandRhode Island | $252.86 | — |
| South CarolinaSouth Carolina | $228.62 | — |
| South DakotaSouth Dakota | $243.72 | — |
| TennesseeTennessee | $224.53 | — |
| Austin, TXTexas | $257.82 | — |
| Beaumont, TXTexas | $225.80 | — |
| Brazoria, TXTexas | $243.17 | — |
| Dallas, TXTexas | $244.48 | — |
| Fort Worth, TXTexas | $242.35 | — |
| Galveston, TXTexas | $243.73 | — |
| Houston, TXTexas | $245.19 | — |
| Rest of TexasTexas | $234.18 | — |
| UtahUtah | $232.22 | — |
| Virgin Islands, VIUnited States Virgin Islands | $247.84 | — |
| VermontVermont | $242.01 | — |
| Rest of WashingtonWashington | $256.69 | — |
| King County, WAWashington | $295.52 | — |
| WisconsinWisconsin | $234.54 | — |
| West VirginiaWest Virginia | $218.25 | — |
| WyomingWyoming | $244.80 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $271.41 | 1 |
| AL | $217.24 | 1 |
| AR | $213.64 | 1 |
| AZ | $238.39 | 1 |
| CA | $265.51–$342.94 | 29 |
| CO | $259.10 | 1 |
| CT | $263.27 | 1 |
| DC | $285.79 | 1 |
| DE | $242.76 | 1 |
| FL | $237.30–$258.47 | 3 |
| GA | $222.60–$249.58 | 2 |
| GU | $274.07 | 1 |
| HI | $274.07 | 1 |
| IA | $225.46 | 1 |
| ID | $226.75 | 1 |
| IL | $228.14–$253.59 | 4 |
| IN | $228.30 | 1 |
| KS | $223.36 | 1 |
| KY | $221.21 | 1 |
| LA | $220.46–$233.07 | 2 |
| MA | $256.86–$288.32 | 2 |
| MD | $248.14–$285.79 | 3 |
| ME | $227.14–$242.56 | 2 |
| MI | $226.98–$239.74 | 2 |
| MN | $249.90 | 1 |
| MO | $215.51–$235.10 | 3 |
| MS | $214.67 | 1 |
| MT | $245.49 | 1 |
| NC | $230.01 | 1 |
| ND | $243.91 | 1 |
| NE | $227.14 | 1 |
| NH | $254.05 | 1 |
| NJ | $266.74–$282.00 | 2 |
| NM | $228.04 | 1 |
| NV | $245.27 | 1 |
| NY | $233.86–$290.42 | 5 |
| OH | $226.66 | 1 |
| OK | $221.71 | 1 |
| OR | $243.84–$269.29 | 2 |
| PA | $227.57–$255.37 | 2 |
| PR | $247.84 | 1 |
| RI | $252.86 | 1 |
| SC | $228.62 | 1 |
| SD | $243.72 | 1 |
| TN | $224.53 | 1 |
| TX | $225.80–$257.82 | 8 |
| UT | $232.22 | 1 |
| VA | $241.03–$285.79 | 2 |
| VI | $247.84 | 1 |
| VT | $242.01 | 1 |
| WA | $256.69–$295.52 | 2 |
| WI | $234.54 | 1 |
| WV | $218.25 | 1 |
| WY | $244.80 | 1 |
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
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.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,716
- Code
- 92240
- Physician work
- 0.78
- Practice expense
- 6.49
- Malpractice
- 0.08
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 6.49 | × 0.983 | 6.3797 |
| Malpractice | 0.08 | × 0.706 | 0.0565 |
| Total RVUs | 7.2161 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$241.03
Office: (0.78 × 1 + 6.49 × 0.983 + 0.08 × 0.706) × $33.4009 = $241.03
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
| 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
92240 without 26 · national office
$245.50
ICG angiography, unilateral or bilateral
92240-26 · Professional component
$46.76
Pays only the interpretation and report.
How 92240 has changed in Virginia
92240 · Office / nonfacility
$241.03
Effective 2026-10-01
The base rate is $15.81 higher than on 2025-10-01, moving from $225.22 to $241.03 (7.0%).
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
$225.22changed to$241.03
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.80 changed to 0.78
- Practice expense RVU 6.20 changed to 6.49
- 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
$184.61changed to$225.22
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.76 changed to 6.20
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$181.59changed to$184.61
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$190.66changed to$181.59
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.80 changed to 4.76
- Malpractice RVU 0.09 changed to 0.08
- 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
$196.76changed to$190.66
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.82 changed to 4.80
- Malpractice RVU 0.10 changed to 0.09
- 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
$205.82changed to$196.76
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.07 changed to 4.82
- Malpractice RVU 0.06 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$203.57changed to$205.82
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.83 changed to 5.07
- 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
$207.40changed to$203.57
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.97 changed to 4.83
- 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
$211.52changed to$207.40
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.12 changed to 4.97
- Malpractice RVU 0.03 changed to 0.06
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$207.81changed to$211.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.04 changed to 5.12
- 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
$253.56changed to$207.81
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 1.10 changed to 0.80
- Practice expense RVU 6.06 changed to 5.04
- 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
$253.82changed to$253.56
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.05 changed to 6.06
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$252.56changed to$253.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$252.56
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $241.03 | Not available in this setting | RVU26D |
| 2026-07-01 | $241.03 | Not available in this setting | RVU26C |
| 2026-04-01 | $241.03 | Not available in this setting | RVU26B |
| 2026-01-01 | $241.03 | Not available in this setting | RVU26A |
| 2025-10-01 | $225.22 | Not available in this setting | RVU25D |
| 2025-07-01 | $225.22 | Not available in this setting | RVU25C |
| 2025-04-01 | $225.22 | Not available in this setting | RVU25B |
| 2025-01-01 | $225.22 | Not available in this setting | RVU25A |
| 2024-10-01 | $184.61 | Not available in this setting | RVU24D |
| 2024-07-01 | $184.61 | Not available in this setting | RVU24C |
| 2024-04-01 | $184.61 | Not available in this setting | RVU24B |
| 2024-03-09 | $184.61 | Not available in this setting | RVU24AR |
| 2024-01-01 | $181.59 | Not available in this setting | RVU24A |
| 2023-10-01 | $190.66 | Not available in this setting | RVU23D |
| 2023-07-01 | $190.66 | Not available in this setting | RVU23C |
| 2023-04-01 | $190.66 | Not available in this setting | RVU23B |
| 2023-01-01 | $190.66 | Not available in this setting | RVU23A |
| 2022-10-01 | $196.76 | Not available in this setting | RVU22D |
| 2022-07-01 | $196.76 | Not available in this setting | RVU22C |
| 2022-04-01 | $196.76 | Not available in this setting | RVU22B |
| 2022-01-01 | $196.76 | Not available in this setting | RVU22A |
| 2021-10-01 | $205.82 | Not available in this setting | RVU21D |
| 2021-07-01 | $205.82 | Not available in this setting | RVU21C |
| 2021-04-01 | $205.82 | Not available in this setting | RVU21B |
| 2021-01-01 | $205.82 | Not available in this setting | RVU21A |
| 2020-10-01 | $203.57 | Not available in this setting | RVU20D |
| 2020-07-01 | $203.57 | Not available in this setting | RVU20C |
| 2020-04-01 | $203.57 | Not available in this setting | RVU20B |
| 2020-01-01 | $203.57 | Not available in this setting | RVU20A |
| 2019-10-01 | $207.40 | Not available in this setting | RVU19D |
| 2019-07-01 | $207.40 | Not available in this setting | RVU19C |
| 2019-04-01 | $207.40 | Not available in this setting | RVU19B |
| 2019-01-01 | $207.40 | Not available in this setting | RVU19A |
| 2018-10-01 | $211.52 | Not available in this setting | RVU18D |
| 2018-07-01 | $211.52 | Not available in this setting | RVU18C |
| 2018-04-01 | $211.52 | Not available in this setting | RVU18B |
| 2018-01-01 | $211.52 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $207.81 | Not available in this setting | RVU17D |
| 2017-07-01 | $207.81 | Not available in this setting | RVU17C |
| 2017-04-01 | $207.81 | Not available in this setting | RVU17B |
| 2017-01-01 | $207.81 | Not available in this setting | RVU17A |
| 2016-10-01 | $253.56 | Not available in this setting | RVU16D |
| 2016-07-01 | $253.56 | Not available in this setting | RVU16C |
| 2016-04-01 | $253.56 | Not available in this setting | RVU16B |
| 2016-01-01 | $253.56 | Not available in this setting | RVU16A |
| 2015-10-01 | $253.82 | Not available in this setting | RVU15D |
| 2015-07-01 | $253.82 | Not available in this setting | RVU15C |
| 2015-04-01 | $252.56 | Not available in this setting | RVU15B |
| 2015-01-01 | $252.56 | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | Additional calculation required | Not available in this setting | RVU13D |
| 2013-07-01 | Additional calculation required | Not available in this setting | RVU13C |
| 2013-04-01 | Additional calculation required | Not available in this setting | RVU13B |
| 2013-01-01 | Additional calculation required | Not available in this setting | 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
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
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