CPT code 92137: OCT angiography, posterior segment retinal imaging2026 Medicare rate & RVUs in Madera, CA

Reports posterior-segment OCT angiography that evaluates retinal blood flow, when an ophthalmologist or other qualified clinician performs and interprets the imaging.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Madera, CA, Medicare pays $63.52 for 92137 in the office.

$63.52Office (non-facility)
Not available in this settingHospital or facility
+6.2%vs the national office rate ($59.79)

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.

We’ll open 92137 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Madera, CA
  2. What 92137 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 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 Madera, CA 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. Madera, CA pays $63.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

92137 in Madera, CA vs other payment areas
  1. Madera, CA · this page$63.52
  2. Bakersfield, CA · California$63.61+$0.09
  3. Chico, CA · California$63.52
  4. El Centro, CA · California$63.52
  5. Fresno, CA · California$63.52
  6. Hanford, CA · California$63.52
  7. Los Angeles, CA · California$67.44+$3.92

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

Every other payment area

92137 in every other Medicare payment locality
Payment localityOfficeFacility
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—

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
92137 office rate range by state
State / territoryOffice rate rangeLocalities
AK$72.341
AL$54.701
AR$54.051
AZ$58.501
CA$63.52–$78.7329
CO$62.351
CT$63.301
DC$67.821
DE$59.361
FL$58.43–$62.383
GA$55.77–$60.602
GU$64.771
HI$64.771
IA$56.121
ID$56.361
IL$56.82–$61.494
IN$56.641
KS$55.771
KY$55.471
LA$55.34–$57.612
MA$62.02–$68.012
MD$60.40–$67.823
ME$56.46–$59.202
MI$56.53–$58.902
MN$60.431
MO$54.47–$57.953
MS$54.271
MT$59.791
NC$56.971
ND$59.391
NE$56.411
NH$61.281
NJ$64.21–$67.282
NM$56.731
NV$59.711
NY$57.67–$68.955
OH$56.451
OK$55.531
OR$59.44–$64.212
PA$56.60–$61.862
PR$60.201
RI$61.381
SC$56.771
SD$59.341
TN$55.981
TX$56.28–$61.988
UT$57.411
VA$58.94–$67.822
VI$60.201
VT$59.071
WA$61.93–$69.422
WI$57.711
WV$55.041
WY$59.611

See 92137 in every payment locality

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

Office or facility?

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 Madera, CA 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

14

Locality
Madera, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 92137 in Madera, CA
ComponentRVULocality factorAdjusted
Physician work0.62× 1.0170.6305
Practice expense1.15× 1.0961.2604
Malpractice0.02× 0.5360.0107
Total RVUs1.9017
Conversion factor× 33.4009

Office rate, Madera, CA$63.52

Office: (0.62 × 1.017 + 1.15 × 1.096 + 0.02 × 0.536) × $33.4009 = $63.52

Open 92137 in the RVU calculator

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

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

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.

When to use modifier 26

How 92137 has changed in Madera, CA

92137 · Office / nonfacility

$63.52

Effective 2026-10-01

The base rate is $3.28 higher than on 2025-10-01, moving from $60.24 to $63.52 (5.4%).

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

    $60.24changed to$63.52

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$60.24

    Held through RVU25B, RVU25C, RVU25D.

  3. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$63.52Not available in this settingRVU26D
2026-07-01$63.52Not available in this settingRVU26C
2026-04-01$63.52Not available in this settingRVU26B
2026-01-01$63.52Not available in this settingRVU26A
2025-10-01$60.24Not available in this settingRVU25D
2025-07-01$60.24Not available in this settingRVU25C
2025-04-01$60.24Not available in this settingRVU25B
2025-01-01$60.24Not available in this settingRVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 92137 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Madera
  • Ahwahnee
  • Bass Lake
  • Bonadelle Ranchos
  • Chowchilla
  • Coarsegold
  • Fairmead
  • La Vina

Browse all communities in California

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
RVUs for 92137PPRRVU2026_Oct_nonQPP.csv, line 11,699 (RVU26D)
Geographic factors for Madera, CAGPCI2026.csv, line 14 (RVU26D)

Open CMS sourceHow we calculate rates

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