CPT code 92132: Eye imaging, anterior segment2026 Medicare rate & RVUs in California
Reports computerized imaging of the eye’s anterior segment, such as the cornea, iris, or drainage angle, with interpretation and a report.
Medicare pays $31.47–$39.16 for 92132 in the office in California, from Chico, CA to San Benito County, CA. 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.
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On this page 9 sections
What 92132 covers
This service captures computerized images of structures at the front of the eye, including the cornea, iris, and drainage angle. Ophthalmologists and optometrists may use it to assess anterior segment anatomy, such as when evaluating a narrow or potentially occludable angle. It is typically performed in an eye-care office or clinic, with the clinician interpreting the images and documenting the findings.
Select this code for anterior-segment imaging, not imaging directed at the optic nerve or retina. The record should support the clinical reason for the study and include the images and a written interpretation. Billing without a modifier represents the global service; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. When multiple ophthalmic diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.
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 92132 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$31.47 to $39.16
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $31.54 | Unavailable |
| Chico, CA | $31.47 | Unavailable |
| El Centro, CA | $31.47 | Unavailable |
| Fresno, CA | $31.47 | Unavailable |
| Hanford, CA | $31.47 | Unavailable |
| Los Angeles, CA | $33.49 | Unavailable |
| Madera, CA | $31.47 | Unavailable |
| Marin County, CA | $38.33 | Unavailable |
| Merced, CA | $31.47 | Unavailable |
| Modesto, CA | $31.47 | Unavailable |
| Napa, CA | $36.25 | Unavailable |
| Oxnard, CA | $33.32 | Unavailable |
| Redding, CA | $31.47 | Unavailable |
| Rest of California | $31.47 | Unavailable |
| Riverside, CA | $31.69 | Unavailable |
| Sacramento, CA | $32.97 | Unavailable |
| Salinas, CA | $32.84 | Unavailable |
| San Benito County, CA | $39.16 | Unavailable |
| San Diego, CA | $33.56 | Unavailable |
| San Francisco, CA | $38.31 | Unavailable |
| San Luis Obispo, CA | $32.32 | Unavailable |
| Santa Clara County, CA | $39.06 | Unavailable |
| Santa Cruz, CA | $33.85 | Unavailable |
| Santa Maria, CA | $32.95 | Unavailable |
| Santa Rosa, CA | $34.19 | Unavailable |
| Stockton, CA | $31.47 | Unavailable |
| Vallejo, CA | $36.22 | Unavailable |
| Visalia, CA | $31.47 | Unavailable |
| Yuba City, CA | $31.47 | Unavailable |
How the 92132 rate is calculated
Each of 92132’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 · 92132
RVUs × geographic indexes × conversion factor
Work0.28
0.28 RVUs× 1.000 GPCI
Practice expense0.59
0.59 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.8900
Conversion factor
$33.4009
Medicare rate
$29.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92132
The CMS indicators that decide how 92132 is paid alongside other services.
CMS payment indicators · 92132
Eye imaging, anterior segment
| 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
92132 without 26 · national office
$29.73
Eye imaging, anterior segment
92132-26 · Professional component
$15.36
Pays only the interpretation and report.
92132 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92133Optic nerve OCTPosterior segment, optic nerve
- Choose 92133 for imaging of the optic nerve in the posterior segment; use 92132 for anterior-segment structures such as the angle or cornea.
- 92134Retinal OCTPosterior segment, retina
- 92134 is directed at the posterior-segment retina. This code is for imaging structures at the front of the eye.
- 92136Optical biometryWith IOL power calculation
- 92136 measures ocular dimensions for lens-power planning, commonly before cataract surgery. It is not anterior-segment diagnostic imaging.
92132 billing questions
How does this differ from 92133?
92132 images the anterior segment, such as the cornea or drainage angle. 92133 is for imaging of the posterior segment’s optic nerve.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, or modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
Should modifier 50 be added when both eyes are imaged?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What happens when another ophthalmic diagnostic test is performed the same day?
The multiple-procedure reduction applies to the technical component. It does not change the professional component.
What documentation supports reporting this study?
Document the clinical reason for imaging, the anterior-segment structures assessed, and the image interpretation and report. The record should distinguish this study from posterior-segment imaging when both are performed.
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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