Billing code 92137: OCT angiographyMedicare rate & RVUs in Texas
Reports posterior-segment OCT angiography that evaluates retinal blood flow, when an ophthalmologist or other qualified clinician performs and interprets the imaging.
Medicare pays $56.28–$61.98 for 92137 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
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 9 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.
Where 92137 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$56.28 to $61.98
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $61.98 | Unavailable |
| Beaumont | $56.28 | Unavailable |
| Brazoria | $59.46 | Unavailable |
| Dallas | $59.73 | Unavailable |
| Fort Worth | $59.35 | Unavailable |
| Galveston | $59.57 | Unavailable |
| Houston | $59.94 | Unavailable |
| Rest Of Texas | $57.76 | Unavailable |
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
Swap in your local Medicare rate.
Work 0.62Practice expense 1.15Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92137
The CMS indicators that decide how 92137 is paid alongside other services.
CMS payment indicators · 92137
OCT angiography
| 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
92137-26 · Professional component
$34.74
Pays only the interpretation and report.
92137 compared with similar codes
Compare codes
92137 vs 92134 vs 92133 vs 92132: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92134Retinal OCT
- Choose 92137 for OCT angiography of posterior-segment blood flow. Choose 92134 for structural retinal OCT with retinal thickness analysis.
- 92133Optic nerve OCT
- 92133 is posterior-segment imaging focused on the optic nerve; 92137 is OCT angiography focused on retinal and choroidal vasculature.
- 92132Eye imaging
- 92132 images the anterior segment, while 92137 is for posterior-segment OCT angiography.
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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