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See a sample rate comparisonCPT 92145 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.
Corneal Hysteresis Determinati, Corneal Hysteresis Determination By Air Impulse Stimulation Unilateral Or Bilateral With Interpretation And Report
| 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 | GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.69 national non-facility rate (2026) · View Medicare rates for 92145 |
| Medicaid Fee Schedule | $12.575 median of the 8 states in the free preview · View Medicaid rates for 92145 |
National average reimbursement for CPT 92145 by major payers:
$16.36
$18.85
$16.13
$31.13
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CPT 92145
5 of 25 sample ratesHigher to lower in this preview
Mary Lake
$33.29Published rateDivya Desai
Pediatric Faculty Foundation In
$21.03Published rateMark Alter
$13.92Published rateMark Sinibaldi
Northwestern Memorial Healthcare
$11.92Published rateClint Anthony
District Medical Group Inc
$7.21Published rate
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See a sample payer proposalCPT 92145 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92145 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 92145 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 |
|---|---|---|
| 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. |
| 92133-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. |
| 92145-CPT | Low | Corneal Hysteresis Determinati, Corneal Hysteresis Determination By Air Impulse Stimulation Unilateral Or Bilateral With Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92145. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92145 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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