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CMS RVU26D · Effective 2026-10-01

92134 in El Centro

Office / nonfacility

$34.69

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmic diagnostic imaging

About 92134: Retinal OCT with interpretation and report

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

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.

CMS billing rules for 92134

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.31 · 32%
  • Practice expense (office) RVU0.65 · 66%
  • Malpractice RVU0.02 · 2%

8.2M

Medicare services in 2024 · #27 by national volume

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.

92134 compared with similar codes

Office rates for El Centro, from the same CMS release.

92133

Optic nerve OCT

Posterior segment, optic nerve

$32.52

92133 images the optic nerve head and nerve fiber layer for glaucoma or optic neuropathy; 92134 images the retina and macula. Select according to the documented imaging target.

92137

OCT angiography

Posterior segment retinal imaging

$63.52

92137 addresses retinal imaging with OCT angiography; report 92134 when the retinal study consists of structural scanning imaging without OCT angiography.

92250

Fundus photography

Retinal photos with interpretation

$39.23

92250 produces fundus photographs of the retina, while 92134 produces cross-sectional scanning images used to assess retinal layers and thickness.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 92134 is $34.75—$0.06 higher than the $34.69 rate in El Centro. Both use the same code, release and participation basis.

92134 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $34.69

  2. Bakersfield

    $34.75

    $0.06 higher than El Centro

  3. Chico

    $34.68

    $0.01 lower than El Centro

  4. Fresno

    $34.68

    $0.01 lower than El Centro

  5. Hanford-Corcoran

    $34.68

    $0.01 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $36.91

    $2.22 higher than El Centro

  7. Madera

    $34.68

    $0.01 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92134 ranges from $29.35 in Arkansas to $43.16 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 92134

    Office

    $39.96

    Facility

    Unavailable

    $5.27 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92134

    Office

    $36.72

    Facility

    Unavailable

    $2.03 higher than El Centro for the office setting.

  • Redding

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92134

    Office

    $34.91

    Facility

    Unavailable

    $0.22 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92134

    Office

    $36.33

    Facility

    Unavailable

    $1.64 higher than El Centro for the office setting.

  • Salinas

    California · 92134

    Office

    $36.20

    Facility

    Unavailable

    $1.51 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92134

    Office

    $36.99

    Facility

    Unavailable

    $2.30 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92134

    Office

    $42.26

    Facility

    Unavailable

    $7.57 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92134

    Office

    $42.23

    Facility

    Unavailable

    $7.54 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92134

    Office

    $43.16

    Facility

    Unavailable

    $8.47 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92134

    Office

    $43.07

    Facility

    Unavailable

    $8.38 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92134

    Office

    $35.62

    Facility

    Unavailable

    $0.93 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 92134

    Office

    $37.31

    Facility

    Unavailable

    $2.62 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 92134

    Office

    $36.32

    Facility

    Unavailable

    $1.63 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 92134

    Office

    $37.68

    Facility

    Unavailable

    $2.99 higher than El Centro for the office setting.

  • Stockton

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 92134

    Office

    $39.93

    Facility

    Unavailable

    $5.24 higher than El Centro for the office setting.

  • Visalia

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 92134

    Office

    $34.68

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92134

    Office

    $37.23

    Facility

    Unavailable

    $2.54 higher than El Centro for the office setting.

  • Miami

    Florida · 92134

    Office

    $34.64

    Facility

    Unavailable

    $0.05 lower than El Centro for the office setting.

  • Chicago

    Illinois · 92134

    Office

    $33.78

    Facility

    Unavailable

    $0.91 lower than El Centro for the office setting.

  • Manhattan

    New York · 92134

    Office

    $37.30

    Facility

    Unavailable

    $2.61 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 92134

    Office

    $39.02

    Facility

    Unavailable

    $4.33 higher than El Centro for the office setting.

  • Alabama

    Alabama · 92134

    Office

    $29.73

    Facility

    Unavailable

    $4.96 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 92134

    Office

    $29.35

    Facility

    Unavailable

    $5.34 lower than El Centro for the office setting.

  • Arizona

    Arizona · 92134

    Office

    $31.96

    Facility

    Unavailable

    $2.73 lower than El Centro for the office setting.

  • Colorado

    Colorado · 92134

    Office

    $34.10

    Facility

    Unavailable

    $0.59 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 92134

    Office

    $34.75

    Facility

    Unavailable

    $0.06 higher than El Centro for the office setting.

  • Delaware

    Delaware · 92134

    Office

    $32.46

    Facility

    Unavailable

    $2.23 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 92134

    Office

    $33.55

    Facility

    Unavailable

    $1.14 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 92134

    Office

    $32.11

    Facility

    Unavailable

    $2.58 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 92134

    Office

    $33.25

    Facility

    Unavailable

    $1.44 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 92134

    Office

    $30.52

    Facility

    Unavailable

    $4.17 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 92134

    Office

    $35.43

    Facility

    Unavailable

    $0.74 higher than El Centro for the office setting.

  • Iowa

    Iowa · 92134

    Office

    $30.48

    Facility

    Unavailable

    $4.21 lower than El Centro for the office setting.

  • Idaho

    Idaho · 92134

    Office

    $30.64

    Facility

    Unavailable

    $4.05 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 92134

    Office

    $31.67

    Facility

    Unavailable

    $3.02 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 92134

    Office

    $31.22

    Facility

    Unavailable

    $3.47 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 92134

    Office

    $33.91

    Facility

    Unavailable

    $0.78 lower than El Centro for the office setting.

  • Indiana

    Indiana · 92134

    Office

    $30.80

    Facility

    Unavailable

    $3.89 lower than El Centro for the office setting.

  • Kansas

    Kansas · 92134

    Office

    $30.32

    Facility

    Unavailable

    $4.37 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 92134

    Office

    $30.27

    Facility

    Unavailable

    $4.42 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 92134

    Office

    $31.54

    Facility

    Unavailable

    $3.15 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 92134

    Office

    $30.21

    Facility

    Unavailable

    $4.48 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 92134

    Office

    $37.30

    Facility

    Unavailable

    $2.61 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92134

    Office

    $33.91

    Facility

    Unavailable

    $0.78 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92134

    Office

    $34.64

    Facility

    Unavailable

    $0.05 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 92134

    Office

    $33.04

    Facility

    Unavailable

    $1.65 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 92134

    Office

    $30.74

    Facility

    Unavailable

    $3.95 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 92134

    Office

    $32.29

    Facility

    Unavailable

    $2.40 lower than El Centro for the office setting.

  • Detroit

    Michigan · 92134

    Office

    $32.43

    Facility

    Unavailable

    $2.26 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 92134

    Office

    $30.93

    Facility

    Unavailable

    $3.76 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 92134

    Office

    $32.89

    Facility

    Unavailable

    $1.80 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 92134

    Office

    $31.39

    Facility

    Unavailable

    $3.30 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 92134

    Office

    $31.69

    Facility

    Unavailable

    $3.00 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 92134

    Office

    $29.72

    Facility

    Unavailable

    $4.97 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 92134

    Office

    $29.54

    Facility

    Unavailable

    $5.15 lower than El Centro for the office setting.

  • Montana**

    Montana · 92134

    Office

    $32.73

    Facility

    Unavailable

    $1.96 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 92134

    Office

    $31.04

    Facility

    Unavailable

    $3.65 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 92134

    Office

    $32.34

    Facility

    Unavailable

    $2.35 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 92134

    Office

    $30.65

    Facility

    Unavailable

    $4.04 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 92134

    Office

    $33.54

    Facility

    Unavailable

    $1.15 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 92134

    Office

    $36.90

    Facility

    Unavailable

    $2.21 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 92134

    Office

    $35.21

    Facility

    Unavailable

    $0.52 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 92134

    Office

    $31.07

    Facility

    Unavailable

    $3.62 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 92134

    Office

    $32.64

    Facility

    Unavailable

    $2.05 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92134

    Office

    $38.07

    Facility

    Unavailable

    $3.38 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92134

    Office

    $35.40

    Facility

    Unavailable

    $0.71 higher than El Centro for the office setting.

  • Queens

    New York · 92134

    Office

    $37.64

    Facility

    Unavailable

    $2.95 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 92134

    Office

    $31.45

    Facility

    Unavailable

    $3.24 lower than El Centro for the office setting.

  • Ohio

    Ohio · 92134

    Office

    $30.85

    Facility

    Unavailable

    $3.84 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 92134

    Office

    $30.26

    Facility

    Unavailable

    $4.43 lower than El Centro for the office setting.

  • Portland

    Oregon · 92134

    Office

    $35.14

    Facility

    Unavailable

    $0.45 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 92134

    Office

    $32.45

    Facility

    Unavailable

    $2.24 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92134

    Office

    $33.94

    Facility

    Unavailable

    $0.75 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92134

    Office

    $30.92

    Facility

    Unavailable

    $3.77 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 92134

    Office

    $32.96

    Facility

    Unavailable

    $1.73 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 92134

    Office

    $33.57

    Facility

    Unavailable

    $1.12 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 92134

    Office

    $30.98

    Facility

    Unavailable

    $3.71 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 92134

    Office

    $32.29

    Facility

    Unavailable

    $2.40 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 92134

    Office

    $30.45

    Facility

    Unavailable

    $4.24 lower than El Centro for the office setting.

  • Austin

    Texas · 92134

    Office

    $33.94

    Facility

    Unavailable

    $0.75 lower than El Centro for the office setting.

  • Beaumont

    Texas · 92134

    Office

    $30.73

    Facility

    Unavailable

    $3.96 lower than El Centro for the office setting.

  • Brazoria

    Texas · 92134

    Office

    $32.47

    Facility

    Unavailable

    $2.22 lower than El Centro for the office setting.

  • Dallas

    Texas · 92134

    Office

    $32.64

    Facility

    Unavailable

    $2.05 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 92134

    Office

    $32.44

    Facility

    Unavailable

    $2.25 lower than El Centro for the office setting.

  • Galveston

    Texas · 92134

    Office

    $32.55

    Facility

    Unavailable

    $2.14 lower than El Centro for the office setting.

  • Houston

    Texas · 92134

    Office

    $32.91

    Facility

    Unavailable

    $1.78 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 92134

    Office

    $31.56

    Facility

    Unavailable

    $3.13 lower than El Centro for the office setting.

  • Utah

    Utah · 92134

    Office

    $31.36

    Facility

    Unavailable

    $3.33 lower than El Centro for the office setting.

  • Virginia

    Virginia · 92134

    Office

    $32.17

    Facility

    Unavailable

    $2.52 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92134

    Office

    $32.96

    Facility

    Unavailable

    $1.73 lower than El Centro for the office setting.

  • Vermont

    Vermont · 92134

    Office

    $32.19

    Facility

    Unavailable

    $2.50 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 92134

    Office

    $33.86

    Facility

    Unavailable

    $0.83 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 92134

    Office

    $38.06

    Facility

    Unavailable

    $3.37 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 92134

    Office

    $31.36

    Facility

    Unavailable

    $3.33 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 92134

    Office

    $30.18

    Facility

    Unavailable

    $4.51 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 92134

    Office

    $32.56

    Facility

    Unavailable

    $2.13 lower than El Centro for the office setting.

See how rates vary across the country

92134 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 92134 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92134 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$38.16

$34.69 × 110% = $38.16

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92134 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

11,693

Code
92134
Physician work
0.31
Practice expense
0.65
Malpractice
0.02

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 92134 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0170.3153
Practice expense0.65× 1.0960.7124
Malpractice0.02× 0.5410.0108
Total RVUs1.0385
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$34.69

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92134 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.311.017
Practice expense0.651.096
Malpractice0.020.541

(0.31 × 1.017 + 0.65 × 1.096 + 0.02 × 0.541) × $33.4009 = $34.69

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92134 · Office / nonfacility

$34.69

Effective 2026-10-01

The base rate is $1.55 higher than on 2025-10-01, moving from $33.14 to $34.69 (4.7%).

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

    $33.14changed to$34.69

    • 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 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $33.14

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$34.69Not available in this settingRVU26D
2026-07-01$34.69Not available in this settingRVU26C
2026-04-01$34.69Not available in this settingRVU26B
2026-01-01$34.69Not available in this settingRVU26A
2025-10-01$33.14Not available in this settingRVU25D
2025-07-01$33.14Not available in this settingRVU25C
2025-04-01$33.14Not available in this settingRVU25B
2025-01-01$33.14Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92134PPRRVU2026_Oct_nonQPP.csv, line 11,693 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet