Billing code 92240: ICG angiographyMedicare rate & RVUs in Washington
Reports indocyanine green angiography of one or both eyes to assess choroidal and retinal circulation, including suspected choroidal vascular abnormalities.
Medicare pays $256.69–$295.52 for 92240 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.
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 9 sections
What 92240 covers
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.
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 92240 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $256.69 | Unavailable |
| Seattle (King Cnty) | $295.52 | Unavailable |
How the 92240 rate is calculated
Each of 92240’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 · 92240
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.78Practice expense 6.49Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92240
The CMS indicators that decide how 92240 is paid alongside other services.
CMS payment indicators · 92240
ICG 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
92240 without 26 · national office
$245.50
ICG angiography
92240-26 · Professional component
$46.76
Pays only the interpretation and report.
92240 compared with similar codes
Compare codes
92240 vs 92242 vs 92235 vs 92250: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92242Retinal angiography
- 92242 represents combined fluorescein and ICG angiography. Use 92240 when the study is ICG angiography alone.
- 92235Fluorescein angiography
- 92235 reports fluorescein angiography; 92240 reports ICG angiography. Select the code for the dye study performed.
- 92250Fundus photography
- 92250 reports fundus photography with interpretation and report, not dye-based angiography of the ocular circulation.
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 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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