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See a sample rate comparisonCPT 92136 Fee Schedule
Last Verified: October 2026
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.
Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $48.10 national non-facility rate (2026) · View Medicare rates for 92136 |
| Medicaid Fee Schedule | $41.795 median of the 8 states in the free preview · View Medicaid rates for 92136 |
National average reimbursement for CPT 92136 by major payers:
$77.86
$87.54
$83.57
$96.35
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CPT 92136
5 of 25 sample ratesHigher to lower in this preview
Ana Alzaga Fernandez
$218.44Published rateMark Speaker
Laser & Corneal Surgery Associates, PC
$54.81Published rateDvir Koenigstein
$35.39Published rateNatalia Elkin
$30.81Published rateMaryam Yamani
Aristahealth Medical Care PC
$16.18Published rate
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See a sample payer proposalCPT 92136 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92136 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 92136 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 |
|---|---|---|
| 92083-CPT | Low | Extended Visual Field Xm, 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 Deg 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-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
| 92134-CPT | Low | Eye Scan To Detect Disease, An Eye Scan Used For Diagnosing Eye Disease. Images May Show Early Signs Of Glaucoma And The Scanning Technique May Also Be Used To Check The Health Of The Optic Nerve Or Retina. |
| 92136-CPT | Low | Measure For Eye Lens Implant, Eye Measurements Are Taken To Create A Personalized Lens Implant; Used To Treat Cataracts (A Clouding Of The Lens In The Eye). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92136. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92136 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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