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See a sample rate comparisonCPT 92137 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.
Cptrz Oph Img Pst Sg Rta Oct, Computerized Ophthalmic Diagnostic Imaging (Eg Optical Coherence Tomography [Oct]) Posterior Segment With Interpretation And Report Unilateral Or Bilateral; Retina Including Oct Angiography
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $59.79 national non-facility rate (2026) · View Medicare rates for 92137 |
| Medicaid Fee Schedule | $49.53 median of the 8 states in the free preview · View Medicaid rates for 92137 |
National average reimbursement for CPT 92137 by major payers:
$84.30
$75.87
$54.13
$99.56
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CPT 92137
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$118.76Published rateRolling Plains Memorial Hospital
The Nolan County Hospital District
$84.48Published rateLeigh Taylor
$54.70Published rateLynn County Hospital District
$38.88Published rateJack County Hospital District, Faith Community Hospital
Faith Community Hospital
$33.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92137 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92137 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 92137 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 |
|---|---|---|
| 92137-CPT | Low | Cptrz Oph Img Pst Sg Rta Oct, Computerized Ophthalmic Diagnostic Imaging (Eg Optical Coherence Tomography [Oct]) Posterior Segment With Interpretation And Report Unilateral Or Bilateral; Retina Including Oct Angiography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92137. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92137 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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