$28.62
Choose 92133 for imaging of the optic nerve in the posterior segment; use 92132 for anterior-segment structures such as the angle or cornea.
On this page
CMS RVU26D · Effective 2026-10-01
92132 Eye imaging Medicare reimbursement rates in Iowa
Reports computerized imaging of the eye’s anterior segment, such as the cornea, iris, or drainage angle, with interpretation and a report. Compare 92132 office and facility rates across CMS payment localities in Iowa.
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.
What does Medicare pay for 92132 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$27.65
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Ophthalmic imaging
About 92132: Anterior segment ophthalmic imaging
Reports computerized imaging of the eye’s anterior segment, such as the cornea, iris, or drainage angle, with interpretation and a report.
This service captures computerized images of structures at the front of the eye, including the cornea, iris, and drainage angle. Ophthalmologists and optometrists may use it to assess anterior segment anatomy, such as when evaluating a narrow or potentially occludable angle. It is typically performed in an eye-care office or clinic, with the clinician interpreting the images and documenting the findings.
Select this code for anterior-segment imaging, not imaging directed at the optic nerve or retina. The record should support the clinical reason for the study and include the images and a written interpretation. Billing without a modifier represents the global service; modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. When multiple ophthalmic diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 92132
- 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 RVU0.28 · 31%
- Practice expense (office) RVU0.59 · 66%
- Malpractice RVU0.02 · 2%
48.7K
Medicare services in 2024 · #788 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.
92132 compared with similar codes
Office rates for Iowa, from the same CMS release.
$30.48
92134 is directed at the posterior-segment retina. This code is for imaging structures at the front of the eye.
$45.17
92136 measures ocular dimensions for lens-power planning, commonly before cataract surgery. It is not anterior-segment diagnostic imaging.
Compare 92132 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$27.65
Facility
Unavailable
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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 92132 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,687
- Code
- 92132
- Physician work
- 0.28
- Practice expense
- 0.59
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.28 | × 1.000 | 0.2800 |
| Practice expense | 0.59 | × 0.915 | 0.5398 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.8278 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$27.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.28 | 1 |
| Practice expense | 0.59 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.28 × 1 + 0.59 × 0.915 + 0.02 × 0.397) × $33.4009 = $27.65
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.
92132 billing questions
How does this differ from 92133?
92132 images the anterior segment, such as the cornea or drainage angle. 92133 is for imaging of the posterior segment’s optic nerve.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, or modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
Should modifier 50 be added when both eyes are imaged?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What happens when another ophthalmic diagnostic test is performed the same day?
The multiple-procedure reduction applies to the technical component. It does not change the professional component under the CMS rule supplied for this code.
What documentation supports reporting this study?
Document the clinical reason for imaging, the anterior-segment structures assessed, and the image interpretation and report. The record should distinguish this study from posterior-segment imaging when both are performed.
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.
11,68492083,26,Extended visual field xm,A,,0.49,0.29,,0.29,,0.01,0.79,0.79,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,68592083,TC,Extended visual field xm,A,,0.00,1.11,,1.11,NA,0.01,1.12,1.12,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,68692100,,Serial tonometry,A,,0.59,1.92,,0.17,,0.02,2.53,0.78,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,68792132,,Cptrzd oph dx img ant sgm,A,,0.28,0.59,,0.59,NA,0.02,0.89,0.89,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.93,1.93,0.05
11,68892132,26,Cptrzd oph dx img ant sgm,A,,0.28,0.17,,0.17,,0.01,0.46,0.46,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,68992132,TC,Cptrzd oph dx img ant sgm,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,1.76,1.76,0.04
11,69092133,,Cptrzd oph dx img pst sgm on,A,,0.30,0.60,,0.60,NA,0.02,0.92,0.92,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,1.94,1.94,0.05
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136