CPT code 92134: Retinal OCT, posterior segment, retina2026 Medicare rate & RVUs in New Mexico
Computerized scanning imaging of the retina, typically macular optical coherence tomography, is reported for an interpreted study of one or both eyes.
In New Mexico, Medicare pays $31.07 for 92134 in the office.
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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $31.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$31.07
- Los Angeles, CA · California$36.91+$5.84
- Washington, DC area · District of Columbia$37.23+$6.16
- Miami, FL · Florida$34.64+$3.57
- Chicago, IL · Illinois$33.78+$2.71
- Manhattan, NY · New York$37.30+$6.23
- Alaska · Alaska$39.02+$7.95
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $29.73 | — |
| ArkansasArkansas | $29.35 | — |
| ArizonaArizona | $31.96 | — |
| Bakersfield, CACalifornia | $34.75 | — |
| Chico, CACalifornia | $34.68 | — |
| El Centro, CACalifornia | $34.69 | — |
| Fresno, CACalifornia | $34.68 | — |
| Hanford, CACalifornia | $34.68 | — |
| Madera, CACalifornia | $34.68 | — |
| 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 | — |
| Salinas, CACalifornia | $36.20 | — |
| San Diego, CACalifornia | $36.99 | — |
| Marin County, CACalifornia | $42.26 | — |
| San Francisco, CACalifornia | $42.23 | — |
| San Benito County, CACalifornia | $43.16 | — |
| Santa Clara County, CACalifornia | $43.07 | — |
| San Luis Obispo, CACalifornia | $35.62 | — |
| Santa Cruz, CACalifornia | $37.31 | — |
| Santa Maria, CACalifornia | $36.32 | — |
| Santa Rosa, CACalifornia | $37.68 | — |
| Stockton, CACalifornia | $34.68 | — |
| Vallejo, CACalifornia | $39.93 | — |
| Visalia, CACalifornia | $34.68 | — |
| Yuba City, CACalifornia | $34.68 | — |
| ColoradoColorado | $34.10 | — |
| ConnecticutConnecticut | $34.75 | — |
| DelawareDelaware | $32.46 | — |
| Fort Lauderdale, FLFlorida | $33.55 | — |
| Rest of FloridaFlorida | $32.11 | — |
| Atlanta, GAGeorgia | $33.25 | — |
| Rest of GeorgiaGeorgia | $30.52 | — |
| Hawaii, Guam, HIHawaii | $35.43 | — |
| IowaIowa | $30.48 | — |
| IdahoIdaho | $30.64 | — |
| East St. Louis, ILIllinois | $31.67 | — |
| Rest of IllinoisIllinois | $31.22 | — |
| Suburban Chicago, ILIllinois | $33.91 | — |
| IndianaIndiana | $30.80 | — |
| KansasKansas | $30.32 | — |
| KentuckyKentucky | $30.27 | — |
| New Orleans, LALouisiana | $31.54 | — |
| Rest of LouisianaLouisiana | $30.21 | — |
| Metropolitan Boston, MAMassachusetts | $37.30 | — |
| Rest of MassachusettsMassachusetts | $33.91 | — |
| Baltimore area, MDMaryland | $34.64 | — |
| Rest of MarylandMaryland | $33.04 | — |
| Rest of MaineMaine | $30.74 | — |
| Southern Maine, MEMaine | $32.29 | — |
| Detroit, MIMichigan | $32.43 | — |
| Rest of MichiganMichigan | $30.93 | — |
| MinnesotaMinnesota | $32.89 | — |
| Metropolitan Kansas City, MOMissouri | $31.39 | — |
| Metropolitan St. Louis, MOMissouri | $31.69 | — |
| Rest of MissouriMissouri | $29.72 | — |
| MississippiMississippi | $29.54 | — |
| MontanaMontana | $32.73 | — |
| North CarolinaNorth Carolina | $31.04 | — |
| North DakotaNorth Dakota | $32.34 | — |
| NebraskaNebraska | $30.65 | — |
| New HampshireNew Hampshire | $33.54 | — |
| Northern New JerseyNew Jersey | $36.90 | — |
| Rest of New JerseyNew Jersey | $35.21 | — |
| NevadaNevada | $32.64 | — |
| NYC suburbs and Long Island, NYNew York | $38.07 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $35.40 | — |
| Queens, NYNew York | $37.64 | — |
| Rest of New YorkNew York | $31.45 | — |
| OhioOhio | $30.85 | — |
| OklahomaOklahoma | $30.26 | — |
| Portland, OROregon | $35.14 | — |
| Rest of OregonOregon | $32.45 | — |
| Metropolitan Philadelphia, PAPennsylvania | $33.94 | — |
| Rest of PennsylvaniaPennsylvania | $30.92 | — |
| Puerto RicoPuerto Rico | $32.96 | — |
| Rhode IslandRhode Island | $33.57 | — |
| South CarolinaSouth Carolina | $30.98 | — |
| South DakotaSouth Dakota | $32.29 | — |
| TennesseeTennessee | $30.45 | — |
| Austin, TXTexas | $33.94 | — |
| Beaumont, TXTexas | $30.73 | — |
| Brazoria, TXTexas | $32.47 | — |
| Dallas, TXTexas | $32.64 | — |
| Fort Worth, TXTexas | $32.44 | — |
| Galveston, TXTexas | $32.55 | — |
| Houston, TXTexas | $32.91 | — |
| Rest of TexasTexas | $31.56 | — |
| UtahUtah | $31.36 | — |
| VirginiaVirginia | $32.17 | — |
| Virgin Islands, VIUnited States Virgin Islands | $32.96 | — |
| VermontVermont | $32.19 | — |
| Rest of WashingtonWashington | $33.86 | — |
| King County, WAWashington | $38.06 | — |
| WisconsinWisconsin | $31.36 | — |
| West VirginiaWest Virginia | $30.18 | — |
| WyomingWyoming | $32.56 | — |
92134 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.
$29.35
$39.02
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 | $39.02 | 1 |
| AL | $29.73 | 1 |
| AR | $29.35 | 1 |
| AZ | $31.96 | 1 |
| CA | $34.68–$43.16 | 29 |
| CO | $34.10 | 1 |
| CT | $34.75 | 1 |
| DC | $37.23 | 1 |
| DE | $32.46 | 1 |
| FL | $32.11–$34.64 | 3 |
| GA | $30.52–$33.25 | 2 |
| GU | $35.43 | 1 |
| HI | $35.43 | 1 |
| IA | $30.48 | 1 |
| ID | $30.64 | 1 |
| IL | $31.22–$33.91 | 4 |
| IN | $30.80 | 1 |
| KS | $30.32 | 1 |
| KY | $30.27 | 1 |
| LA | $30.21–$31.54 | 2 |
| MA | $33.91–$37.30 | 2 |
| MD | $33.04–$37.23 | 3 |
| ME | $30.74–$32.29 | 2 |
| MI | $30.93–$32.43 | 2 |
| MN | $32.89 | 1 |
| MO | $29.72–$31.69 | 3 |
| MS | $29.54 | 1 |
| MT | $32.73 | 1 |
| NC | $31.04 | 1 |
| ND | $32.34 | 1 |
| NE | $30.65 | 1 |
| NH | $33.54 | 1 |
| NJ | $35.21–$36.90 | 2 |
| NM | $31.07 | 1 |
| NV | $32.64 | 1 |
| NY | $31.45–$38.07 | 5 |
| OH | $30.85 | 1 |
| OK | $30.26 | 1 |
| OR | $32.45–$35.14 | 2 |
| PA | $30.92–$33.94 | 2 |
| PR | $32.96 | 1 |
| RI | $33.57 | 1 |
| SC | $30.98 | 1 |
| SD | $32.29 | 1 |
| TN | $30.45 | 1 |
| TX | $30.73–$33.94 | 8 |
| UT | $31.36 | 1 |
| VA | $32.17–$37.23 | 2 |
| VI | $32.96 | 1 |
| VT | $32.19 | 1 |
| WA | $33.86–$38.06 | 2 |
| WI | $31.36 | 1 |
| WV | $30.18 | 1 |
| WY | $32.56 | 1 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.65 | × 0.917 | 0.5961 |
| Malpractice | 0.02 | × 1.201 | 0.0240 |
| Total RVUs | 0.9301 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$31.07
Office: (0.31 × 1 + 0.65 × 0.917 + 0.02 × 1.201) × $33.4009 = $31.07
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
| 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
92134 without 26 · national office
$32.73
Retinal OCT, posterior segment, retina
92134-26 · Professional component
$17.70
Pays only the interpretation and report.
How 92134 has changed in New Mexico
92134 · Office / nonfacility
$31.07
Effective 2026-10-01
The base rate is $1.46 higher than on 2025-10-01, moving from $29.61 to $31.07 (4.9%).
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
$29.61changed to$31.07
- 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
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$38.13changed to$29.61
- 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.
March 9, 2024
RVU24AR
$37.50changed to$38.13
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.35changed to$37.50
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.73 changed to 0.74
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$38.70changed to$38.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.72 changed to 0.73
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$39.03changed to$38.70
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$39.39changed to$39.03
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.68 changed to 0.72
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$40.02changed to$39.39
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.69 changed to 0.68
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$40.64changed to$40.02
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.71 changed to 0.69
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$39.80changed to$40.64
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.69 changed to 0.71
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$43.41changed to$39.80
- 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 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$43.57changed to$43.41
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$43.35changed to$43.57
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$44.12changed to$43.35
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.04 changed to 0.02
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$43.92changed to$44.12
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.82 changed to 0.75
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $43.92
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $31.07 | Not available in this setting | RVU26D |
| 2026-07-01 | $31.07 | Not available in this setting | RVU26C |
| 2026-04-01 | $31.07 | Not available in this setting | RVU26B |
| 2026-01-01 | $31.07 | Not available in this setting | RVU26A |
| 2025-10-01 | $29.61 | Not available in this setting | RVU25D |
| 2025-07-01 | $29.61 | Not available in this setting | RVU25C |
| 2025-04-01 | $29.61 | Not available in this setting | RVU25B |
| 2025-01-01 | $29.61 | Not available in this setting | RVU25A |
| 2024-10-01 | $38.13 | Not available in this setting | RVU24D |
| 2024-07-01 | $38.13 | Not available in this setting | RVU24C |
| 2024-04-01 | $38.13 | Not available in this setting | RVU24B |
| 2024-03-09 | $38.13 | Not available in this setting | RVU24AR |
| 2024-01-01 | $37.50 | Not available in this setting | RVU24A |
| 2023-10-01 | $38.35 | Not available in this setting | RVU23D |
| 2023-07-01 | $38.35 | Not available in this setting | RVU23C |
| 2023-04-01 | $38.35 | Not available in this setting | RVU23B |
| 2023-01-01 | $38.35 | Not available in this setting | RVU23A |
| 2022-10-01 | $38.70 | Not available in this setting | RVU22D |
| 2022-07-01 | $38.70 | Not available in this setting | RVU22C |
| 2022-04-01 | $38.70 | Not available in this setting | RVU22B |
| 2022-01-01 | $38.70 | Not available in this setting | RVU22A |
| 2021-10-01 | $39.03 | Not available in this setting | RVU21D |
| 2021-07-01 | $39.03 | Not available in this setting | RVU21C |
| 2021-04-01 | $39.03 | Not available in this setting | RVU21B |
| 2021-01-01 | $39.03 | Not available in this setting | RVU21A |
| 2020-10-01 | $39.39 | Not available in this setting | RVU20D |
| 2020-07-01 | $39.39 | Not available in this setting | RVU20C |
| 2020-04-01 | $39.39 | Not available in this setting | RVU20B |
| 2020-01-01 | $39.39 | Not available in this setting | RVU20A |
| 2019-10-01 | $40.02 | Not available in this setting | RVU19D |
| 2019-07-01 | $40.02 | Not available in this setting | RVU19C |
| 2019-04-01 | $40.02 | Not available in this setting | RVU19B |
| 2019-01-01 | $40.02 | Not available in this setting | RVU19A |
| 2018-10-01 | $40.64 | Not available in this setting | RVU18D |
| 2018-07-01 | $40.64 | Not available in this setting | RVU18C |
| 2018-04-01 | $40.64 | Not available in this setting | RVU18B |
| 2018-01-01 | $40.64 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $39.80 | Not available in this setting | RVU17D |
| 2017-07-01 | $39.80 | Not available in this setting | RVU17C |
| 2017-04-01 | $39.80 | Not available in this setting | RVU17B |
| 2017-01-01 | $39.80 | Not available in this setting | RVU17A |
| 2016-10-01 | $43.41 | Not available in this setting | RVU16D |
| 2016-07-01 | $43.41 | Not available in this setting | RVU16C |
| 2016-04-01 | $43.41 | Not available in this setting | RVU16B |
| 2016-01-01 | $43.41 | Not available in this setting | RVU16A |
| 2015-10-01 | $43.57 | Not available in this setting | RVU15D |
| 2015-07-01 | $43.57 | Not available in this setting | RVU15C |
| 2015-04-01 | $43.35 | Not available in this setting | RVU15B |
| 2015-01-01 | $43.35 | Not available in this setting | RVU15A |
| 2014-10-01 | $44.12 | Not available in this setting | RVU14D |
| 2014-07-01 | $44.12 | Not available in this setting | RVU14C |
| 2014-04-01 | $44.12 | Not available in this setting | RVU14B |
| 2014-01-01 | $44.12 | Not available in this setting | RVU14A |
| 2013-10-01 | $43.92 | Not available in this setting | RVU13D |
| 2013-07-01 | $43.92 | Not available in this setting | RVU13C |
| 2013-04-01 | $43.92 | Not available in this setting | RVU13B |
| 2013-01-01 | $43.92 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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