Eye & ear

92134 - RVUs & Medicare payment (2026)

Optical coherence tomography (OCT), retina.

Component	Non-facility	Facility
Work RVU	0.31	0.31
Practice expense RVU	0.65	0.65
Malpractice RVU	0.02	0.02
Total RVUs	0.98	0.98
National payment (CF $33.4009)	$32.73	$32.73
Qualifying APM payment (CF $33.5675)	$32.90	$32.90

How 92134 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 92134 ranges from $29.35 in Arkansas (AR) to $43.16 in San Jose-Sunnyvale-Santa Clara (CA); calculate 92134 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $43.16 San Jose-Sunnyvale-Santa Clara (CA) $43.07 San Francisco-Oakland-Berkeley (CA) $42.26 San Francisco-Oakland-Berkeley (CA) $42.23 Napa (CA) $39.96 Vallejo (CA) $39.93 Alaska (AK) $39.02 NYC Suburbs/Long Island (NY) $38.07 National average $32.73 … 97 more localities between … Alabama (AL) $29.73 Rest Of Missouri (MO) $29.72 Mississippi (MS) $29.54 Arkansas (AR) $29.35

Non-facility payment for 92134 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Professional / technical split

92134 can be billed globally or split: modifier 26 for the professional component (interpretation) and TC for the technical component (equipment and staff).

Billing	Total RVUs (non-facility)	National payment
92134-26	0.53	$17.70
92134-TC	0.45	$15.03

Related codes - eye & ear

92002 · eye exam, new patient, intermediate
92004 · eye exam, new patient, comprehensive
92012 · eye exam, established patient, intermediate
92014 · eye exam, established patient, comprehensive
92083 · visual field examination, extended
66984 · cataract removal with intraocular lens insertion
92557 · comprehensive hearing test (audiometry)

Frequently asked questions

How much does Medicare pay for 92134 in 2026?

The national non-facility payment is $32.73 and the facility payment is $32.73, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 92134?

The 2026 work RVU for 92134 is 0.31. Total RVUs are 0.98 in the non-facility setting and 0.98 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.