Payer policies › CPT 9213692136 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 92136 Payer coverage policies that name 92136 92136 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Cataract Surgery (0508)Femtosecond laser-assisted cataract surgery, capsular tension rings (e.g., StabilEyes) covered if criteria are met Oct 9, 2026 payer document
Medicaid fee-for-service AZ: $81.16 (outpatient_hospital), effective Oct 1, 2021 CO: $24.54 (chp_plus, non-facility), effective Jul 1, 2026 FL: $14.03 (physician), effective Jan 1, 2026 IL: $43.97 (practitioner), effective Apr 1, 2024 IN: $13.06 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $19.54 (default, Exempt Physician), effective Dec 18, 2009 KY: $39.72 (physician, facility), effective Jan 1, 2026 LA: $19.77 (professional), effective Feb 1, 2013 MA: $13.59 (physician_medicine), effective May 1, 2024 MS: $101.04 (comprehensive), effective Jul 1, 2026 MT: $16.81 (optometric, facility), effective Jul 1, 2025 ND: $53.70 (physician), effective Aug 1, 2026 NE: $37.83 (physician, non-facility), effective Jul 1, 2026 NY: $22.22 (ordered_ambulatory), effective Jul 24, 2026 OH: $41.18 (physician), effective Jan 1, 2024 OK: $15.04 (physician, non-facility), effective Jul 1, 2026 TX: $70.75 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Apr 1, 2016 VA: $41.67 (medical), effective Jul 1, 2026 VT: $103.31 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $11.27 (physician, facility), effective Jul 1, 2026 WY: $58.84 (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.