CPT code 92133: Optic nerve OCT, posterior segment, optic nerve2026 Medicare rate & RVUs in Rhode Island
Scanning laser or OCT imaging of the optic nerve head and retinal nerve fiber layer, reported mainly for glaucoma diagnosis and monitoring.
In Rhode Island, Medicare pays $31.51 for 92133 in the office.
Check a contract rate as a % of Medicare · 92133 nationwide
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 11 sections
What 92133 covers
This test uses computerized scanning, most often optical coherence tomography, to assess the optic nerve head and retinal nerve fiber layer thickness; it may also assess macular ganglion cells. Ophthalmologists and optometrists use it in office and hospital outpatient eye clinics for glaucoma suspects, established glaucoma, ocular hypertension, and optic neuropathies. A technician captures the scans, and the interpreting clinician evaluates their quality and findings, comparing results with prior studies when available.
Report one unit whether one or both eyes are scanned. The code is already priced as bilateral, so modifier 50 does not increase payment. Document an interpretation and report with findings relevant to the optic nerve assessment. Billing without a modifier represents the global service; append modifier 26 when billing only the interpretation or TC when billing only equipment and staff services. When multiple eligible ophthalmic diagnostic tests are performed, Medicare's ophthalmic diagnostic multiple procedure reduction affects lower-valued technical components, not the professional interpretations. Use a different code when retinal or macular imaging is the clinical focus.
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.
How Rhode Island compares for 92133
Across 109 of 109 payment localities, the office rate for 92133 runs from $27.58 in Arkansas to $40.38 in San Benito County, CA. Rhode Island pays $31.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$31.51
- Los Angeles, CA · California$34.58+$3.07
- Washington, DC area · District of Columbia$34.91+$3.40
- Miami, FL · Florida$32.57+$1.06
- Chicago, IL · Illinois$31.76+$0.25
- Manhattan, NY · New York$35.01+$3.50
- Alaska · Alaska$36.74+$5.23
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $27.93 | — |
| ArkansasArkansas | $27.58 | — |
| ArizonaArizona | $30.01 | — |
| Bakersfield, CACalifornia | $32.58 | — |
| Chico, CACalifornia | $32.51 | — |
| El Centro, CACalifornia | $32.52 | — |
| Fresno, CACalifornia | $32.51 | — |
| Hanford, CACalifornia | $32.51 | — |
| Madera, CACalifornia | $32.51 | — |
| Merced, CACalifornia | $32.51 | — |
| Modesto, CACalifornia | $32.51 | — |
| Napa, CACalifornia | $37.40 | — |
| Oxnard, CACalifornia | $34.40 | — |
| Redding, CACalifornia | $32.51 | — |
| Rest of CaliforniaCalifornia | $32.51 | — |
| Riverside, CACalifornia | $32.73 | — |
| Sacramento, CACalifornia | $34.05 | — |
| Salinas, CACalifornia | $33.92 | — |
| San Diego, CACalifornia | $34.65 | — |
| Marin County, CACalifornia | $39.54 | — |
| San Francisco, CACalifornia | $39.51 | — |
| San Benito County, CACalifornia | $40.38 | — |
| Santa Clara County, CACalifornia | $40.29 | — |
| San Luis Obispo, CACalifornia | $33.37 | — |
| Santa Cruz, CACalifornia | $34.94 | — |
| Santa Maria, CACalifornia | $34.03 | — |
| Santa Rosa, CACalifornia | $35.29 | — |
| Stockton, CACalifornia | $32.51 | — |
| Vallejo, CACalifornia | $37.37 | — |
| Visalia, CACalifornia | $32.51 | — |
| Yuba City, CACalifornia | $32.51 | — |
| ColoradoColorado | $31.99 | — |
| ConnecticutConnecticut | $32.61 | — |
| DelawareDelaware | $30.47 | — |
| Fort Lauderdale, FLFlorida | $31.53 | — |
| Rest of FloridaFlorida | $30.18 | — |
| Atlanta, GAGeorgia | $31.21 | — |
| Rest of GeorgiaGeorgia | $28.69 | — |
| Hawaii, Guam, HIHawaii | $33.19 | — |
| IowaIowa | $28.62 | — |
| IdahoIdaho | $28.77 | — |
| East St. Louis, ILIllinois | $29.80 | — |
| Rest of IllinoisIllinois | $29.36 | — |
| Suburban Chicago, ILIllinois | $31.86 | — |
| IndianaIndiana | $28.92 | — |
| KansasKansas | $28.47 | — |
| KentuckyKentucky | $28.45 | — |
| New Orleans, LALouisiana | $29.64 | — |
| Rest of LouisianaLouisiana | $28.40 | — |
| Metropolitan Boston, MAMassachusetts | $34.95 | — |
| Rest of MassachusettsMassachusetts | $31.82 | — |
| Baltimore area, MDMaryland | $32.51 | — |
| Rest of MarylandMaryland | $31.01 | — |
| Rest of MaineMaine | $28.87 | — |
| Southern Maine, MEMaine | $30.30 | — |
| Detroit, MIMichigan | $30.49 | — |
| Rest of MichiganMichigan | $29.07 | — |
| MinnesotaMinnesota | $30.84 | — |
| Metropolitan Kansas City, MOMissouri | $29.49 | — |
| Metropolitan St. Louis, MOMissouri | $29.77 | — |
| Rest of MissouriMissouri | $27.95 | — |
| MississippiMississippi | $27.77 | — |
| MontanaMontana | $30.73 | — |
| North CarolinaNorth Carolina | $29.14 | — |
| North DakotaNorth Dakota | $30.33 | — |
| NebraskaNebraska | $28.77 | — |
| New HampshireNew Hampshire | $31.47 | — |
| Northern New JerseyNew Jersey | $34.61 | — |
| Rest of New JerseyNew Jersey | $33.04 | — |
| New MexicoNew Mexico | $29.20 | — |
| NevadaNevada | $30.64 | — |
| NYC suburbs and Long Island, NYNew York | $35.73 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $33.22 | — |
| Queens, NYNew York | $35.31 | — |
| Rest of New YorkNew York | $29.53 | — |
| OhioOhio | $28.99 | — |
| OklahomaOklahoma | $28.44 | — |
| Portland, OROregon | $32.94 | — |
| Rest of OregonOregon | $30.45 | — |
| Metropolitan Philadelphia, PAPennsylvania | $31.86 | — |
| Rest of PennsylvaniaPennsylvania | $29.05 | — |
| Puerto RicoPuerto Rico | $30.94 | — |
| South CarolinaSouth Carolina | $29.11 | — |
| South DakotaSouth Dakota | $30.29 | — |
| TennesseeTennessee | $28.60 | — |
| Austin, TXTexas | $31.84 | — |
| Beaumont, TXTexas | $28.88 | — |
| Brazoria, TXTexas | $30.48 | — |
| Dallas, TXTexas | $30.64 | — |
| Fort Worth, TXTexas | $30.45 | — |
| Galveston, TXTexas | $30.55 | — |
| Houston, TXTexas | $30.92 | — |
| Rest of TexasTexas | $29.64 | — |
| UtahUtah | $29.46 | — |
| VirginiaVirginia | $30.19 | — |
| Virgin Islands, VIUnited States Virgin Islands | $30.94 | — |
| VermontVermont | $30.20 | — |
| Rest of WashingtonWashington | $31.76 | — |
| King County, WAWashington | $35.66 | — |
| WisconsinWisconsin | $29.42 | — |
| West VirginiaWest Virginia | $28.39 | — |
| WyomingWyoming | $30.56 | — |
92133 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$27.58
$36.74
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $36.74 | 1 |
| AL | $27.93 | 1 |
| AR | $27.58 | 1 |
| AZ | $30.01 | 1 |
| CA | $32.51–$40.38 | 29 |
| CO | $31.99 | 1 |
| CT | $32.61 | 1 |
| DC | $34.91 | 1 |
| DE | $30.47 | 1 |
| FL | $30.18–$32.57 | 3 |
| GA | $28.69–$31.21 | 2 |
| GU | $33.19 | 1 |
| HI | $33.19 | 1 |
| IA | $28.62 | 1 |
| ID | $28.77 | 1 |
| IL | $29.36–$31.86 | 4 |
| IN | $28.92 | 1 |
| KS | $28.47 | 1 |
| KY | $28.45 | 1 |
| LA | $28.40–$29.64 | 2 |
| MA | $31.82–$34.95 | 2 |
| MD | $31.01–$34.91 | 3 |
| ME | $28.87–$30.30 | 2 |
| MI | $29.07–$30.49 | 2 |
| MN | $30.84 | 1 |
| MO | $27.95–$29.77 | 3 |
| MS | $27.77 | 1 |
| MT | $30.73 | 1 |
| NC | $29.14 | 1 |
| ND | $30.33 | 1 |
| NE | $28.77 | 1 |
| NH | $31.47 | 1 |
| NJ | $33.04–$34.61 | 2 |
| NM | $29.20 | 1 |
| NV | $30.64 | 1 |
| NY | $29.53–$35.73 | 5 |
| OH | $28.99 | 1 |
| OK | $28.44 | 1 |
| OR | $30.45–$32.94 | 2 |
| PA | $29.05–$31.86 | 2 |
| PR | $30.94 | 1 |
| RI | $31.51 | 1 |
| SC | $29.11 | 1 |
| SD | $30.29 | 1 |
| TN | $28.60 | 1 |
| TX | $28.88–$31.84 | 8 |
| UT | $29.46 | 1 |
| VA | $30.19–$34.91 | 2 |
| VI | $30.94 | 1 |
| VT | $30.20 | 1 |
| WA | $31.76–$35.66 | 2 |
| WI | $29.42 | 1 |
| WV | $28.39 | 1 |
| WY | $30.56 | 1 |
How the 92133 rate is calculated
Each of 92133’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 · 92133
RVUs × geographic indexes × conversion factor
Work0.30
0.30 RVUs× 1.000 GPCI
Practice expense0.60
0.60 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.9200
Conversion factor
$33.4009
Medicare rate
$30.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,690
- Code
- 92133
- Physician work
- 0.30
- Practice expense
- 0.60
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.30 | × 1.019 | 0.3057 |
| Practice expense | 0.60 | × 1.033 | 0.6198 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 0.9433 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$31.51
Office: (0.3 × 1.019 + 0.6 × 1.033 + 0.02 × 0.892) × $33.4009 = $31.51
Payment rules and modifiers for 92133
The CMS indicators that decide how 92133 is paid alongside other services.
CMS payment indicators · 92133
Optic nerve OCT, posterior segment, optic nerve
| 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
92133 without 26 · national office
$30.73
Optic nerve OCT, posterior segment, optic nerve
92133-26 · Professional component
$16.37
Pays only the interpretation and report.
How 92133 has changed in Rhode Island
92133 · Office / nonfacility
$31.51
Effective 2026-10-01
The base rate is $0.85 higher than on 2025-10-01, moving from $30.66 to $31.51 (2.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$30.66changed to$31.51
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.31 changed to 0.30
- Practice expense RVU 0.59 changed to 0.60
- Work GPCI 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$37.39changed to$30.66
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 0.40 changed to 0.31
- Practice expense RVU 0.67 changed to 0.59
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$36.78changed to$37.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.19changed to$36.78
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$38.75changed to$38.19
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.66 changed to 0.67
- Work GPCI 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$39.07changed to$38.75
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$39.35changed to$39.07
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.63 changed to 0.66
- Work GPCI 1.024 changed to 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$39.36changed to$39.35
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$40.08changed to$39.36
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.65 changed to 0.63
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$39.51changed to$40.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.64 changed to 0.65
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.052 changed to 1.050
- Malpractice GPCI 0.879 changed to 0.999
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$45.98changed to$39.51
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 0.50 changed to 0.40
- Practice expense RVU 0.72 changed to 0.64
- Work GPCI 1.022 changed to 1.025
- Practice expense GPCI 1.053 changed to 1.052
- Malpractice GPCI 0.759 changed to 0.879
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$46.15changed to$45.98
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$45.92changed to$46.15
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$46.82changed to$45.92
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.04 changed to 0.02
- Work GPCI 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$46.82
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $31.51 | Not available in this setting | RVU26D |
| 2026-07-01 | $31.51 | Not available in this setting | RVU26C |
| 2026-04-01 | $31.51 | Not available in this setting | RVU26B |
| 2026-01-01 | $31.51 | Not available in this setting | RVU26A |
| 2025-10-01 | $30.66 | Not available in this setting | RVU25D |
| 2025-07-01 | $30.66 | Not available in this setting | RVU25C |
| 2025-04-01 | $30.66 | Not available in this setting | RVU25B |
| 2025-01-01 | $30.66 | Not available in this setting | RVU25A |
| 2024-10-01 | $37.39 | Not available in this setting | RVU24D |
| 2024-07-01 | $37.39 | Not available in this setting | RVU24C |
| 2024-04-01 | $37.39 | Not available in this setting | RVU24B |
| 2024-03-09 | $37.39 | Not available in this setting | RVU24AR |
| 2024-01-01 | $36.78 | Not available in this setting | RVU24A |
| 2023-10-01 | $38.19 | Not available in this setting | RVU23D |
| 2023-07-01 | $38.19 | Not available in this setting | RVU23C |
| 2023-04-01 | $38.19 | Not available in this setting | RVU23B |
| 2023-01-01 | $38.19 | Not available in this setting | RVU23A |
| 2022-10-01 | $38.75 | Not available in this setting | RVU22D |
| 2022-07-01 | $38.75 | Not available in this setting | RVU22C |
| 2022-04-01 | $38.75 | Not available in this setting | RVU22B |
| 2022-01-01 | $38.75 | Not available in this setting | RVU22A |
| 2021-10-01 | $39.07 | Not available in this setting | RVU21D |
| 2021-07-01 | $39.07 | Not available in this setting | RVU21C |
| 2021-04-01 | $39.07 | Not available in this setting | RVU21B |
| 2021-01-01 | $39.07 | Not available in this setting | RVU21A |
| 2020-10-01 | $39.35 | Not available in this setting | RVU20D |
| 2020-07-01 | $39.35 | Not available in this setting | RVU20C |
| 2020-04-01 | $39.35 | Not available in this setting | RVU20B |
| 2020-01-01 | $39.35 | Not available in this setting | RVU20A |
| 2019-10-01 | $39.36 | Not available in this setting | RVU19D |
| 2019-07-01 | $39.36 | Not available in this setting | RVU19C |
| 2019-04-01 | $39.36 | Not available in this setting | RVU19B |
| 2019-01-01 | $39.36 | Not available in this setting | RVU19A |
| 2018-10-01 | $40.08 | Not available in this setting | RVU18D |
| 2018-07-01 | $40.08 | Not available in this setting | RVU18C |
| 2018-04-01 | $40.08 | Not available in this setting | RVU18B |
| 2018-01-01 | $40.08 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $39.51 | Not available in this setting | RVU17D |
| 2017-07-01 | $39.51 | Not available in this setting | RVU17C |
| 2017-04-01 | $39.51 | Not available in this setting | RVU17B |
| 2017-01-01 | $39.51 | Not available in this setting | RVU17A |
| 2016-10-01 | $45.98 | Not available in this setting | RVU16D |
| 2016-07-01 | $45.98 | Not available in this setting | RVU16C |
| 2016-04-01 | $45.98 | Not available in this setting | RVU16B |
| 2016-01-01 | $45.98 | Not available in this setting | RVU16A |
| 2015-10-01 | $46.15 | Not available in this setting | RVU15D |
| 2015-07-01 | $46.15 | Not available in this setting | RVU15C |
| 2015-04-01 | $45.92 | Not available in this setting | RVU15B |
| 2015-01-01 | $45.92 | Not available in this setting | RVU15A |
| 2014-10-01 | $46.82 | Not available in this setting | RVU14D |
| 2014-07-01 | $46.82 | Not available in this setting | RVU14C |
| 2014-04-01 | $46.82 | Not available in this setting | RVU14B |
| 2014-01-01 | $46.82 | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
92133 billing questions
Should one unit or two be billed when both eyes are scanned?
Bill one unit. The code covers unilateral or bilateral imaging, and because it is priced as bilateral, modifier 50 or a second unit does not add payment.
Can optic nerve OCT and retina OCT be billed on the same day?
CPT instructs that 92133 and 92134 are not reported together at the same patient encounter. Choose the code matching the structure that was the clinical focus, such as optic nerve for glaucoma or macula for diabetic macular edema.
When is modifier 26 or TC appended?
Use 26 when billing only the interpretation and TC when billing only the equipment and staff portion. A practice that provides both portions bills the global code without a modifier.
Does the multiple procedure reduction affect 92133 when visual fields are done the same day?
Medicare's ophthalmic diagnostic multiple procedure reduction applies to lower-valued technical components when multiple eligible tests, such as 92133 and 92083, are performed. It does not reduce their professional components.
What documentation supports the interpretation?
Document a written interpretation of scan quality and relevant optic nerve or nerve fiber layer findings, with comparison to prior scans when available. An image printout alone does not establish the professional interpretation.
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
Fee sheets · Coming soon
Put 92133 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist