CPT code 92134: Retinal OCT, posterior segment, retina2026 Medicare rate & RVUs in Los Angeles, CA

Computerized scanning imaging of the retina, typically macular optical coherence tomography, is reported for an interpreted study of one or both eyes.

CMS RVU26DEffective Oct 1, 2026One payment locality8.2M Medicare services in 2024

In Los Angeles, CA, Medicare pays $36.91 for 92134 in the office.

$36.91Office (non-facility)
Not available in this settingHospital or facility
+12.8%vs the national office rate ($32.73)

Check a contract rate as a % of Medicare · 92134 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92134 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 92134 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92134 covers

This service uses computerized scanning imaging of the posterior retina, most often optical coherence tomography (OCT) of the macula. Ophthalmologists and optometrists use it to assess retinal thickness and layers in age-related macular degeneration, diabetic macular edema, retinal vein occlusion, macular holes, epiretinal membranes, and vitreomacular traction; OCT also supports hydroxychloroquine toxicity screening. A technician obtains the images in an eye care office or clinic, and the interpreting clinician documents retinal findings. Imaging directed at the optic nerve rather than the retina belongs to 92133.

Report one unit for one or both eyes at a session; CMS prices the code as bilateral, and modifier 50 does not increase payment. The report should identify the eyes examined, clinically relevant findings, and comparison with prior imaging when available. Modifier 26 identifies interpretation alone; modifier TC identifies equipment and staff services alone. Bill globally without either modifier when the billing entity furnishes both components. When multiple eligible ophthalmic diagnostic tests are performed, CMS's ophthalmology diagnostic multiple procedure reduction affects the technical component. Choose 92137 instead when documented OCT angiography is part of the retinal study.

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 Los Angeles, CA compares for 92134

Across 109 of 109 payment localities, the office rate for 92134 runs from $29.35 in Arkansas to $43.16 in San Benito County, CA. Los Angeles, CA pays $36.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

92134 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$36.91
  2. Bakersfield, CA · California$34.75−$2.16
  3. Chico, CA · California$34.68−$2.23
  4. El Centro, CA · California$34.69−$2.22
  5. Fresno, CA · California$34.68−$2.23
  6. Hanford, CA · California$34.68−$2.23
  7. Madera, CA · California$34.68−$2.23

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

92134 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$34.68—
Modesto, CACalifornia$34.68—
Napa, CACalifornia$39.96—
Oxnard, CACalifornia$36.72—
Redding, CACalifornia$34.68—
Rest of CaliforniaCalifornia$34.68—
Riverside, CACalifornia$34.91—
Sacramento, CACalifornia$36.33—

92134 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$29.35

$39.02

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92134 office rate range by state
State / territoryOffice rate rangeLocalities
AK$39.021
AL$29.731
AR$29.351
AZ$31.961
CA$34.68–$43.1629
CO$34.101
CT$34.751
DC$37.231
DE$32.461
FL$32.11–$34.643
GA$30.52–$33.252
GU$35.431
HI$35.431
IA$30.481
ID$30.641
IL$31.22–$33.914
IN$30.801
KS$30.321
KY$30.271
LA$30.21–$31.542
MA$33.91–$37.302
MD$33.04–$37.233
ME$30.74–$32.292
MI$30.93–$32.432
MN$32.891
MO$29.72–$31.693
MS$29.541
MT$32.731
NC$31.041
ND$32.341
NE$30.651
NH$33.541
NJ$35.21–$36.902
NM$31.071
NV$32.641
NY$31.45–$38.075
OH$30.851
OK$30.261
OR$32.45–$35.142
PA$30.92–$33.942
PR$32.961
RI$33.571
SC$30.981
SD$32.291
TN$30.451
TX$30.73–$33.948
UT$31.361
VA$32.17–$37.232
VI$32.961
VT$32.191
WA$33.86–$38.062
WI$31.361
WV$30.181
WY$32.561

See 92134 in every payment locality

How the 92134 rate is calculated

Each of 92134’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 · 92134

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.31

0.31 RVUs× 1.000 GPCI

Practice expense0.65

0.65 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.9800

Conversion factor

$33.4009

Medicare rate

$32.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,693

Code
92134
Physician work
0.31
Practice expense
0.65
Malpractice
0.02

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 92134 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0410.3227
Practice expense0.65× 1.1830.7690
Malpractice0.02× 0.6640.0133
Total RVUs1.1049
Conversion factor× 33.4009

Office rate, Los Angeles, CA$36.91

Office: (0.31 × 1.041 + 0.65 × 1.183 + 0.02 × 0.664) × $33.4009 = $36.91

Open 92134 in the RVU calculator

Payment rules and modifiers for 92134

The CMS indicators that decide how 92134 is paid alongside other services.

CMS payment indicators · 92134

Retinal OCT, posterior segment, retina

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

92134 without 26 · national office

$32.73

Retinal OCT, posterior segment, retina

92134-26 · Professional component

$17.70

Pays only the interpretation and report.

When to use modifier 26

How 92134 has changed in Los Angeles, CA

92134 · Office / nonfacility

$36.91

Effective 2026-10-01

The base rate is $1.35 higher than on 2025-10-01, moving from $35.56 to $36.91 (3.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $35.56changed to$36.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.32 changed to 0.31
    • Practice expense RVU 0.63 changed to 0.65
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $45.48changed to$35.56

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.45 changed to 0.32
    • Practice expense RVU 0.74 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $44.74changed to$45.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.74changed to$44.74

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.73 changed to 0.74
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690
  5. January 1, 2023

    RVU23A

    $46.12changed to$45.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.72 changed to 0.73
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.50changed to$46.12

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.39changed to$46.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.68 changed to 0.72
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $46.73changed to$46.39

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.69 changed to 0.68
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $47.53changed to$46.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.71 changed to 0.69

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $46.43changed to$47.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.69 changed to 0.71
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $50.57changed to$46.43

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 0.50 changed to 0.45
    • Practice expense RVU 0.75 changed to 0.69
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $50.75changed to$50.57

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $50.50changed to$50.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $50.89changed to$50.50

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.04 changed to 0.02
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $50.69changed to$50.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.82 changed to 0.75
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$50.69

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$36.91Not available in this settingRVU26D
2026-07-01$36.91Not available in this settingRVU26C
2026-04-01$36.91Not available in this settingRVU26B
2026-01-01$36.91Not available in this settingRVU26A
2025-10-01$35.56Not available in this settingRVU25D
2025-07-01$35.56Not available in this settingRVU25C
2025-04-01$35.56Not available in this settingRVU25B
2025-01-01$35.56Not available in this settingRVU25A
2024-10-01$45.48Not available in this settingRVU24D
2024-07-01$45.48Not available in this settingRVU24C
2024-04-01$45.48Not available in this settingRVU24B
2024-03-09$45.48Not available in this settingRVU24AR
2024-01-01$44.74Not available in this settingRVU24A
2023-10-01$45.74Not available in this settingRVU23D
2023-07-01$45.74Not available in this settingRVU23C
2023-04-01$45.74Not available in this settingRVU23B
2023-01-01$45.74Not available in this settingRVU23A
2022-10-01$46.12Not available in this settingRVU22D
2022-07-01$46.12Not available in this settingRVU22C
2022-04-01$46.12Not available in this settingRVU22B
2022-01-01$46.12Not available in this settingRVU22A
2021-10-01$46.50Not available in this settingRVU21D
2021-07-01$46.50Not available in this settingRVU21C
2021-04-01$46.50Not available in this settingRVU21B
2021-01-01$46.50Not available in this settingRVU21A
2020-10-01$46.39Not available in this settingRVU20D
2020-07-01$46.39Not available in this settingRVU20C
2020-04-01$46.39Not available in this settingRVU20B
2020-01-01$46.39Not available in this settingRVU20A
2019-10-01$46.73Not available in this settingRVU19D
2019-07-01$46.73Not available in this settingRVU19C
2019-04-01$46.73Not available in this settingRVU19B
2019-01-01$46.73Not available in this settingRVU19A
2018-10-01$47.53Not available in this settingRVU18D
2018-07-01$47.53Not available in this settingRVU18C
2018-04-01$47.53Not available in this settingRVU18B
2018-01-01$47.53Not available in this settingRVU18AR1
2017-10-01$46.43Not available in this settingRVU17D
2017-07-01$46.43Not available in this settingRVU17C
2017-04-01$46.43Not available in this settingRVU17B
2017-01-01$46.43Not available in this settingRVU17A
2016-10-01$50.57Not available in this settingRVU16D
2016-07-01$50.57Not available in this settingRVU16C
2016-04-01$50.57Not available in this settingRVU16B
2016-01-01$50.57Not available in this settingRVU16A
2015-10-01$50.75Not available in this settingRVU15D
2015-07-01$50.75Not available in this settingRVU15C
2015-04-01$50.50Not available in this settingRVU15B
2015-01-01$50.50Not available in this settingRVU15A
2014-10-01$50.89Not available in this settingRVU14D
2014-07-01$50.89Not available in this settingRVU14C
2014-04-01$50.89Not available in this settingRVU14B
2014-01-01$50.89Not available in this settingRVU14A
2013-10-01$50.69Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 92134 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

92134 billing questions

Should one unit or two be reported when both eyes are scanned?

Report one unit for the session. The code covers one or both eyes and is priced as bilateral, so modifier 50 or a second unit for the other eye does not increase payment.

Can retinal OCT and optic nerve OCT be billed on the same day?

92134 addresses retinal imaging, while 92133 addresses optic nerve imaging. Do not report both for a single scan; each requires a distinct, documented study of its respective target.

When is modifier 26 or TC used?

Use modifier 26 when billing only the interpretation and modifier TC when billing only the equipment and staff portion. Bill the global code without either modifier when the billing entity furnishes both components.

Can 92134 be reported with OCT angiography of the retina?

Code 92137 describes retinal OCT angiography. Report 92137 instead of 92134 when the documented retinal study includes OCT angiography.

Is it billable on the same day as an intravitreal injection?

Yes. Macular OCT may be performed before an anti-VEGF injection (67028) to assess fluid and guide treatment; report the interpreted test separately when medically necessary.

What documentation supports the interpretation?

A signed report should identify the eyes imaged and findings such as retinal fluid or thickness, with comparison to prior studies when available. Image printouts without a written interpretation do not support the professional component.

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
RVUs for 92134PPRRVU2026_Oct_nonQPP.csv, line 11,693 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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