CPT code 92137: OCT angiography, posterior segment retinal imaging2026 Medicare rate & RVUs in Arizona
Reports posterior-segment OCT angiography that evaluates retinal blood flow, when an ophthalmologist or other qualified clinician performs and interprets the imaging.
In Arizona, Medicare pays $58.50 for 92137 in the office.
Check a contract rate as a % of Medicare · 92137 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 92137 covers
This service uses optical coherence tomography angiography to create images of blood flow in the posterior eye, including retinal and choroidal vascular structures. Ophthalmologists commonly use it when evaluating retinal vascular conditions such as diabetic retinopathy, macular degeneration, or retinal vein occlusion. The test is performed in an eye-care setting with specialized imaging equipment, and the interpreting clinician provides a report.
Report the service for the OCT angiography study, whether one or both eyes are imaged. The record should identify the clinical reason for testing and include the resulting interpretation and report. The code may be billed globally or split into professional and technical components: modifier 26 identifies interpretation, and modifier TC identifies equipment and staff. The ophthalmology diagnostic multiple procedure reduction applies to the technical component. The code is already 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.
How Arizona compares for 92137
Across 109 of 109 payment localities, the office rate for 92137 runs from $54.05 in Arkansas to $78.73 in San Benito County, CA. Arizona pays $58.50. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$58.50
- Los Angeles, CA · California$67.44+$8.94
- Washington, DC area · District of Columbia$67.82+$9.32
- Miami, FL · Florida$62.38+$3.88
- Chicago, IL · Illinois$60.99+$2.49
- Manhattan, NY · New York$67.73+$9.23
- Alaska · Alaska$72.34+$13.84
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $54.70 | — |
| ArkansasArkansas | $54.05 | — |
| Bakersfield, CACalifornia | $63.61 | — |
| Chico, CACalifornia | $63.52 | — |
| El Centro, CACalifornia | $63.52 | — |
| Fresno, CACalifornia | $63.52 | — |
| Hanford, CACalifornia | $63.52 | — |
| Madera, CACalifornia | $63.52 | — |
| Merced, CACalifornia | $63.52 | — |
| Modesto, CACalifornia | $63.52 | — |
| Napa, CACalifornia | $72.98 | — |
| Oxnard, CACalifornia | $67.11 | — |
| Redding, CACalifornia | $63.52 | — |
| Rest of CaliforniaCalifornia | $63.52 | — |
| Riverside, CACalifornia | $63.75 | — |
| Sacramento, CACalifornia | $66.48 | — |
| Salinas, CACalifornia | $66.23 | — |
| San Diego, CACalifornia | $67.63 | — |
| Marin County, CACalifornia | $77.14 | — |
| San Francisco, CACalifornia | $77.12 | — |
| San Benito County, CACalifornia | $78.73 | — |
| Santa Clara County, CACalifornia | $78.64 | — |
| San Luis Obispo, CACalifornia | $65.17 | — |
| Santa Cruz, CACalifornia | $68.17 | — |
| Santa Maria, CACalifornia | $66.43 | — |
| Santa Rosa, CACalifornia | $68.86 | — |
| Stockton, CACalifornia | $63.52 | — |
| Vallejo, CACalifornia | $72.95 | — |
| Visalia, CACalifornia | $63.52 | — |
| Yuba City, CACalifornia | $63.52 | — |
| ColoradoColorado | $62.35 | — |
| ConnecticutConnecticut | $63.30 | — |
| DelawareDelaware | $59.36 | — |
| Fort Lauderdale, FLFlorida | $60.83 | — |
| Rest of FloridaFlorida | $58.43 | — |
| Atlanta, GAGeorgia | $60.60 | — |
| Rest of GeorgiaGeorgia | $55.77 | — |
| Hawaii, Guam, HIHawaii | $64.77 | — |
| IowaIowa | $56.12 | — |
| IdahoIdaho | $56.36 | — |
| East St. Louis, ILIllinois | $57.39 | — |
| Rest of IllinoisIllinois | $56.82 | — |
| Suburban Chicago, ILIllinois | $61.49 | — |
| IndianaIndiana | $56.64 | — |
| KansasKansas | $55.77 | — |
| KentuckyKentucky | $55.47 | — |
| New Orleans, LALouisiana | $57.61 | — |
| Rest of LouisianaLouisiana | $55.34 | — |
| Metropolitan Boston, MAMassachusetts | $68.01 | — |
| Rest of MassachusettsMassachusetts | $62.02 | — |
| Baltimore area, MDMaryland | $63.08 | — |
| Rest of MarylandMaryland | $60.40 | — |
| Rest of MaineMaine | $56.46 | — |
| Southern Maine, MEMaine | $59.20 | — |
| Detroit, MIMichigan | $58.90 | — |
| Rest of MichiganMichigan | $56.53 | — |
| MinnesotaMinnesota | $60.43 | — |
| Metropolitan Kansas City, MOMissouri | $57.43 | — |
| Metropolitan St. Louis, MOMissouri | $57.95 | — |
| Rest of MissouriMissouri | $54.47 | — |
| MississippiMississippi | $54.27 | — |
| MontanaMontana | $59.79 | — |
| North CarolinaNorth Carolina | $56.97 | — |
| North DakotaNorth Dakota | $59.39 | — |
| NebraskaNebraska | $56.41 | — |
| New HampshireNew Hampshire | $61.28 | — |
| Northern New JerseyNew Jersey | $67.28 | — |
| Rest of New JerseyNew Jersey | $64.21 | — |
| New MexicoNew Mexico | $56.73 | — |
| NevadaNevada | $59.71 | — |
| NYC suburbs and Long Island, NYNew York | $68.95 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $64.51 | — |
| Queens, NYNew York | $68.40 | — |
| Rest of New YorkNew York | $57.67 | — |
| OhioOhio | $56.45 | — |
| OklahomaOklahoma | $55.53 | — |
| Portland, OROregon | $64.21 | — |
| Rest of OregonOregon | $59.44 | — |
| Metropolitan Philadelphia, PAPennsylvania | $61.86 | — |
| Rest of PennsylvaniaPennsylvania | $56.60 | — |
| Puerto RicoPuerto Rico | $60.20 | — |
| Rhode IslandRhode Island | $61.38 | — |
| South CarolinaSouth Carolina | $56.77 | — |
| South DakotaSouth Dakota | $59.34 | — |
| TennesseeTennessee | $55.98 | — |
| Austin, TXTexas | $61.98 | — |
| Beaumont, TXTexas | $56.28 | — |
| Brazoria, TXTexas | $59.46 | — |
| Dallas, TXTexas | $59.73 | — |
| Fort Worth, TXTexas | $59.35 | — |
| Galveston, TXTexas | $59.57 | — |
| Houston, TXTexas | $59.94 | — |
| Rest of TexasTexas | $57.76 | — |
| UtahUtah | $57.41 | — |
| VirginiaVirginia | $58.94 | — |
| Virgin Islands, VIUnited States Virgin Islands | $60.20 | — |
| VermontVermont | $59.07 | — |
| Rest of WashingtonWashington | $61.93 | — |
| King County, WAWashington | $69.42 | — |
| WisconsinWisconsin | $57.71 | — |
| West VirginiaWest Virginia | $55.04 | — |
| WyomingWyoming | $59.61 | — |
92137 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.
$54.05
$72.34
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 | $72.34 | 1 |
| AL | $54.70 | 1 |
| AR | $54.05 | 1 |
| AZ | $58.50 | 1 |
| CA | $63.52–$78.73 | 29 |
| CO | $62.35 | 1 |
| CT | $63.30 | 1 |
| DC | $67.82 | 1 |
| DE | $59.36 | 1 |
| FL | $58.43–$62.38 | 3 |
| GA | $55.77–$60.60 | 2 |
| GU | $64.77 | 1 |
| HI | $64.77 | 1 |
| IA | $56.12 | 1 |
| ID | $56.36 | 1 |
| IL | $56.82–$61.49 | 4 |
| IN | $56.64 | 1 |
| KS | $55.77 | 1 |
| KY | $55.47 | 1 |
| LA | $55.34–$57.61 | 2 |
| MA | $62.02–$68.01 | 2 |
| MD | $60.40–$67.82 | 3 |
| ME | $56.46–$59.20 | 2 |
| MI | $56.53–$58.90 | 2 |
| MN | $60.43 | 1 |
| MO | $54.47–$57.95 | 3 |
| MS | $54.27 | 1 |
| MT | $59.79 | 1 |
| NC | $56.97 | 1 |
| ND | $59.39 | 1 |
| NE | $56.41 | 1 |
| NH | $61.28 | 1 |
| NJ | $64.21–$67.28 | 2 |
| NM | $56.73 | 1 |
| NV | $59.71 | 1 |
| NY | $57.67–$68.95 | 5 |
| OH | $56.45 | 1 |
| OK | $55.53 | 1 |
| OR | $59.44–$64.21 | 2 |
| PA | $56.60–$61.86 | 2 |
| PR | $60.20 | 1 |
| RI | $61.38 | 1 |
| SC | $56.77 | 1 |
| SD | $59.34 | 1 |
| TN | $55.98 | 1 |
| TX | $56.28–$61.98 | 8 |
| UT | $57.41 | 1 |
| VA | $58.94–$67.82 | 2 |
| VI | $60.20 | 1 |
| VT | $59.07 | 1 |
| WA | $61.93–$69.42 | 2 |
| WI | $57.71 | 1 |
| WV | $55.04 | 1 |
| WY | $59.61 | 1 |
How the 92137 rate is calculated
Each of 92137’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 · 92137
RVUs × geographic indexes × conversion factor
Work0.62
0.62 RVUs× 1.000 GPCI
Practice expense1.15
1.15 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.7900
Conversion factor
$33.4009
Medicare rate
$59.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,699
- Code
- 92137
- Physician work
- 0.62
- Practice expense
- 1.15
- Malpractice
- 0.02
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.62 | × 1.000 | 0.6200 |
| Practice expense | 1.15 | × 0.969 | 1.1143 |
| Malpractice | 0.02 | × 0.856 | 0.0171 |
| Total RVUs | 1.7515 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arizona$58.50
Office: (0.62 × 1 + 1.15 × 0.969 + 0.02 × 0.856) × $33.4009 = $58.50
Payment rules and modifiers for 92137
The CMS indicators that decide how 92137 is paid alongside other services.
CMS payment indicators · 92137
OCT angiography, posterior segment retinal imaging
| 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
92137 without 26 · national office
$59.79
OCT angiography, posterior segment retinal imaging
92137-26 · Professional component
$34.74
Pays only the interpretation and report.
How 92137 has changed in Arizona
92137 · Office / nonfacility
$58.50
Effective 2026-10-01
The base rate is $2.55 higher than on 2025-10-01, moving from $55.95 to $58.50 (4.6%).
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
$55.95changed to$58.50
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.64 changed to 0.62
- Practice expense RVU 1.10 changed to 1.15
- Practice expense GPCI 0.975 changed to 0.969
- Malpractice GPCI 0.854 changed to 0.856
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$55.95
Held through RVU25B, RVU25C, RVU25D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $58.50 | Not available in this setting | RVU26D |
| 2026-07-01 | $58.50 | Not available in this setting | RVU26C |
| 2026-04-01 | $58.50 | Not available in this setting | RVU26B |
| 2026-01-01 | $58.50 | Not available in this setting | RVU26A |
| 2025-10-01 | $55.95 | Not available in this setting | RVU25D |
| 2025-07-01 | $55.95 | Not available in this setting | RVU25C |
| 2025-04-01 | $55.95 | Not available in this setting | RVU25B |
| 2025-01-01 | $55.95 | Not available in this setting | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
92137 billing questions
How is 92137 different from 92134?
92137 describes OCT angiography, which depicts blood flow in posterior-segment vessels. 92134 is used for structural retinal imaging with retinal thickness analysis.
Can the service be billed for both eyes?
Yes. The code is priced as bilateral, and modifier 50 does not increase payment.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and report, or modifier TC for the equipment and staff portion. Billing without either modifier represents the global service.
Does the multiple procedure reduction affect both components?
The ophthalmology diagnostic multiple procedure reduction applies to the technical component.
What documentation supports reporting 92137?
Document the reason for OCT angiography, the posterior-segment imaging performed, and the interpreting clinician’s findings and report.
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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