CPT code 92287: Eye angiography, anterior segment2026 Medicare rate & RVUs in Puerto Rico
Captures and interprets fluorescein angiographic images of the eye’s anterior segment to assess abnormal blood flow, leakage, or vascular changes.
In Puerto Rico, Medicare pays $136.60 for 92287 in the office.
Check a contract rate as a % of Medicare · 92287 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 92287 covers
An ophthalmic imaging service that records fluorescein dye passage through vessels in the front of the eye. Ophthalmology practices may use it to evaluate findings such as iris neovascularization or abnormal vascular patterns involving the conjunctiva or other anterior structures. Trained imaging staff typically acquire the images, while an ophthalmologist or other qualified clinician interprets them and documents the findings. The service is distinct from imaging directed at the retina or from specular microscopy of the corneal endothelium.
Report the code when anterior-segment fluorescein angiographic imaging and its interpretation are performed. Documentation should identify the clinical reason, the eye or eyes examined, and the image findings supporting the interpretation. CMS prices the code as bilateral, so reporting both eyes does not increase payment through modifier 50. The global service includes the technical work and interpretation; modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service when those portions are billed separately.
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 Puerto Rico compares for 92287
Across 109 of 109 payment localities, the office rate for 92287 runs from $117.81 in Arkansas to $190.13 in San Benito County, CA. Puerto Rico pays $136.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$136.60
- Los Angeles, CA · California$157.83+$21.23
- Washington, DC area · District of Columbia$157.69+$21.09
- Miami, FL · Florida$141.28+$4.68
- Chicago, IL · Illinois$136.84+$0.24
- Manhattan, NY · New York$156.19+$19.59
- Alaska · Alaska$149.39+$12.79
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $119.79 | — |
| ArkansasArkansas | $117.81 | — |
| ArizonaArizona | $131.41 | — |
| Bakersfield, CACalifornia | $146.93 | — |
| Chico, CACalifornia | $146.86 | — |
| El Centro, CACalifornia | $146.86 | — |
| Fresno, CACalifornia | $146.86 | — |
| Hanford, CACalifornia | $146.86 | — |
| Madera, CACalifornia | $146.86 | — |
| Merced, CACalifornia | $146.86 | — |
| Modesto, CACalifornia | $146.86 | — |
| Napa, CACalifornia | $174.43 | — |
| Oxnard, CACalifornia | $157.51 | — |
| Redding, CACalifornia | $146.86 | — |
| Rest of CaliforniaCalifornia | $146.86 | — |
| Riverside, CACalifornia | $147.08 | — |
| Sacramento, CACalifornia | $155.25 | — |
| Salinas, CACalifornia | $154.70 | — |
| San Diego, CACalifornia | $159.19 | — |
| Marin County, CACalifornia | $186.00 | — |
| San Francisco, CACalifornia | $185.97 | — |
| San Benito County, CACalifornia | $190.13 | — |
| Santa Clara County, CACalifornia | $190.04 | — |
| San Luis Obispo, CACalifornia | $152.08 | — |
| Santa Cruz, CACalifornia | $161.38 | — |
| Santa Maria, CACalifornia | $155.51 | — |
| Santa Rosa, CACalifornia | $163.07 | — |
| Stockton, CACalifornia | $146.86 | — |
| Vallejo, CACalifornia | $174.40 | — |
| Visalia, CACalifornia | $146.86 | — |
| Yuba City, CACalifornia | $146.86 | — |
| ColoradoColorado | $143.06 | — |
| ConnecticutConnecticut | $145.04 | — |
| DelawareDelaware | $133.81 | — |
| Fort Lauderdale, FLFlorida | $137.39 | — |
| Rest of FloridaFlorida | $130.26 | — |
| Atlanta, GAGeorgia | $137.39 | — |
| Rest of GeorgiaGeorgia | $122.27 | — |
| Hawaii, Guam, HIHawaii | $151.65 | — |
| IowaIowa | $124.54 | — |
| IdahoIdaho | $125.20 | — |
| East St. Louis, ILIllinois | $126.22 | — |
| Rest of IllinoisIllinois | $125.07 | — |
| Suburban Chicago, ILIllinois | $139.16 | — |
| IndianaIndiana | $126.05 | — |
| KansasKansas | $123.27 | — |
| KentuckyKentucky | $121.72 | — |
| New Orleans, LALouisiana | $128.19 | — |
| Rest of LouisianaLouisiana | $121.26 | — |
| Metropolitan Boston, MAMassachusetts | $159.32 | — |
| Rest of MassachusettsMassachusetts | $141.79 | — |
| Baltimore area, MDMaryland | $144.52 | — |
| Rest of MarylandMaryland | $136.81 | — |
| Rest of MaineMaine | $125.29 | — |
| Southern Maine, MEMaine | $133.93 | — |
| Detroit, MIMichigan | $131.48 | — |
| Rest of MichiganMichigan | $124.78 | — |
| MinnesotaMinnesota | $138.33 | — |
| Metropolitan Kansas City, MOMissouri | $127.84 | — |
| Metropolitan St. Louis, MOMissouri | $129.44 | — |
| Rest of MissouriMissouri | $118.48 | — |
| MississippiMississippi | $118.20 | — |
| MontanaMontana | $135.27 | — |
| North CarolinaNorth Carolina | $126.89 | — |
| North DakotaNorth Dakota | $134.88 | — |
| NebraskaNebraska | $125.50 | — |
| New HampshireNew Hampshire | $140.17 | — |
| Northern New JerseyNew Jersey | $155.59 | — |
| Rest of New JerseyNew Jersey | $147.04 | — |
| New MexicoNew Mexico | $125.32 | — |
| NevadaNevada | $135.28 | — |
| NYC suburbs and Long Island, NYNew York | $159.66 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $147.55 | — |
| Queens, NYNew York | $158.53 | — |
| Rest of New YorkNew York | $129.00 | — |
| OhioOhio | $124.70 | — |
| OklahomaOklahoma | $122.12 | — |
| Portland, OROregon | $148.81 | — |
| Rest of OregonOregon | $134.59 | — |
| Metropolitan Philadelphia, PAPennsylvania | $140.62 | — |
| Rest of PennsylvaniaPennsylvania | $125.27 | — |
| Rhode IslandRhode Island | $139.46 | — |
| South CarolinaSouth Carolina | $125.93 | — |
| South DakotaSouth Dakota | $134.83 | — |
| TennesseeTennessee | $123.90 | — |
| Austin, TXTexas | $142.28 | — |
| Beaumont, TXTexas | $124.28 | — |
| Brazoria, TXTexas | $134.14 | — |
| Dallas, TXTexas | $134.81 | — |
| Fort Worth, TXTexas | $133.60 | — |
| Galveston, TXTexas | $134.41 | — |
| Houston, TXTexas | $134.78 | — |
| Rest of TexasTexas | $129.01 | — |
| UtahUtah | $127.91 | — |
| VirginiaVirginia | $133.01 | — |
| Virgin Islands, VIUnited States Virgin Islands | $136.60 | — |
| VermontVermont | $133.73 | — |
| Rest of WashingtonWashington | $141.73 | — |
| King County, WAWashington | $163.40 | — |
| WisconsinWisconsin | $129.71 | — |
| West VirginiaWest Virginia | $119.63 | — |
| WyomingWyoming | $135.10 | — |
92287 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.
$117.81
$168.50
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 | $149.39 | 1 |
| AL | $119.79 | 1 |
| AR | $117.81 | 1 |
| AZ | $131.41 | 1 |
| CA | $146.86–$190.13 | 29 |
| CO | $143.06 | 1 |
| CT | $145.04 | 1 |
| DC | $157.69 | 1 |
| DE | $133.81 | 1 |
| FL | $130.26–$141.28 | 3 |
| GA | $122.27–$137.39 | 2 |
| GU | $151.65 | 1 |
| HI | $151.65 | 1 |
| IA | $124.54 | 1 |
| ID | $125.20 | 1 |
| IL | $125.07–$139.16 | 4 |
| IN | $126.05 | 1 |
| KS | $123.27 | 1 |
| KY | $121.72 | 1 |
| LA | $121.26–$128.19 | 2 |
| MA | $141.79–$159.32 | 2 |
| MD | $136.81–$157.69 | 3 |
| ME | $125.29–$133.93 | 2 |
| MI | $124.78–$131.48 | 2 |
| MN | $138.33 | 1 |
| MO | $118.48–$129.44 | 3 |
| MS | $118.20 | 1 |
| MT | $135.27 | 1 |
| NC | $126.89 | 1 |
| ND | $134.88 | 1 |
| NE | $125.50 | 1 |
| NH | $140.17 | 1 |
| NJ | $147.04–$155.59 | 2 |
| NM | $125.32 | 1 |
| NV | $135.28 | 1 |
| NY | $129.00–$159.66 | 5 |
| OH | $124.70 | 1 |
| OK | $122.12 | 1 |
| OR | $134.59–$148.81 | 2 |
| PA | $125.27–$140.62 | 2 |
| PR | $136.60 | 1 |
| RI | $139.46 | 1 |
| SC | $125.93 | 1 |
| SD | $134.83 | 1 |
| TN | $123.90 | 1 |
| TX | $124.28–$142.28 | 8 |
| UT | $127.91 | 1 |
| VA | $133.01–$157.69 | 2 |
| VI | $136.60 | 1 |
| VT | $133.73 | 1 |
| WA | $141.73–$163.40 | 2 |
| WI | $129.71 | 1 |
| WV | $119.63 | 1 |
| WY | $135.10 | 1 |
How the 92287 rate is calculated
Each of 92287’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 · 92287
RVUs × geographic indexes × conversion factor
Work0.39
0.39 RVUs× 1.000 GPCI
Practice expense3.64
3.64 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
4.0500
Conversion factor
$33.4009
Medicare rate
$135.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,750
- Code
- 92287
- Physician work
- 0.39
- Practice expense
- 3.64
- Malpractice
- 0.02
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.39 | × 1.000 | 0.3900 |
| Practice expense | 3.64 | × 1.011 | 3.6800 |
| Malpractice | 0.02 | × 0.985 | 0.0197 |
| Total RVUs | 4.0897 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$136.60
Office: (0.39 × 1 + 3.64 × 1.011 + 0.02 × 0.985) × $33.4009 = $136.60
Payment rules and modifiers for 92287
The CMS indicators that decide how 92287 is paid alongside other services.
CMS payment indicators · 92287
Eye angiography, anterior segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
92287 without 26 · national office
$135.27
Eye angiography, anterior segment
92287-26 · Professional component
$22.38
Pays only the interpretation and report.
How 92287 has changed in Puerto Rico
92287 · Office / nonfacility
$136.60
Effective 2026-10-01
The base rate is $8.04 higher than on 2025-10-01, moving from $128.56 to $136.60 (6.3%).
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
$128.56changed to$136.60
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.40 changed to 0.39
- Practice expense RVU 3.53 changed to 3.64
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$143.36changed to$128.56
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.86 changed to 3.53
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$141.02changed to$143.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$147.10changed to$141.02
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.89 changed to 3.86
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$146.05changed to$147.10
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
No ratechanged to$146.05
Held through RVU23B, RVU23C.
January 1, 2020
RVU20A
$149.66changed toNo rate
Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
January 1, 2019
RVU19A
$142.25changed to$149.66
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.09 changed to 3.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$123.46changed to$142.25
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.05 changed to 3.09
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$123.46
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$106.58changed toNo rate
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$106.05changed to$106.58
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$106.05
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 | $136.60 | Not available in this setting | RVU26D |
| 2026-07-01 | $136.60 | Not available in this setting | RVU26C |
| 2026-04-01 | $136.60 | Not available in this setting | RVU26B |
| 2026-01-01 | $136.60 | Not available in this setting | RVU26A |
| 2025-10-01 | $128.56 | Not available in this setting | RVU25D |
| 2025-07-01 | $128.56 | Not available in this setting | RVU25C |
| 2025-04-01 | $128.56 | Not available in this setting | RVU25B |
| 2025-01-01 | $128.56 | Not available in this setting | RVU25A |
| 2024-10-01 | $143.36 | Not available in this setting | RVU24D |
| 2024-07-01 | $143.36 | Not available in this setting | RVU24C |
| 2024-04-01 | $143.36 | Not available in this setting | RVU24B |
| 2024-03-09 | $143.36 | Not available in this setting | RVU24AR |
| 2024-01-01 | $141.02 | Not available in this setting | RVU24A |
| 2023-10-01 | $147.10 | Not available in this setting | RVU23D |
| 2023-07-01 | $146.05 | Not available in this setting | RVU23C |
| 2023-04-01 | $146.05 | Not available in this setting | RVU23B |
| 2023-01-01 | $146.05 | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | $149.66 | Not available in this setting | RVU19D |
| 2019-07-01 | $149.66 | Not available in this setting | RVU19C |
| 2019-04-01 | $149.66 | Not available in this setting | RVU19B |
| 2019-01-01 | $149.66 | Not available in this setting | RVU19A |
| 2018-10-01 | $142.25 | Not available in this setting | RVU18D |
| 2018-07-01 | $142.25 | Not available in this setting | RVU18C |
| 2018-04-01 | $142.25 | Not available in this setting | RVU18B |
| 2018-01-01 | $142.25 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $123.46 | Not available in this setting | RVU17D |
| 2017-07-01 | $123.46 | Not available in this setting | RVU17C |
| 2017-04-01 | $123.46 | Not available in this setting | RVU17B |
| 2017-01-01 | $123.46 | Not available in this setting | RVU17A |
| 2016-10-01 | Additional calculation required | Not available in this setting | RVU16D |
| 2016-07-01 | Additional calculation required | Not available in this setting | RVU16C |
| 2016-04-01 | Additional calculation required | Not available in this setting | RVU16B |
| 2016-01-01 | Additional calculation required | Not available in this setting | RVU16A |
| 2015-10-01 | $106.58 | Not available in this setting | RVU15D |
| 2015-07-01 | $106.58 | Not available in this setting | RVU15C |
| 2015-04-01 | $106.05 | Not available in this setting | RVU15B |
| 2015-01-01 | $106.05 | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
92287 billing questions
How is this different from 92286?
This service uses fluorescein angiographic imaging to assess anterior-segment vascular patterns. Code 92286 uses specular microscopy to examine corneal endothelial cells.
Can modifier 50 increase payment when both eyes are imaged?
No. CMS prices 92287 as bilateral, and modifier 50 does not increase payment.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation or modifier TC for the technical service when billing those portions separately. Without either modifier, the code represents the global service.
What documentation supports reporting 92287?
Record the clinical indication, which eye or eyes were imaged, and the angiographic findings and interpretation. The documentation should show that the study evaluated the anterior segment.
Is this the correct code for retinal fluorescein angiography?
No. Code 92287 is for anterior-segment imaging; code 92235 is used for fluorescein angiography directed at the retina.
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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