CPT code 92136: Optical biometry, with IOL power calculation2026 Medicare rate & RVUs in Houston, TX

In Houston, TX, Medicare pays $48.28 for 92136 in the office.

Check a contract rate as a % of Medicare · 92136 nationwide

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

What 92136 covers

Optical biometry uses partial coherence interferometry or similar optical technology to measure axial length without touching the eye. Devices may also capture keratometry, anterior chamber depth, and other dimensions used in intraocular lens calculations. An ophthalmic technician or assistant typically acquires the measurements in an eye clinic or outpatient department. The ophthalmologist interprets the results and calculates lens power for a patient preparing for cataract surgery or refractive lens exchange.

Report 92136 when optical biometry includes an intraocular lens power calculation. Retain the measurements, the calculated lens power, and the interpreting clinician’s report; record the formula and other inputs used when available. Modifier TC identifies the equipment-and-staff portion, and modifier 26 identifies the interpretation and calculation portion. Billing without either modifier represents the global service. CMS prices the code as bilateral, so modifier 50 does not increase payment; measuring the second eye alone does not support another technical unit. The ophthalmology diagnostic multiple procedure reduction applies to the technical component when this test is billed with other eligible diagnostic tests.

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 Houston, TX compares for 92136

Across 109 of 109 payment localities, the office rate for 92136 runs from $43.58 in Arkansas to $62.87 in San Benito County, CA. Houston, TX pays $48.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

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92136 rates by state

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

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How the 92136 rate is calculated

Each of 92136’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.

Payment rules and modifiers for 92136

The CMS indicators that decide how 92136 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 92136

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 92136 has changed in Houston, TX

Price 92136 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 92136 in Houston · multiple payment areas
• Aldine
• Atascocita
• Barrett
• 92136 in Baytown · multiple payment areas
• Bellaire
• Bunker Hill Village
• Channelview

Browse all communities in Texas

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

Open CMS sourceHow we calculate rates