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.

CMS RVU26DEffective Oct 1, 2026One payment locality6.1K Medicare services in 2024

In Virginia, Medicare pays $241.03 for 92240 in the office.

$241.03Office (non-facility)
Not available in this settingHospital or facility
−1.8%vs the national office rate ($245.50)

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.

We’ll open 92240 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 92240 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 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.

92240 in Virginia vs other payment areas
  1. Virginia · this page$241.03
  2. Los Angeles, CA · California$285.34+$44.31
  3. Washington, DC area · District of Columbia$285.79+$44.76
  4. Miami, FL · Florida$258.47+$17.44
  5. Chicago, IL · Illinois$250.22+$9.19
  6. Manhattan, NY · New York$283.85+$42.82
  7. Alaska · Alaska$271.41+$30.38

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

Every other payment area

92240 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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

See 92240 in every payment locality

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.

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
Office calculation for 92240 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense6.49× 0.9836.3797
Malpractice0.08× 0.7060.0565
Total RVUs7.2161
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

Open 92240 in the RVU calculator

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

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $181.59changed to$184.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. July 1, 2015

    RVU15C

    $252.56changed to$253.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$252.56

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$241.03Not available in this settingRVU26D
2026-07-01$241.03Not available in this settingRVU26C
2026-04-01$241.03Not available in this settingRVU26B
2026-01-01$241.03Not available in this settingRVU26A
2025-10-01$225.22Not available in this settingRVU25D
2025-07-01$225.22Not available in this settingRVU25C
2025-04-01$225.22Not available in this settingRVU25B
2025-01-01$225.22Not available in this settingRVU25A
2024-10-01$184.61Not available in this settingRVU24D
2024-07-01$184.61Not available in this settingRVU24C
2024-04-01$184.61Not available in this settingRVU24B
2024-03-09$184.61Not available in this settingRVU24AR
2024-01-01$181.59Not available in this settingRVU24A
2023-10-01$190.66Not available in this settingRVU23D
2023-07-01$190.66Not available in this settingRVU23C
2023-04-01$190.66Not available in this settingRVU23B
2023-01-01$190.66Not available in this settingRVU23A
2022-10-01$196.76Not available in this settingRVU22D
2022-07-01$196.76Not available in this settingRVU22C
2022-04-01$196.76Not available in this settingRVU22B
2022-01-01$196.76Not available in this settingRVU22A
2021-10-01$205.82Not available in this settingRVU21D
2021-07-01$205.82Not available in this settingRVU21C
2021-04-01$205.82Not available in this settingRVU21B
2021-01-01$205.82Not available in this settingRVU21A
2020-10-01$203.57Not available in this settingRVU20D
2020-07-01$203.57Not available in this settingRVU20C
2020-04-01$203.57Not available in this settingRVU20B
2020-01-01$203.57Not available in this settingRVU20A
2019-10-01$207.40Not available in this settingRVU19D
2019-07-01$207.40Not available in this settingRVU19C
2019-04-01$207.40Not available in this settingRVU19B
2019-01-01$207.40Not available in this settingRVU19A
2018-10-01$211.52Not available in this settingRVU18D
2018-07-01$211.52Not available in this settingRVU18C
2018-04-01$211.52Not available in this settingRVU18B
2018-01-01$211.52Not available in this settingRVU18AR1
2017-10-01$207.81Not available in this settingRVU17D
2017-07-01$207.81Not available in this settingRVU17C
2017-04-01$207.81Not available in this settingRVU17B
2017-01-01$207.81Not available in this settingRVU17A
2016-10-01$253.56Not available in this settingRVU16D
2016-07-01$253.56Not available in this settingRVU16C
2016-04-01$253.56Not available in this settingRVU16B
2016-01-01$253.56Not available in this settingRVU16A
2015-10-01$253.82Not available in this settingRVU15D
2015-07-01$253.82Not available in this settingRVU15C
2015-04-01$252.56Not available in this settingRVU15B
2015-01-01$252.56Not available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 92240 for an earlier date of service

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

Browse all communities in Virginia

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)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92240 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 92240 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet