© Copyright 2025 American Medical Association. All rights reserved.
Indocyanine-green angiography, designated by CPT® Code 92240, is a diagnostic imaging procedure that utilizes indocyanine green dye to visualize the blood vessels in the retina and choroid. This technique is particularly valuable in the assessment of various retinal diseases, including macular degeneration, abnormal vessel growth, macular edema, and retinal detachment. The indocyanine green dye fluoresces in the infrared spectrum, enabling detailed imaging even in the presence of pigmentation, fluid, or blood collections within the retina and choroid. Prior to the procedure, the patient's pupils are dilated using mydriatic drops to facilitate optimal imaging. Fundal photographs are captured before the dye infusion to establish a baseline. Following the dilation, a bolus of indocyanine green is injected into a peripheral vein, typically in the arm. As the dye circulates, rapid sequence or video imaging is employed to capture the flow of the dye through the retinal and choroidal blood vessels. The resulting images are meticulously analyzed by the physician, who identifies any abnormalities present in the retina or choroid. A comprehensive written report detailing the findings is generated, which may pertain to one eye or both eyes. It is important to note that if both fluorescein angiography and indocyanine-green angiography are conducted during the same patient visit, CPT® Code 92242 should be reported in conjunction with this procedure.
© Copyright 2025 Coding Ahead. All rights reserved.
The indications for performing indocyanine-green angiography (CPT® Code 92240) include the evaluation of various retinal and choroidal conditions. This procedure is particularly indicated for:
The procedure for indocyanine-green angiography involves several critical steps to ensure accurate imaging and assessment of the retina and choroid. The following outlines the procedural steps:
Post-procedure care for indocyanine-green angiography typically involves monitoring the patient for any immediate adverse reactions to the dye. Patients may experience temporary visual disturbances due to the dilation of the pupils, but these effects generally resolve as the mydriatic drops wear off. It is advisable for patients to have someone accompany them home, as their vision may be affected. Follow-up appointments may be scheduled to discuss the findings of the angiography and to determine any necessary further treatment based on the results.
| Short Descr | ICG ANGIOGRAPHY I&R UNI/BI | Medium Descr | INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI | Long Descr | Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 7 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic ophthalmology services apply... | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | Q - Vision Items or Services | Berenson-Eggers TOS (BETOS) | P4E - Eye procedure - other | MUE | 1 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GW | Service not related to the hospice patient's terminal condition | GC | This service has been performed in part by a resident under the direction of a teaching physician | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GZ | Item or service expected to be denied as not reasonable and necessary | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2024-01-01 | Changed | Short Description changed. |
| 2017-01-01 | Changed | Long, Medium and Short descriptions changed. Guideline added. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 1997-01-01 | Added | First appearance in code book in 1997. |