$126.09
92230 describes fluorescein angioscopy; use 92235 for multiframe fluorescein angiographic imaging with interpretation and report.
On this page
CMS RVU26D · Effective 2026-10-01
92235 Fluorescein angiography Medicare reimbursement rates in Utah
Reports multiframe retinal fluorescein angiography used to assess retinal and choroidal circulation, leakage, and abnormal vascular growth. Compare 92235 office and facility rates across CMS payment localities in Utah.
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 92235 in Utah?
Utah 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
$154.02
1 of 1 localities have a supported rate.
Payment area: Utah
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 diagnostic imaging
About 92235: Retinal fluorescein angiography
Reports multiframe retinal fluorescein angiography used to assess retinal and choroidal circulation, leakage, and abnormal vascular growth.
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.
CMS billing rules for 92235
- 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 RVU0.73 · 15%
- Practice expense (office) RVU4.11 · 85%
- Malpractice RVU0.02 · 0%
243.4K
Medicare services in 2024 · #347 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.
92235 compared with similar codes
Office rates for Utah, from the same CMS release.
$232.22
92240 is for indocyanine green angiography. This code is for fluorescein angiography.
$317.97
92242 describes a combined fluorescein and indocyanine green angiographic study; this code describes fluorescein angiography alone.
$35.60
92250 captures fundus photographs. This code reports the dye-based, sequential imaging used to assess retinal circulation and leakage.
Compare 92235 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
Utah →
Office / nonfacility
$154.02
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 92235 in Utah.
PPRRVU2026_Oct_nonQPP.csv
11,713
- Code
- 92235
- Physician work
- 0.73
- Practice expense
- 4.11
- Malpractice
- 0.02
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 4.11 | × 0.940 | 3.8634 |
| Malpractice | 0.02 | × 0.898 | 0.0180 |
| Total RVUs | 4.6114 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$154.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 4.11 | 0.94 |
| Malpractice | 0.02 | 0.898 |
(0.73 × 1 + 4.11 × 0.94 + 0.02 × 0.898) × $33.4009 = $154.02
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.
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 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.
11,71092228,TC,Img rta detc/mntr ds phy/qhp,A,,0.00,0.41,,0.41,NA,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,1.12,1.12,0.03
11,71192229,,Img rta detc/mntr ds poc aly,A,,0.00,1.39,,1.39,NA,0.01,1.40,1.40,3,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.79,1.79,0.01
11,71292230,,Fluorescein angioscopy i&r,A,,0.59,3.35,,0.17,,0.04,3.98,0.80,0,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985