Find policies, billing codes, payers, states, and providers
CPT 92136: Ocular Biometry for IOL Power Calculation
CPT code 92136 represents noninvasive ocular biometry used to measure the eye and calculate the appropriate power for an intraocular lens (IOL) implanted after cataract removal. Accurate IOL power calculation is central to achieving targeted postoperative visual acuity and reducing the need for corrective procedures. This code is widely used in ophthalmology practices and ambulatory surgical settings where preoperative IOL planning is performed.
Key national payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage and payment policies for 92136 affect access to preoperative planning services and can influence surgical outcomes and downstream costs for lens exchange or refractive correction.
Readers will find a concise overview of the clinical purpose of the code, typical sites of service, and the payer landscape. The publication summarizes common billing modifiers associated with ophthalmic diagnostic services, highlights areas where policy updates or documentation requirements commonly arise, and provides benchmark-oriented context for clinicians and billing professionals. Data not available in the input for specific fee schedules, payer-specific coverage criteria, or related ICD-10 diagnoses are noted as such.
Customize your policy alerts
Sign up for cpt 92136 policy alerts
Get alerted when payer policies referencing 92136 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 92136 describes a noninvasive biometry measurement performed to determine the appropriate power for an intraocular lens (IOL) implanted after cataract removal. The service obtains ocular measurements that the provider uses to calculate IOL power to help achieve desired postoperative visual outcomes.
-
Service type: Diagnostic ocular biometry for IOL power calculation
-
Typical site of service: Ophthalmology clinic or ambulatory surgical center where preoperative ocular measurements are obtained