Billing code 92235: Fluorescein angiographyMedicare rate & RVUs
Reports multiframe retinal fluorescein angiography used to assess retinal and choroidal circulation, leakage, and abnormal vascular growth.
Medicare pays $162.33 for 92235 nationally in the office. Local office rates run $142.65–$225.38.
Medicare rate · 92235
Fluorescein angiography
Swap in your local Medicare rate.
- Work RVUs
- 0.73
- Total RVUs
- 4.86
- Global days
- XXX
National rate · 2026
$162.33
Office setting, before claim adjustments.
See every locality for 92235 → · 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.
On this page 10 sections
What 92235 covers
A fluorescein angiogram uses injected dye and sequential retinal images to show blood flow, leakage, and areas of poor perfusion. Ophthalmology practices, including retina clinics, commonly use the study to evaluate diabetic retinopathy, retinal vascular occlusions, macular disease, or suspected abnormal new vessels. Imaging staff may acquire the sequence, while the physician interprets the findings and prepares the report. The service may be performed in an office or outpatient facility.
Report the code when the documented study includes multiframe fluorescein angiography and a physician interpretation and report. The record should support the clinical indication, images obtained, and diagnostic findings. The code is priced as a bilateral service, so modifier 50 does not increase payment. Modifier 26 identifies the professional interpretation; modifier TC identifies the technical imaging service. Without either modifier, the claim represents the global service. 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.
Where 92235 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
$142.65 to $225.38
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $144.88 | Unavailable |
| Alaska* | $183.14 | Unavailable |
| Arizona | $157.98 | Unavailable |
| Arkansas | $142.65 | Unavailable |
| Atlanta | $164.73 | Unavailable |
| Austin | $170.26 | Unavailable |
| Bakersfield | $175.71 | Unavailable |
| Baltimore/Surr. Cntys | $172.90 | Unavailable |
| Beaumont | $149.93 | Unavailable |
| Brazoria | $161.14 | Unavailable |
| Chicago | $164.05 | Unavailable |
| Chico | $175.61 | Unavailable |
| Colorado | $171.26 | Unavailable |
| Connecticut | $173.53 | Unavailable |
| Dallas | $161.90 | Unavailable |
| Dc + Md/Va Suburbs | $188.16 | Unavailable |
| Delaware | $160.74 | Unavailable |
| Detroit | $157.98 | Unavailable |
| East St. Louis | $152.02 | Unavailable |
| El Centro | $175.61 | Unavailable |
| Fort Lauderdale | $164.65 | Unavailable |
| Fort Worth | $160.54 | Unavailable |
| Fresno | $175.61 | Unavailable |
| Galveston | $161.45 | Unavailable |
| Hanford-Corcoran | $175.61 | Unavailable |
| Hawaii, Guam | $180.85 | Unavailable |
| Houston | $161.81 | Unavailable |
| Idaho | $150.99 | Unavailable |
| Indiana | $151.96 | Unavailable |
| Iowa | $150.26 | Unavailable |
| Kansas | $148.82 | Unavailable |
| Kentucky | $147.03 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $188.23 | Unavailable |
| Madera | $175.61 | Unavailable |
| Manhattan | $186.52 | Unavailable |
| Merced | $175.61 | Unavailable |
| Metropolitan Boston | $189.89 | Unavailable |
| Metropolitan Kansas City | $153.94 | Unavailable |
| Metropolitan Philadelphia | $168.52 | Unavailable |
| Metropolitan St. Louis | $155.74 | Unavailable |
| Miami | $168.98 | Unavailable |
| Minnesota | $165.84 | Unavailable |
| Mississippi | $143.07 | Unavailable |
| Modesto | $175.61 | Unavailable |
| Montana** | $162.33 | Unavailable |
| Napa | $207.19 | Unavailable |
| Nebraska | $151.34 | Unavailable |
| Nevada** | $162.35 | Unavailable |
| New Hampshire | $167.87 | Unavailable |
| New Mexico | $151.07 | Unavailable |
| New Orleans | $154.32 | Unavailable |
| North Carolina | $152.89 | Unavailable |
| North Dakota** | $161.93 | Unavailable |
| Northern Nj | $185.87 | Unavailable |
| Nyc Suburbs/Long Island | $190.41 | Unavailable |
| Ohio | $150.39 | Unavailable |
| Oklahoma | $147.49 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $187.74 | Unavailable |
| Portland | $177.79 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $176.61 | Unavailable |
| Puerto Rico | $163.83 | Unavailable |
| Queens | $189.17 | Unavailable |
| Redding | $175.61 | Unavailable |
| Rest Of California | $175.61 | Unavailable |
| Rest Of Florida | $156.62 | Unavailable |
| Rest Of Georgia | $147.63 | Unavailable |
| Rest Of Illinois | $150.76 | Unavailable |
| Rest Of Louisiana | $146.51 | Unavailable |
| Rest Of Maine | $151.09 | Unavailable |
| Rest Of Maryland | $164.16 | Unavailable |
| Rest Of Massachusetts | $169.86 | Unavailable |
| Rest Of Michigan | $150.47 | Unavailable |
| Rest Of Missouri | $143.37 | Unavailable |
| Rest Of New Jersey | $176.00 | Unavailable |
| Rest Of New York | $155.27 | Unavailable |
| Rest Of Oregon | $161.58 | Unavailable |
| Rest Of Pennsylvania | $151.03 | Unavailable |
| Rest Of Texas | $155.26 | Unavailable |
| Rest Of Washington | $169.76 | Unavailable |
| Rhode Island | $167.25 | Unavailable |
| Riverside-San Bernardino-Ontario | $175.85 | Unavailable |
| Sacramento-Roseville-Folsom | $185.27 | Unavailable |
| Salinas | $184.60 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $189.66 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $220.57 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $220.54 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $225.38 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $225.28 | Unavailable |
| San Luis Obispo-Paso Robles | $181.51 | Unavailable |
| Santa Cruz-Watsonville | $192.05 | Unavailable |
| Santa Maria-Santa Barbara | $185.49 | Unavailable |
| Santa Rosa-Petaluma | $194.05 | Unavailable |
| Seattle (King Cnty) | $194.59 | Unavailable |
| South Carolina | $151.80 | Unavailable |
| South Dakota** | $161.88 | Unavailable |
| Southern Maine | $160.85 | Unavailable |
| Stockton | $175.61 | Unavailable |
| Suburban Chicago | $166.72 | Unavailable |
| Tennessee | $149.53 | Unavailable |
| Utah | $154.02 | Unavailable |
| Vallejo | $207.16 | Unavailable |
| Vermont | $160.63 | Unavailable |
| Virgin Islands | $163.83 | Unavailable |
| Virginia | $159.80 | Unavailable |
| Visalia | $175.61 | Unavailable |
| West Virginia | $144.63 | Unavailable |
| Wisconsin | $156.10 | Unavailable |
| Wyoming** | $162.15 | Unavailable |
| Yuba City | $175.61 | Unavailable |
92235 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.
$142.65
$200.50
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 | $183.14 | 1 |
| AL | $144.88 | 1 |
| AR | $142.65 | 1 |
| AZ | $157.98 | 1 |
| CA | $175.61–$225.38 | 29 |
| CO | $171.26 | 1 |
| CT | $173.53 | 1 |
| DC | $188.16 | 1 |
| DE | $160.74 | 1 |
| FL | $156.62–$168.98 | 3 |
| GA | $147.63–$164.73 | 2 |
| GU | $180.85 | 1 |
| HI | $180.85 | 1 |
| IA | $150.26 | 1 |
| ID | $150.99 | 1 |
| IL | $150.76–$166.72 | 4 |
| IN | $151.96 | 1 |
| KS | $148.82 | 1 |
| KY | $147.03 | 1 |
| LA | $146.51–$154.32 | 2 |
| MA | $169.86–$189.89 | 2 |
| MD | $164.16–$188.16 | 3 |
| ME | $151.09–$160.85 | 2 |
| MI | $150.47–$157.98 | 2 |
| MN | $165.84 | 1 |
| MO | $143.37–$155.74 | 3 |
| MS | $143.07 | 1 |
| MT | $162.33 | 1 |
| NC | $152.89 | 1 |
| ND | $161.93 | 1 |
| NE | $151.34 | 1 |
| NH | $167.87 | 1 |
| NJ | $176.00–$185.87 | 2 |
| NM | $151.07 | 1 |
| NV | $162.35 | 1 |
| NY | $155.27–$190.41 | 5 |
| OH | $150.39 | 1 |
| OK | $147.49 | 1 |
| OR | $161.58–$177.79 | 2 |
| PA | $151.03–$168.52 | 2 |
| PR | $163.83 | 1 |
| RI | $167.25 | 1 |
| SC | $151.80 | 1 |
| SD | $161.88 | 1 |
| TN | $149.53 | 1 |
| TX | $149.93–$170.26 | 8 |
| UT | $154.02 | 1 |
| VA | $159.80–$188.16 | 2 |
| VI | $163.83 | 1 |
| VT | $160.63 | 1 |
| WA | $169.76–$194.59 | 2 |
| WI | $156.10 | 1 |
| WV | $144.63 | 1 |
| WY | $162.15 | 1 |
How the 92235 rate is calculated
Each of 92235’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 · 92235
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.73Practice expense 4.11Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92235
The CMS indicators that decide how 92235 is paid alongside other services.
CMS payment indicators · 92235
Fluorescein angiography
| 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
92235 without 26 · national office
$162.33
Fluorescein angiography
92235-26 · Professional component
$41.75
Pays only the interpretation and report.
92235 compared with similar codes
Compare codes
92235 vs 92230 vs 92240 vs 92242 vs 92250: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92230Fluorescein angioscopy
- 92230 describes fluorescein angioscopy; use 92235 for multiframe fluorescein angiographic imaging with interpretation and report.
- 92240ICG angiography
- 92240 is for indocyanine green angiography. This code is for fluorescein angiography.
- 92242Retinal angiography
- 92242 describes a combined fluorescein and indocyanine green angiographic study; this code describes fluorescein angiography alone.
- 92250Fundus photography
- 92250 captures fundus photographs. This code reports the dye-based, sequential imaging used to assess retinal circulation and leakage.
92235 billing questions
When should this be reported instead of fundus photography?
Report this code for sequential fluorescein images that evaluate circulation, leakage, or perfusion. Fundus photography documents retinal appearance without the angiographic dye sequence.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the physician's interpretation and report, and modifier TC identifies the technical imaging service. Without a component modifier, the claim represents the global service.
Does modifier 50 apply when both eyes are imaged?
The code is priced as bilateral, and modifier 50 does not increase payment. Document the eyes examined and the images obtained.
How does the multiple-procedure reduction affect this code?
When multiple ophthalmology diagnostic procedures are reported, the reduction applies to this code's technical component. It does not apply to the professional interpretation under the CMS rule supplied.
What documentation supports reporting the angiogram?
Document the clinical indication, the multiframe fluorescein imaging performed, and the physician's interpretation and findings. The report should support the diagnostic question, such as retinal leakage or impaired perfusion.
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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