# CPT 92133: Computerized ophthalmic diagnostic imaging, optic nerve

Medicare CPT 92133 pays $30.73 in a non-facility setting and $30.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $27.58 in Arkansas to $36.74 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/92133-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $30.73 |
| National facility | $30.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $36.74 | $36.74 |
| District of Columbia | $34.91 | $34.91 |
| California | $34.45 | $34.45 |
| New Jersey | $33.83 | $33.83 |
| New York | $33.76 | $33.76 |
| Washington | $33.71 | $33.71 |
| Massachusetts | $33.39 | $33.39 |
| Hawaii | $33.19 | $33.19 |
| Connecticut | $32.61 | $32.61 |
| Colorado | $31.99 | $31.99 |
| Maryland | $31.76 | $31.76 |
| Oregon | $31.70 | $31.70 |
| Rhode Island | $31.51 | $31.51 |
| New Hampshire | $31.47 | $31.47 |
| Florida | $31.43 | $31.43 |
| Puerto Rico | $30.94 | $30.94 |
| Virgin Islands | $30.94 | $30.94 |
| Minnesota | $30.84 | $30.84 |
| Montana | $30.73 | $30.73 |
| Illinois | $30.70 | $30.70 |
| Nevada | $30.64 | $30.64 |
| Wyoming | $30.56 | $30.56 |
| Delaware | $30.47 | $30.47 |
| Pennsylvania | $30.46 | $30.46 |
| Texas | $30.42 | $30.42 |
| North Dakota | $30.33 | $30.33 |
| South Dakota | $30.29 | $30.29 |
| Vermont | $30.20 | $30.20 |
| Virginia | $30.19 | $30.19 |
| Arizona | $30.01 | $30.01 |
| Georgia | $29.95 | $29.95 |
| Michigan | $29.78 | $29.78 |
| Maine | $29.59 | $29.59 |
| Utah | $29.46 | $29.46 |
| Wisconsin | $29.42 | $29.42 |
| New Mexico | $29.20 | $29.20 |
| North Carolina | $29.14 | $29.14 |
| South Carolina | $29.11 | $29.11 |
| Missouri | $29.07 | $29.07 |
| Louisiana | $29.02 | $29.02 |
| Ohio | $28.99 | $28.99 |
| Indiana | $28.92 | $28.92 |
| Idaho | $28.77 | $28.77 |
| Nebraska | $28.77 | $28.77 |
| Iowa | $28.62 | $28.62 |
| Tennessee | $28.60 | $28.60 |
| Kansas | $28.47 | $28.47 |
| Kentucky | $28.45 | $28.45 |
| Oklahoma | $28.44 | $28.44 |
| West Virginia | $28.39 | $28.39 |
| Alabama | $27.93 | $27.93 |
| Mississippi | $27.77 | $27.77 |
| Arkansas | $27.58 | $27.58 |

## Related codes

- 92060: Sensorimotor examination with multiple measurements of ocular deviation — https://www.med-reveal.com/rates/92060-cpt-fee-schedule
- 92065: Orthoptic/pleoptic training — https://www.med-reveal.com/rates/92065-cpt-fee-schedule
- 92081: Visual field examination, unilateral or bilateral, limited — https://www.med-reveal.com/rates/92081-cpt-fee-schedule
- 92082: Visual field examination, intermediate — https://www.med-reveal.com/rates/92082-cpt-fee-schedule
- 92083: Visual field examination, extended — https://www.med-reveal.com/rates/92083-cpt-fee-schedule
- 92132: Computerized corneal topography — https://www.med-reveal.com/rates/92132-cpt-fee-schedule
- 92134: Computerized ophthalmic diagnostic imaging, retina — https://www.med-reveal.com/rates/92134-cpt-fee-schedule
- 92136: Ophthalmic biometry by partial coherence interferometry — https://www.med-reveal.com/rates/92136-cpt-fee-schedule

Commercial negotiated rates for 92133 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules