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CMS RVU26D · Effective 2026-10-01

92242 in Redding

Office / nonfacility

$365.43

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmic diagnostic testing

About 92242: Combined retinal dye angiography

Reports combined fluorescein and indocyanine-green angiography to assess retinal and choroidal circulation in patients with suspected or known vascular disease.

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.

CMS billing rules for 92242

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.93 · 9%
  • Practice expense (office) RVU9.10 · 90%
  • Malpractice RVU0.04 · 0%

28K

Medicare services in 2024 · #998 by national volume

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.

92242 compared with similar codes

Office rates for Redding, from the same CMS release.

92235

Fluorescein angiography

Multiframe retinal imaging

$175.61

92235 represents fluorescein angiography alone. Choose 92242 when the encounter includes both fluorescein and ICG angiography.

92240

ICG angiography

Unilateral or bilateral

$265.51

92240 represents ICG angiography alone. Choose 92242 when fluorescein angiography is also performed.

92250

Fundus photography

Retinal photos with interpretation

$39.23

92250 is fundus photography, not dye-based angiography. It does not replace 92242 when both angiographic studies are performed.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 92242 is $365.59—$0.16 higher than the $365.43 rate in Redding. Both use the same code, release and participation basis.

92242 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $365.43

  2. Bakersfield

    $365.59

    $0.16 higher than Redding

  3. Chico

    $365.43

    The same base rate than Redding

  4. El Centro

    $365.44

    $0.01 higher than Redding

  5. Fresno

    $365.43

    The same base rate than Redding

  6. Hanford-Corcoran

    $365.43

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $392.79

    $27.36 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92242 ranges from $292.84 in Arkansas to $473.49 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 92242

    Office

    $434.30

    Facility

    Unavailable

    $68.87 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92242

    Office

    $392.03

    Facility

    Unavailable

    $26.60 higher than Redding for the office setting.

  • Rest Of California

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92242

    Office

    $365.89

    Facility

    Unavailable

    $0.46 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92242

    Office

    $386.39

    Facility

    Unavailable

    $20.96 higher than Redding for the office setting.

  • Salinas

    California · 92242

    Office

    $385.02

    Facility

    Unavailable

    $19.59 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92242

    Office

    $396.24

    Facility

    Unavailable

    $30.81 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92242

    Office

    $463.19

    Facility

    Unavailable

    $97.76 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92242

    Office

    $463.15

    Facility

    Unavailable

    $97.72 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92242

    Office

    $473.49

    Facility

    Unavailable

    $108.06 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92242

    Office

    $473.30

    Facility

    Unavailable

    $107.87 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92242

    Office

    $378.50

    Facility

    Unavailable

    $13.07 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 92242

    Office

    $401.73

    Facility

    Unavailable

    $36.30 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 92242

    Office

    $387.05

    Facility

    Unavailable

    $21.62 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 92242

    Office

    $405.96

    Facility

    Unavailable

    $40.53 higher than Redding for the office setting.

  • Stockton

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 92242

    Office

    $434.24

    Facility

    Unavailable

    $68.81 higher than Redding for the office setting.

  • Visalia

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 92242

    Office

    $365.43

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92242

    Office

    $392.28

    Facility

    Unavailable

    $26.85 higher than Redding for the office setting.

  • Miami

    Florida · 92242

    Office

    $350.85

    Facility

    Unavailable

    $14.58 lower than Redding for the office setting.

  • Chicago

    Illinois · 92242

    Office

    $339.81

    Facility

    Unavailable

    $25.62 lower than Redding for the office setting.

  • Manhattan

    New York · 92242

    Office

    $388.36

    Facility

    Unavailable

    $22.93 higher than Redding for the office setting.

  • Alaska*

    Alaska · 92242

    Office

    $371.04

    Facility

    Unavailable

    $5.61 higher than Redding for the office setting.

  • Alabama

    Alabama · 92242

    Office

    $297.77

    Facility

    Unavailable

    $67.66 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 92242

    Office

    $292.84

    Facility

    Unavailable

    $72.59 lower than Redding for the office setting.

  • Arizona

    Arizona · 92242

    Office

    $326.73

    Facility

    Unavailable

    $38.70 lower than Redding for the office setting.

  • Colorado

    Colorado · 92242

    Office

    $355.88

    Facility

    Unavailable

    $9.55 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 92242

    Office

    $360.65

    Facility

    Unavailable

    $4.78 lower than Redding for the office setting.

  • Delaware

    Delaware · 92242

    Office

    $332.72

    Facility

    Unavailable

    $32.71 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 92242

    Office

    $341.38

    Facility

    Unavailable

    $24.05 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 92242

    Office

    $323.65

    Facility

    Unavailable

    $41.78 lower than Redding for the office setting.

  • Atlanta

    Georgia · 92242

    Office

    $341.57

    Facility

    Unavailable

    $23.86 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 92242

    Office

    $303.78

    Facility

    Unavailable

    $61.65 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 92242

    Office

    $377.43

    Facility

    Unavailable

    $12.00 higher than Redding for the office setting.

  • Iowa

    Iowa · 92242

    Office

    $309.71

    Facility

    Unavailable

    $55.72 lower than Redding for the office setting.

  • Idaho

    Idaho · 92242

    Office

    $311.33

    Facility

    Unavailable

    $54.10 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 92242

    Office

    $313.39

    Facility

    Unavailable

    $52.04 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 92242

    Office

    $310.66

    Facility

    Unavailable

    $54.77 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 92242

    Office

    $345.80

    Facility

    Unavailable

    $19.63 lower than Redding for the office setting.

  • Indiana

    Indiana · 92242

    Office

    $313.47

    Facility

    Unavailable

    $51.96 lower than Redding for the office setting.

  • Kansas

    Kansas · 92242

    Office

    $306.51

    Facility

    Unavailable

    $58.92 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 92242

    Office

    $302.50

    Facility

    Unavailable

    $62.93 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 92242

    Office

    $318.60

    Facility

    Unavailable

    $46.83 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 92242

    Office

    $301.34

    Facility

    Unavailable

    $64.09 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 92242

    Office

    $396.44

    Facility

    Unavailable

    $31.01 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92242

    Office

    $352.68

    Facility

    Unavailable

    $12.75 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92242

    Office

    $359.35

    Facility

    Unavailable

    $6.08 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 92242

    Office

    $340.20

    Facility

    Unavailable

    $25.23 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 92242

    Office

    $311.53

    Facility

    Unavailable

    $53.90 lower than Redding for the office setting.

  • Southern Maine

    Maine · 92242

    Office

    $333.12

    Facility

    Unavailable

    $32.31 lower than Redding for the office setting.

  • Detroit

    Michigan · 92242

    Office

    $326.63

    Facility

    Unavailable

    $38.80 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 92242

    Office

    $310.08

    Facility

    Unavailable

    $55.35 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 92242

    Office

    $344.22

    Facility

    Unavailable

    $21.21 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 92242

    Office

    $317.78

    Facility

    Unavailable

    $47.65 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 92242

    Office

    $321.76

    Facility

    Unavailable

    $43.67 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 92242

    Office

    $294.37

    Facility

    Unavailable

    $71.06 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 92242

    Office

    $293.75

    Facility

    Unavailable

    $71.68 lower than Redding for the office setting.

  • Montana**

    Montana · 92242

    Office

    $336.34

    Facility

    Unavailable

    $29.09 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 92242

    Office

    $315.50

    Facility

    Unavailable

    $49.93 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 92242

    Office

    $335.55

    Facility

    Unavailable

    $29.88 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 92242

    Office

    $312.11

    Facility

    Unavailable

    $53.32 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 92242

    Office

    $348.64

    Facility

    Unavailable

    $16.79 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 92242

    Office

    $387.03

    Facility

    Unavailable

    $21.60 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 92242

    Office

    $365.68

    Facility

    Unavailable

    $0.25 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 92242

    Office

    $311.39

    Facility

    Unavailable

    $54.04 lower than Redding for the office setting.

  • Nevada**

    Nevada · 92242

    Office

    $336.43

    Facility

    Unavailable

    $29.00 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92242

    Office

    $396.93

    Facility

    Unavailable

    $31.50 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92242

    Office

    $366.90

    Facility

    Unavailable

    $1.47 higher than Redding for the office setting.

  • Queens

    New York · 92242

    Office

    $394.24

    Facility

    Unavailable

    $28.81 higher than Redding for the office setting.

  • Rest Of New York

    New York · 92242

    Office

    $320.75

    Facility

    Unavailable

    $44.68 lower than Redding for the office setting.

  • Ohio

    Ohio · 92242

    Office

    $309.91

    Facility

    Unavailable

    $55.52 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 92242

    Office

    $303.53

    Facility

    Unavailable

    $61.90 lower than Redding for the office setting.

  • Portland

    Oregon · 92242

    Office

    $370.24

    Facility

    Unavailable

    $4.81 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 92242

    Office

    $334.73

    Facility

    Unavailable

    $30.70 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92242

    Office

    $349.63

    Facility

    Unavailable

    $15.80 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92242

    Office

    $311.35

    Facility

    Unavailable

    $54.08 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 92242

    Office

    $339.67

    Facility

    Unavailable

    $25.76 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 92242

    Office

    $346.82

    Facility

    Unavailable

    $18.61 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 92242

    Office

    $313.05

    Facility

    Unavailable

    $52.38 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 92242

    Office

    $335.46

    Facility

    Unavailable

    $29.97 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 92242

    Office

    $308.07

    Facility

    Unavailable

    $57.36 lower than Redding for the office setting.

  • Austin

    Texas · 92242

    Office

    $353.89

    Facility

    Unavailable

    $11.54 lower than Redding for the office setting.

  • Beaumont

    Texas · 92242

    Office

    $308.90

    Facility

    Unavailable

    $56.53 lower than Redding for the office setting.

  • Brazoria

    Texas · 92242

    Office

    $333.57

    Facility

    Unavailable

    $31.86 lower than Redding for the office setting.

  • Dallas

    Texas · 92242

    Office

    $335.22

    Facility

    Unavailable

    $30.21 lower than Redding for the office setting.

  • Fort Worth

    Texas · 92242

    Office

    $332.20

    Facility

    Unavailable

    $33.23 lower than Redding for the office setting.

  • Galveston

    Texas · 92242

    Office

    $334.24

    Facility

    Unavailable

    $31.19 lower than Redding for the office setting.

  • Houston

    Texas · 92242

    Office

    $334.97

    Facility

    Unavailable

    $30.46 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 92242

    Office

    $320.72

    Facility

    Unavailable

    $44.71 lower than Redding for the office setting.

  • Utah

    Utah · 92242

    Office

    $317.97

    Facility

    Unavailable

    $47.46 lower than Redding for the office setting.

  • Virginia

    Virginia · 92242

    Office

    $330.79

    Facility

    Unavailable

    $34.64 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92242

    Office

    $339.67

    Facility

    Unavailable

    $25.76 lower than Redding for the office setting.

  • Vermont

    Vermont · 92242

    Office

    $332.65

    Facility

    Unavailable

    $32.78 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 92242

    Office

    $352.54

    Facility

    Unavailable

    $12.89 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 92242

    Office

    $406.65

    Facility

    Unavailable

    $41.22 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 92242

    Office

    $322.66

    Facility

    Unavailable

    $42.77 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 92242

    Office

    $297.11

    Facility

    Unavailable

    $68.32 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 92242

    Office

    $336.00

    Facility

    Unavailable

    $29.43 lower than Redding for the office setting.

See how rates vary across the country

92242 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$371.041
AL$297.771
AR$292.841
AZ$326.731
CA$365.43–$473.4929
CO$355.881
CT$360.651
DC$392.281
DE$332.721
FL$323.65–$350.853
GA$303.78–$341.572
GU$377.431
HI$377.431
IA$309.711
ID$311.331
IL$310.66–$345.804
IN$313.471
KS$306.511
KY$302.501
LA$301.34–$318.602
MA$352.68–$396.442
MD$340.20–$392.283
ME$311.53–$333.122
MI$310.08–$326.632
MN$344.221
MO$294.37–$321.763
MS$293.751
MT$336.341
NC$315.501
ND$335.551
NE$312.111
NH$348.641
NJ$365.68–$387.032
NM$311.391
NV$336.431
NY$320.75–$396.935
OH$309.911
OK$303.531
OR$334.73–$370.242
PA$311.35–$349.632
PR$339.671
RI$346.821
SC$313.051
SD$335.461
TN$308.071
TX$308.90–$353.898
UT$317.971
VA$330.79–$392.282
VI$339.671
VT$332.651
WA$352.54–$406.652
WI$322.661
WV$297.111
WY$336.001

Explore 92242 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92242 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$401.97

$365.43 × 110% = $401.97

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92242 in Redding.

PPRRVU2026_Oct_nonQPP.csv

11,719

Code
92242
Physician work
0.93
Practice expense
9.10
Malpractice
0.04

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92242 in Redding
ComponentRVULocality factorAdjusted
Physician work0.93× 1.0170.9458
Practice expense9.10× 1.0969.9736
Malpractice0.04× 0.5360.0214
Total RVUs10.9409
Conversion factor× 33.4009

Office / nonfacility rate, Redding$365.43

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92242 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.931.017
Practice expense9.11.096
Malpractice0.040.536

(0.93 × 1.017 + 9.1 × 1.096 + 0.04 × 0.536) × $33.4009 = $365.43

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92242 · Office / nonfacility

$365.43

Effective 2026-10-01

The base rate is $24.90 higher than on 2025-10-01, moving from $340.53 to $365.43 (7.3%).

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

    $340.53changed to$365.43

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $340.53

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$365.43Not available in this settingRVU26D
2026-07-01$365.43Not available in this settingRVU26C
2026-04-01$365.43Not available in this settingRVU26B
2026-01-01$365.43Not available in this settingRVU26A
2025-10-01$340.53Not available in this settingRVU25D
2025-07-01$340.53Not available in this settingRVU25C
2025-04-01$340.53Not available in this settingRVU25B
2025-01-01$340.53Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92242PPRRVU2026_Oct_nonQPP.csv, line 11,719 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet