{
    "code": "92136",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/92136/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/92136/2019/D",
    "description": "A set of precise measurements of the eye, chiefly its front-to-back length and corneal curvature, used to calculate the power of the artificial lens implanted during cataract surgery. This version uses an optical technique, in which a light beam measures the eye without touching it, rather than the older ultrasound probe method. The measurements are fed into a formula that predicts what lens power will leave the patient with the intended focus after surgery. Both eyes are commonly measured in the same sitting.",
    "answer": {
        "question": "How much did Medicare pay for CPT 92136 in Q4 2019?",
        "text": "Medicare paid $71.36 for CPT 92136 in the office (non-facility) setting and $71.36 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 11.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "D",
        "label": "Q4 2019",
        "effective": "October 1 – December 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 71.36,
        "facility": 71.36,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.54,
        "practice_expense_non_facility": 1.42,
        "practice_expense_facility": 1.42,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q4 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/D",
        "file": "PPRRVU19_OCT.csv",
        "row": 15648,
        "sha256": "4efa7bdbffa98a56affa6d5b05e25d7ac5c39f26c7b281d0c773e7e530767cae"
    },
    "modified_at": "2026-08-04T03:09:13+00:00"
}