$308.07
92242 represents combined fluorescein and ICG angiography. Use 92240 when the study is ICG angiography alone.
On this page
CMS RVU26D · Effective 2026-10-01
92240 ICG angiography Medicare reimbursement rates in Tennessee
Reports indocyanine green angiography of one or both eyes to assess choroidal and retinal circulation, including suspected choroidal vascular abnormalities. Compare 92240 office and facility rates across CMS payment localities in Tennessee.
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.
What does Medicare pay for 92240 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$224.53
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmic imaging
About 92240: Indocyanine green angiography
Reports indocyanine green angiography of one or both eyes to assess choroidal and retinal circulation, including suspected choroidal vascular abnormalities.
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.
CMS billing rules for 92240
- 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 RVU0.78 · 11%
- Practice expense (office) RVU6.49 · 88%
- Malpractice RVU0.08 · 1%
6.1K
Medicare services in 2024 · #1744 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.
92240 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$149.53
92235 reports fluorescein angiography; 92240 reports ICG angiography. Select the code for the dye study performed.
$34.64
92250 reports fundus photography with interpretation and report, not dye-based angiography of the ocular circulation.
Compare 92240 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Tennessee →
Office / nonfacility
$224.53
Facility
Unavailable
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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 92240 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
11,716
- Code
- 92240
- Physician work
- 0.78
- Practice expense
- 6.49
- Malpractice
- 0.08
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 6.49 | × 0.909 | 5.8994 |
| Malpractice | 0.08 | × 0.537 | 0.0430 |
| Total RVUs | 6.7224 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$224.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 6.49 | 0.909 |
| Malpractice | 0.08 | 0.537 |
(0.78 × 1 + 6.49 × 0.909 + 0.08 × 0.537) × $33.4009 = $224.53
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.
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 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.
11,71392235,,Fluorescein angrph mltiframe,A,,0.73,4.11,,4.11,NA,0.02,4.86,4.86,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,7.10,7.10,0.03
11,71492235,26,Fluorescein angrph mltiframe,A,,0.73,0.51,,0.51,,0.01,1.25,1.25,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,71592235,TC,Fluorescein angrph mltiframe,A,,0.00,3.60,,3.60,NA,0.01,3.61,3.61,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,02,0,99,6.59,6.59,0.02
11,71692240,,Icg angiography i&r uni/bi,A,,0.78,6.49,,6.49,NA,0.08,7.35,7.35,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,7.14,7.14,0.08
11,71792240,26,Icg angiography i&r uni/bi,A,,0.78,0.55,,0.55,,0.07,1.40,1.40,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,71892240,TC,Icg angiography i&r uni/bi,A,,0.00,5.94,,5.94,NA,0.01,5.95,5.95,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,02,0,99,6.59,6.59,0.01
11,71992242,,Fluorescein&icg angiography,A,,0.93,9.10,,9.10,NA,0.04,10.07,10.07,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780