CPT 92134 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Ophthalmology Services and Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 92134 by major payers:
$49.68
$53.03
$53.73
$76.80
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92134 | ||||||
United | 92134 | $21.46 | 1184889776 - HEARUSA INC | 452723671 - AUDIOLOGY DISTRIBUTION, LLC DBA HEARUSA | FL | Single Specialty Group (193400000X) |
United | 92134 | $54.56 | 1255335055 - DANIEL GOLDMAN | 760468441 - (TX) COASTAL EYE ASSOCIATES, PLLC | TX | Ophthalmology Physician (207W00000X) |
United | 92134 | $63.20 | 1699796185 - MITCHELL STEIN | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Ophthalmology Physician (207W00000X) |
United | 92134 | $21.45 | 1588824494 - JOSEPH ZEITER | 911854979 - ZEITER EYE MEDICAL GROUP, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 92134 | $17.93 | 1275117939 - FINLAY MEDICAL CLINIC SA, LLC | 862872874 - FINLAY MEDICAL CLINIC SA LLC | FL | Single Specialty Group (193400000X) |
United | 92134 | $9.32 | 1982822326 - STEVEN ABRAMS | 113369123 - (NY) LENS LAB EXPRESS OF GRAHAM AVENUE INC | NY | Optometrist (152W00000X) |
United | 92134 | $13.76 | 1124004213 - KAREN GRAHAM | 911853096 - (CA) CONTRA COSTA EYE MEDICAL CENTER, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 92134 | $25.36 | 1942648332 - L. MCCHESNEY, M.D. & SURGICAL ASSOCIATES, PA | 462672060 - L MCCHESNEY MD SURGICAL ASSOCIATES PA | FL | Single Specialty Group (193400000X) |
United | 92134 | $22.09 | 1104592278 - 200 WEST OPTICS, LLC, MYEYEDR. | 844747109 | NY | Optometrist (152W00000X) |
United | 92134 | $53.11 | 1124004213 - KAREN GRAHAM | 911853096 - (CA) CONTRA COSTA EYE MEDICAL CENTER, INC. | CA | Ophthalmology Physician (207W00000X) |
United | 92134 | $25.13 | 1033163738 - JACKSONVILLE ANESTHESIA CORPORATION INC | 43753610 - JACKSONVILLE ANESTHESIA CORPORATION, INC. | FL | Single Specialty Group (193400000X) |
United | 92134 | $21.45 | 1750545141 - SRIRANJANI PADMANABHAN | 943281660 | CA | Ophthalmology Physician (207W00000X) |
United | 92134 | $20.12 | 1497314355 - JESSICA WANG | 474119438 - (NY) JL VISION INC | NY | Optometrist (152W00000X) |
United | 92134 | $104.48 | 1902434244 - ADAM TANAKA | 954377219 | CA | Ophthalmology Physician (207W00000X) |
United | 92134 | $15.46 | 1497713390 - LAKE HOWELL FAMILY MEDICINE ASSOCIATES | 592138140 - WILLIAM M. SILVERMAN, D.O., P.A. | FL | Single Specialty Group (193400000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 92134 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92134 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92134 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92082 | Low | Visual Field Examination Unilateral Or Bilateral With Interpretation And Report; Intermediate Examination (Eg At Least 2 Isopters On Goldmann Perimeter Or Semiquantitative Automated Suprathreshold Screening Program Humphrey Suprathreshold Automatic Diagnostic Test Octopus Program 33) |
| 92083 | Low | Visual Field Examination Unilateral Or Bilateral With Interpretation And Report; Extended Examination (Eg Goldmann Visual Fields With At Least 3 Isopters Plotted And Static Determination Within The Central 30 Degree Or Quantitative Automated Threshold Perimetry Octopus Program G-1 32 Or 42 Humphrey Visual Field Analyzer Full Threshold Programs 30-2 24-2 Or 30/60-2) |
| 92132 | Low | Scanning Computerized Ophthalmic Diagnostic Imaging, Anterior Segment, With Interpretation And Report, Unilateral Or Bilateral |
| 92134 | Low | Scanning Computerized Ophthalmic Diagnostic Imaging, Posterior Segment, With Interpretation And Report, Unilateral Or Bilateral; Retina |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92134. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92134 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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