CPT code 92242: Retinal angiography, fluorescein and ICG2026 Medicare rate & RVUs in New Mexico
Reports combined fluorescein and indocyanine-green angiography to assess retinal and choroidal circulation in patients with suspected or known vascular disease.
In New Mexico, Medicare pays $311.39 for 92242 in the office.
Check a contract rate as a % of Medicare · 92242 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 92242 covers
This service combines two dye-based imaging studies of the back of the eye. After dye is administered, images show blood flow through the retinal and choroidal vessels; fluorescein highlights retinal circulation, while indocyanine green helps assess the choroid. Ophthalmologists, often retina specialists, use the findings in evaluations such as retinal vascular disease or neovascular age-related macular degeneration. The service includes interpretation and a report and may be performed in an office or facility setting.
Report 92242 when both angiographic studies are performed for the encounter; use the appropriate single-study code when only one dye study is done. The code covers unilateral or bilateral imaging, so modifier 50 does not increase payment. Submit the global service without a component modifier, or report the interpretation with modifier 26 and the equipment-and-staff service with modifier TC. 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 92242
Across 109 of 109 payment localities, the office rate for 92242 runs from $292.84 in Arkansas to $473.49 in San Benito County, CA. New Mexico pays $311.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$311.39
- Los Angeles, CA · California$392.79+$81.40
- Washington, DC area · District of Columbia$392.28+$80.89
- Miami, FL · Florida$350.85+$39.46
- Chicago, IL · Illinois$339.81+$28.42
- Manhattan, NY · New York$388.36+$76.97
- Alaska · Alaska$371.04+$59.65
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $297.77 | — |
| ArkansasArkansas | $292.84 | — |
| ArizonaArizona | $326.73 | — |
| Bakersfield, CACalifornia | $365.59 | — |
| Chico, CACalifornia | $365.43 | — |
| El Centro, CACalifornia | $365.44 | — |
| Fresno, CACalifornia | $365.43 | — |
| Hanford, CACalifornia | $365.43 | — |
| Madera, CACalifornia | $365.43 | — |
| Merced, CACalifornia | $365.43 | — |
| Modesto, CACalifornia | $365.43 | — |
| Napa, CACalifornia | $434.30 | — |
| Oxnard, CACalifornia | $392.03 | — |
| Redding, CACalifornia | $365.43 | — |
| Rest of CaliforniaCalifornia | $365.43 | — |
| Riverside, CACalifornia | $365.89 | — |
| Sacramento, CACalifornia | $386.39 | — |
| Salinas, CACalifornia | $385.02 | — |
| San Diego, CACalifornia | $396.24 | — |
| Marin County, CACalifornia | $463.19 | — |
| San Francisco, CACalifornia | $463.15 | — |
| San Benito County, CACalifornia | $473.49 | — |
| Santa Clara County, CACalifornia | $473.30 | — |
| San Luis Obispo, CACalifornia | $378.50 | — |
| Santa Cruz, CACalifornia | $401.73 | — |
| Santa Maria, CACalifornia | $387.05 | — |
| Santa Rosa, CACalifornia | $405.96 | — |
| Stockton, CACalifornia | $365.43 | — |
| Vallejo, CACalifornia | $434.24 | — |
| Visalia, CACalifornia | $365.43 | — |
| Yuba City, CACalifornia | $365.43 | — |
| ColoradoColorado | $355.88 | — |
| ConnecticutConnecticut | $360.65 | — |
| DelawareDelaware | $332.72 | — |
| Fort Lauderdale, FLFlorida | $341.38 | — |
| Rest of FloridaFlorida | $323.65 | — |
| Atlanta, GAGeorgia | $341.57 | — |
| Rest of GeorgiaGeorgia | $303.78 | — |
| Hawaii, Guam, HIHawaii | $377.43 | — |
| IowaIowa | $309.71 | — |
| IdahoIdaho | $311.33 | — |
| East St. Louis, ILIllinois | $313.39 | — |
| Rest of IllinoisIllinois | $310.66 | — |
| Suburban Chicago, ILIllinois | $345.80 | — |
| IndianaIndiana | $313.47 | — |
| KansasKansas | $306.51 | — |
| KentuckyKentucky | $302.50 | — |
| New Orleans, LALouisiana | $318.60 | — |
| Rest of LouisianaLouisiana | $301.34 | — |
| Metropolitan Boston, MAMassachusetts | $396.44 | — |
| Rest of MassachusettsMassachusetts | $352.68 | — |
| Baltimore area, MDMaryland | $359.35 | — |
| Rest of MarylandMaryland | $340.20 | — |
| Rest of MaineMaine | $311.53 | — |
| Southern Maine, MEMaine | $333.12 | — |
| Detroit, MIMichigan | $326.63 | — |
| Rest of MichiganMichigan | $310.08 | — |
| MinnesotaMinnesota | $344.22 | — |
| Metropolitan Kansas City, MOMissouri | $317.78 | — |
| Metropolitan St. Louis, MOMissouri | $321.76 | — |
| Rest of MissouriMissouri | $294.37 | — |
| MississippiMississippi | $293.75 | — |
| MontanaMontana | $336.34 | — |
| North CarolinaNorth Carolina | $315.50 | — |
| North DakotaNorth Dakota | $335.55 | — |
| NebraskaNebraska | $312.11 | — |
| New HampshireNew Hampshire | $348.64 | — |
| Northern New JerseyNew Jersey | $387.03 | — |
| Rest of New JerseyNew Jersey | $365.68 | — |
| NevadaNevada | $336.43 | — |
| NYC suburbs and Long Island, NYNew York | $396.93 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $366.90 | — |
| Queens, NYNew York | $394.24 | — |
| Rest of New YorkNew York | $320.75 | — |
| OhioOhio | $309.91 | — |
| OklahomaOklahoma | $303.53 | — |
| Portland, OROregon | $370.24 | — |
| Rest of OregonOregon | $334.73 | — |
| Metropolitan Philadelphia, PAPennsylvania | $349.63 | — |
| Rest of PennsylvaniaPennsylvania | $311.35 | — |
| Puerto RicoPuerto Rico | $339.67 | — |
| Rhode IslandRhode Island | $346.82 | — |
| South CarolinaSouth Carolina | $313.05 | — |
| South DakotaSouth Dakota | $335.46 | — |
| TennesseeTennessee | $308.07 | — |
| Austin, TXTexas | $353.89 | — |
| Beaumont, TXTexas | $308.90 | — |
| Brazoria, TXTexas | $333.57 | — |
| Dallas, TXTexas | $335.22 | — |
| Fort Worth, TXTexas | $332.20 | — |
| Galveston, TXTexas | $334.24 | — |
| Houston, TXTexas | $334.97 | — |
| Rest of TexasTexas | $320.72 | — |
| UtahUtah | $317.97 | — |
| VirginiaVirginia | $330.79 | — |
| Virgin Islands, VIUnited States Virgin Islands | $339.67 | — |
| VermontVermont | $332.65 | — |
| Rest of WashingtonWashington | $352.54 | — |
| King County, WAWashington | $406.65 | — |
| WisconsinWisconsin | $322.66 | — |
| West VirginiaWest Virginia | $297.11 | — |
| WyomingWyoming | $336.00 | — |
92242 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.
$292.84
$419.46
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 | $371.04 | 1 |
| AL | $297.77 | 1 |
| AR | $292.84 | 1 |
| AZ | $326.73 | 1 |
| CA | $365.43–$473.49 | 29 |
| CO | $355.88 | 1 |
| CT | $360.65 | 1 |
| DC | $392.28 | 1 |
| DE | $332.72 | 1 |
| FL | $323.65–$350.85 | 3 |
| GA | $303.78–$341.57 | 2 |
| GU | $377.43 | 1 |
| HI | $377.43 | 1 |
| IA | $309.71 | 1 |
| ID | $311.33 | 1 |
| IL | $310.66–$345.80 | 4 |
| IN | $313.47 | 1 |
| KS | $306.51 | 1 |
| KY | $302.50 | 1 |
| LA | $301.34–$318.60 | 2 |
| MA | $352.68–$396.44 | 2 |
| MD | $340.20–$392.28 | 3 |
| ME | $311.53–$333.12 | 2 |
| MI | $310.08–$326.63 | 2 |
| MN | $344.22 | 1 |
| MO | $294.37–$321.76 | 3 |
| MS | $293.75 | 1 |
| MT | $336.34 | 1 |
| NC | $315.50 | 1 |
| ND | $335.55 | 1 |
| NE | $312.11 | 1 |
| NH | $348.64 | 1 |
| NJ | $365.68–$387.03 | 2 |
| NM | $311.39 | 1 |
| NV | $336.43 | 1 |
| NY | $320.75–$396.93 | 5 |
| OH | $309.91 | 1 |
| OK | $303.53 | 1 |
| OR | $334.73–$370.24 | 2 |
| PA | $311.35–$349.63 | 2 |
| PR | $339.67 | 1 |
| RI | $346.82 | 1 |
| SC | $313.05 | 1 |
| SD | $335.46 | 1 |
| TN | $308.07 | 1 |
| TX | $308.90–$353.89 | 8 |
| UT | $317.97 | 1 |
| VA | $330.79–$392.28 | 2 |
| VI | $339.67 | 1 |
| VT | $332.65 | 1 |
| WA | $352.54–$406.65 | 2 |
| WI | $322.66 | 1 |
| WV | $297.11 | 1 |
| WY | $336.00 | 1 |
How the 92242 rate is calculated
Each of 92242’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 · 92242
RVUs × geographic indexes × conversion factor
Work0.93
0.93 RVUs× 1.000 GPCI
Practice expense9.10
9.10 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
10.0700
Conversion factor
$33.4009
Medicare rate
$336.35
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
11,719
- Code
- 92242
- Physician work
- 0.93
- Practice expense
- 9.10
- Malpractice
- 0.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.93 | × 1.000 | 0.9300 |
| Practice expense | 9.10 | × 0.917 | 8.3447 |
| Malpractice | 0.04 | × 1.201 | 0.0480 |
| Total RVUs | 9.3227 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$311.39
Office: (0.93 × 1 + 9.1 × 0.917 + 0.04 × 1.201) × $33.4009 = $311.39
Payment rules and modifiers for 92242
The CMS indicators that decide how 92242 is paid alongside other services.
CMS payment indicators · 92242
Retinal angiography, fluorescein and ICG
| 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
92242 without 26 · national office
$336.35
Retinal angiography, fluorescein and ICG
92242-26 · Professional component
$53.78
Pays only the interpretation and report.
How 92242 has changed in New Mexico
92242 · Office / nonfacility
$311.39
Effective 2026-10-01
The base rate is $22.74 higher than on 2025-10-01, moving from $288.65 to $311.39 (7.9%).
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
$288.65changed to$311.39
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.95 changed to 0.93
- Practice expense RVU 8.73 changed to 9.10
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$258.06changed to$288.65
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.44 changed to 8.73
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$253.85changed to$258.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$239.58changed to$253.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.72 changed to 7.44
- Malpractice RVU 0.05 changed to 0.04
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$232.72changed to$239.58
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.38 changed to 6.72
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$233.52changed to$232.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.37 changed to 6.38
- Malpractice RVU 0.03 changed to 0.05
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$223.25changed to$233.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.74 changed to 6.37
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$219.02changed to$223.25
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.54 changed to 5.74
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$217.78changed to$219.02
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.51 changed to 5.54
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$214.35changed to$217.78
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.42 changed to 5.51
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$214.35
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $311.39 | Not available in this setting | RVU26D |
| 2026-07-01 | $311.39 | Not available in this setting | RVU26C |
| 2026-04-01 | $311.39 | Not available in this setting | RVU26B |
| 2026-01-01 | $311.39 | Not available in this setting | RVU26A |
| 2025-10-01 | $288.65 | Not available in this setting | RVU25D |
| 2025-07-01 | $288.65 | Not available in this setting | RVU25C |
| 2025-04-01 | $288.65 | Not available in this setting | RVU25B |
| 2025-01-01 | $288.65 | Not available in this setting | RVU25A |
| 2024-10-01 | $258.06 | Not available in this setting | RVU24D |
| 2024-07-01 | $258.06 | Not available in this setting | RVU24C |
| 2024-04-01 | $258.06 | Not available in this setting | RVU24B |
| 2024-03-09 | $258.06 | Not available in this setting | RVU24AR |
| 2024-01-01 | $253.85 | Not available in this setting | RVU24A |
| 2023-10-01 | $239.58 | Not available in this setting | RVU23D |
| 2023-07-01 | $239.58 | Not available in this setting | RVU23C |
| 2023-04-01 | $239.58 | Not available in this setting | RVU23B |
| 2023-01-01 | $239.58 | Not available in this setting | RVU23A |
| 2022-10-01 | $232.72 | Not available in this setting | RVU22D |
| 2022-07-01 | $232.72 | Not available in this setting | RVU22C |
| 2022-04-01 | $232.72 | Not available in this setting | RVU22B |
| 2022-01-01 | $232.72 | Not available in this setting | RVU22A |
| 2021-10-01 | $233.52 | Not available in this setting | RVU21D |
| 2021-07-01 | $233.52 | Not available in this setting | RVU21C |
| 2021-04-01 | $233.52 | Not available in this setting | RVU21B |
| 2021-01-01 | $233.52 | Not available in this setting | RVU21A |
| 2020-10-01 | $223.25 | Not available in this setting | RVU20D |
| 2020-07-01 | $223.25 | Not available in this setting | RVU20C |
| 2020-04-01 | $223.25 | Not available in this setting | RVU20B |
| 2020-01-01 | $223.25 | Not available in this setting | RVU20A |
| 2019-10-01 | $219.02 | Not available in this setting | RVU19D |
| 2019-07-01 | $219.02 | Not available in this setting | RVU19C |
| 2019-04-01 | $219.02 | Not available in this setting | RVU19B |
| 2019-01-01 | $219.02 | Not available in this setting | RVU19A |
| 2018-10-01 | $217.78 | Not available in this setting | RVU18D |
| 2018-07-01 | $217.78 | Not available in this setting | RVU18C |
| 2018-04-01 | $217.78 | Not available in this setting | RVU18B |
| 2018-01-01 | $217.78 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $214.35 | Not available in this setting | RVU17D |
| 2017-07-01 | $214.35 | Not available in this setting | RVU17C |
| 2017-04-01 | $214.35 | Not available in this setting | RVU17B |
| 2017-01-01 | $214.35 | Not available in this setting | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
92242 billing questions
When should 92242 be chosen instead of 92235 or 92240?
Use 92242 when both fluorescein and indocyanine-green angiography are performed. Use 92235 for a fluorescein-only study or 92240 for an ICG-only study.
Does 92242 cover one eye or both eyes?
It is priced as a unilateral-or-bilateral service. Modifier 50 does not increase payment.
How are the professional and technical portions reported?
Report the global service without a modifier. Use modifier 26 for the interpretation and report, or modifier TC for the equipment-and-staff portion when billing components separately.
Does the multiple-procedure reduction affect both components?
The ophthalmology diagnostic multiple-procedure reduction applies to the technical component.
What documentation supports reporting 92242?
Document that both dye studies were performed, the clinical reason for assessing retinal and choroidal circulation, the images obtained, and the interpreting clinician’s findings and report.
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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