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CMS RVU26D · Effective 2026-10-01

92137 in El Centro

Office / nonfacility

$63.52

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 imaging

About 92137: Posterior segment OCT angiography

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

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.

CMS billing rules for 92137

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 RVU0.62 · 35%
  • Practice expense (office) RVU1.15 · 64%
  • Malpractice RVU0.02 · 1%

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.

92137 compared with similar codes

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

92134

Retinal OCT

Posterior segment, retina

$34.69

Choose 92137 for OCT angiography of posterior-segment blood flow. Choose 92134 for structural retinal OCT with retinal thickness analysis.

92133

Optic nerve OCT

Posterior segment, optic nerve

$32.52

92133 is posterior-segment imaging focused on the optic nerve; 92137 is OCT angiography focused on retinal and choroidal vasculature.

92132

Eye imaging

Anterior segment

$31.47

92132 images the anterior segment, while 92137 is for posterior-segment OCT angiography.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 92137 is $63.61—$0.09 higher than the $63.52 rate in El Centro. Both use the same code, release and participation basis.

92137 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $63.52

  2. Bakersfield

    $63.61

    $0.09 higher than El Centro

  3. Chico

    $63.52

    The same base rate than El Centro

  4. Fresno

    $63.52

    The same base rate than El Centro

  5. Hanford-Corcoran

    $63.52

    The same base rate than El Centro

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

    $67.44

    $3.92 higher than El Centro

  7. Madera

    $63.52

    The same base rate 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, 92137 ranges from $54.05 in Arkansas to $78.73 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 · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 92137

    Office

    $72.98

    Facility

    Unavailable

    $9.46 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92137

    Office

    $67.11

    Facility

    Unavailable

    $3.59 higher than El Centro for the office setting.

  • Redding

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92137

    Office

    $63.75

    Facility

    Unavailable

    $0.23 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92137

    Office

    $66.48

    Facility

    Unavailable

    $2.96 higher than El Centro for the office setting.

  • Salinas

    California · 92137

    Office

    $66.23

    Facility

    Unavailable

    $2.71 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92137

    Office

    $67.63

    Facility

    Unavailable

    $4.11 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92137

    Office

    $77.14

    Facility

    Unavailable

    $13.62 higher than El Centro for the office setting.

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

    California · 92137

    Office

    $77.12

    Facility

    Unavailable

    $13.60 higher than El Centro for the office setting.

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

    California · 92137

    Office

    $78.73

    Facility

    Unavailable

    $15.21 higher than El Centro for the office setting.

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

    California · 92137

    Office

    $78.64

    Facility

    Unavailable

    $15.12 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92137

    Office

    $65.17

    Facility

    Unavailable

    $1.65 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 92137

    Office

    $68.17

    Facility

    Unavailable

    $4.65 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 92137

    Office

    $66.43

    Facility

    Unavailable

    $2.91 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 92137

    Office

    $68.86

    Facility

    Unavailable

    $5.34 higher than El Centro for the office setting.

  • Stockton

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 92137

    Office

    $72.95

    Facility

    Unavailable

    $9.43 higher than El Centro for the office setting.

  • Visalia

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 92137

    Office

    $63.52

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92137

    Office

    $67.82

    Facility

    Unavailable

    $4.30 higher than El Centro for the office setting.

  • Miami

    Florida · 92137

    Office

    $62.38

    Facility

    Unavailable

    $1.14 lower than El Centro for the office setting.

  • Chicago

    Illinois · 92137

    Office

    $60.99

    Facility

    Unavailable

    $2.53 lower than El Centro for the office setting.

  • Manhattan

    New York · 92137

    Office

    $67.73

    Facility

    Unavailable

    $4.21 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 92137

    Office

    $72.34

    Facility

    Unavailable

    $8.82 higher than El Centro for the office setting.

  • Alabama

    Alabama · 92137

    Office

    $54.70

    Facility

    Unavailable

    $8.82 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 92137

    Office

    $54.05

    Facility

    Unavailable

    $9.47 lower than El Centro for the office setting.

  • Arizona

    Arizona · 92137

    Office

    $58.50

    Facility

    Unavailable

    $5.02 lower than El Centro for the office setting.

  • Colorado

    Colorado · 92137

    Office

    $62.35

    Facility

    Unavailable

    $1.17 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 92137

    Office

    $63.30

    Facility

    Unavailable

    $0.22 lower than El Centro for the office setting.

  • Delaware

    Delaware · 92137

    Office

    $59.36

    Facility

    Unavailable

    $4.16 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 92137

    Office

    $60.83

    Facility

    Unavailable

    $2.69 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 92137

    Office

    $58.43

    Facility

    Unavailable

    $5.09 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 92137

    Office

    $60.60

    Facility

    Unavailable

    $2.92 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 92137

    Office

    $55.77

    Facility

    Unavailable

    $7.75 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 92137

    Office

    $64.77

    Facility

    Unavailable

    $1.25 higher than El Centro for the office setting.

  • Iowa

    Iowa · 92137

    Office

    $56.12

    Facility

    Unavailable

    $7.40 lower than El Centro for the office setting.

  • Idaho

    Idaho · 92137

    Office

    $56.36

    Facility

    Unavailable

    $7.16 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 92137

    Office

    $57.39

    Facility

    Unavailable

    $6.13 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 92137

    Office

    $56.82

    Facility

    Unavailable

    $6.70 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 92137

    Office

    $61.49

    Facility

    Unavailable

    $2.03 lower than El Centro for the office setting.

  • Indiana

    Indiana · 92137

    Office

    $56.64

    Facility

    Unavailable

    $6.88 lower than El Centro for the office setting.

  • Kansas

    Kansas · 92137

    Office

    $55.77

    Facility

    Unavailable

    $7.75 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 92137

    Office

    $55.47

    Facility

    Unavailable

    $8.05 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 92137

    Office

    $57.61

    Facility

    Unavailable

    $5.91 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 92137

    Office

    $55.34

    Facility

    Unavailable

    $8.18 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 92137

    Office

    $68.01

    Facility

    Unavailable

    $4.49 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92137

    Office

    $62.02

    Facility

    Unavailable

    $1.50 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92137

    Office

    $63.08

    Facility

    Unavailable

    $0.44 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 92137

    Office

    $60.40

    Facility

    Unavailable

    $3.12 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 92137

    Office

    $56.46

    Facility

    Unavailable

    $7.06 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 92137

    Office

    $59.20

    Facility

    Unavailable

    $4.32 lower than El Centro for the office setting.

  • Detroit

    Michigan · 92137

    Office

    $58.90

    Facility

    Unavailable

    $4.62 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 92137

    Office

    $56.53

    Facility

    Unavailable

    $6.99 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 92137

    Office

    $60.43

    Facility

    Unavailable

    $3.09 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 92137

    Office

    $57.43

    Facility

    Unavailable

    $6.09 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 92137

    Office

    $57.95

    Facility

    Unavailable

    $5.57 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 92137

    Office

    $54.47

    Facility

    Unavailable

    $9.05 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 92137

    Office

    $54.27

    Facility

    Unavailable

    $9.25 lower than El Centro for the office setting.

  • Montana**

    Montana · 92137

    Office

    $59.79

    Facility

    Unavailable

    $3.73 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 92137

    Office

    $56.97

    Facility

    Unavailable

    $6.55 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 92137

    Office

    $59.39

    Facility

    Unavailable

    $4.13 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 92137

    Office

    $56.41

    Facility

    Unavailable

    $7.11 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 92137

    Office

    $61.28

    Facility

    Unavailable

    $2.24 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 92137

    Office

    $67.28

    Facility

    Unavailable

    $3.76 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 92137

    Office

    $64.21

    Facility

    Unavailable

    $0.69 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 92137

    Office

    $56.73

    Facility

    Unavailable

    $6.79 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 92137

    Office

    $59.71

    Facility

    Unavailable

    $3.81 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92137

    Office

    $68.95

    Facility

    Unavailable

    $5.43 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92137

    Office

    $64.51

    Facility

    Unavailable

    $0.99 higher than El Centro for the office setting.

  • Queens

    New York · 92137

    Office

    $68.40

    Facility

    Unavailable

    $4.88 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 92137

    Office

    $57.67

    Facility

    Unavailable

    $5.85 lower than El Centro for the office setting.

  • Ohio

    Ohio · 92137

    Office

    $56.45

    Facility

    Unavailable

    $7.07 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 92137

    Office

    $55.53

    Facility

    Unavailable

    $7.99 lower than El Centro for the office setting.

  • Portland

    Oregon · 92137

    Office

    $64.21

    Facility

    Unavailable

    $0.69 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 92137

    Office

    $59.44

    Facility

    Unavailable

    $4.08 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92137

    Office

    $61.86

    Facility

    Unavailable

    $1.66 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92137

    Office

    $56.60

    Facility

    Unavailable

    $6.92 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 92137

    Office

    $60.20

    Facility

    Unavailable

    $3.32 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 92137

    Office

    $61.38

    Facility

    Unavailable

    $2.14 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 92137

    Office

    $56.77

    Facility

    Unavailable

    $6.75 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 92137

    Office

    $59.34

    Facility

    Unavailable

    $4.18 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 92137

    Office

    $55.98

    Facility

    Unavailable

    $7.54 lower than El Centro for the office setting.

  • Austin

    Texas · 92137

    Office

    $61.98

    Facility

    Unavailable

    $1.54 lower than El Centro for the office setting.

  • Beaumont

    Texas · 92137

    Office

    $56.28

    Facility

    Unavailable

    $7.24 lower than El Centro for the office setting.

  • Brazoria

    Texas · 92137

    Office

    $59.46

    Facility

    Unavailable

    $4.06 lower than El Centro for the office setting.

  • Dallas

    Texas · 92137

    Office

    $59.73

    Facility

    Unavailable

    $3.79 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 92137

    Office

    $59.35

    Facility

    Unavailable

    $4.17 lower than El Centro for the office setting.

  • Galveston

    Texas · 92137

    Office

    $59.57

    Facility

    Unavailable

    $3.95 lower than El Centro for the office setting.

  • Houston

    Texas · 92137

    Office

    $59.94

    Facility

    Unavailable

    $3.58 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 92137

    Office

    $57.76

    Facility

    Unavailable

    $5.76 lower than El Centro for the office setting.

  • Utah

    Utah · 92137

    Office

    $57.41

    Facility

    Unavailable

    $6.11 lower than El Centro for the office setting.

  • Virginia

    Virginia · 92137

    Office

    $58.94

    Facility

    Unavailable

    $4.58 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92137

    Office

    $60.20

    Facility

    Unavailable

    $3.32 lower than El Centro for the office setting.

  • Vermont

    Vermont · 92137

    Office

    $59.07

    Facility

    Unavailable

    $4.45 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 92137

    Office

    $61.93

    Facility

    Unavailable

    $1.59 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 92137

    Office

    $69.42

    Facility

    Unavailable

    $5.90 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 92137

    Office

    $57.71

    Facility

    Unavailable

    $5.81 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 92137

    Office

    $55.04

    Facility

    Unavailable

    $8.48 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 92137

    Office

    $59.61

    Facility

    Unavailable

    $3.91 lower than El Centro for the office setting.

See how rates vary across the country

92137 · 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.

$54.05

$72.34

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate 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

Explore 92137 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 92137 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$69.87

$63.52 × 110% = $69.87

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 92137 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

11,699

Code
92137
Physician work
0.62
Practice expense
1.15
Malpractice
0.02

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 92137 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.62× 1.0170.6305
Practice expense1.15× 1.0961.2604
Malpractice0.02× 0.5410.0108
Total RVUs1.9018
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$63.52

Open 92137 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.621.017
Practice expense1.151.096
Malpractice0.020.541

(0.62 × 1.017 + 1.15 × 1.096 + 0.02 × 0.541) × $33.4009 = $63.52

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

92137 · Office / nonfacility

$63.52

Effective 2026-10-01

The base rate is $3.27 higher than on 2025-10-01, moving from $60.25 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

    $60.25changed 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 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $60.25

    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$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$60.25Not available in this settingRVU25D
2025-07-01$60.25Not available in this settingRVU25C
2025-04-01$60.25Not available in this settingRVU25B
2025-01-01$60.25Not available in this settingRVU25A

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 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 92137PPRRVU2026_Oct_nonQPP.csv, line 11,699 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet