92132 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 92132

Payer coverage policies that name 92132

92132 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaAnterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging (0749)not coveredNov 26, 2025payer document
AetnaFundus Photography (0539)listed, no stanceAug 21, 2026payer document
Blue Cross & Blue Shield of MississippiOphthalmologic Techniques That Evaluate The Posterior Eye Segment For Glaucomacovered if criteria are metpayer document
Blue Cross & Blue Shield of MississippiOptical Coherence Tomography Of The Anterior Eye Segmentunproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandOptical Coherence Tomography of the Anterior Eye Segment sadnot coveredApr 15, 2026payer document
Blue Cross Blue Shield of MassachusettsOptical Coherence Tomography of the Anterior Eye Segment (084)unproven / investigationalpayer document
Blue Cross NCOptical Coherence Tomography (OCT) Anterior Segment of the Eyelisted, no stanceJun 1, 2026payer document
Blue Shield of CaliforniaOptical Coherence Tomography of the Anterior Eye Segment (9.03.18)
OCT
listed, no stancepayer document
BlueCross BlueShield of South CarolinaOptical Coherence Tomography of the Anterior Eye Segment (CAM 90318)listed, no stanceMar 1, 2026payer document
CenteneScanning Computerized Opthalmic Diagnostic Imaging (CP.VP.14)covered if criteria are metNov 1, 2023payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Optical Coherence Tomography of the Anterior Eye Segment (OTH903.021)listed, no stanceOct 15, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in VT.

  • AZ: $40.35 (outpatient_hospital), effective Oct 1, 2021
  • CO: $12.14 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $11.17 (physician), effective Jan 1, 2026
  • IL: $21.22 (practitioner), effective Nov 22, 2017
  • IN: $22.94 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $13.93 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $31.75 (physician, facility), effective Jan 1, 2026
  • LA: $7.38 (professional), effective Feb 1, 2013
  • MA: $12.25 (physician_medicine), effective May 1, 2024
  • MS: $44.80 (comprehensive), effective Jul 1, 2026
  • MT: $13.90 (optometric, facility), effective Jul 1, 2025
  • ND: $15.77 (physician), effective Aug 1, 2026
  • NE: $39.48 (physician, non-facility), effective Jul 1, 2026
  • NY: $11.62 (ordered_ambulatory), effective Jul 24, 2026
  • OH: $14.98 (physician), effective Jan 1, 2024
  • OK: $25.72 (physician, non-facility), effective Jul 1, 2026
  • TX: $13.75 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Apr 1, 2016
  • VA: $13.31 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $18.15 (physician, facility), effective Jul 1, 2026
  • WY: $26.09 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.