CPT code 92015: Refraction2026 Medicare rate & RVUs in Missouri
Measures refractive error to determine the optical correction needed for a patient’s vision, commonly as part of an eye-care visit.
CMS doesn’t publish an office rate for 92015 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 92015 covers
Refraction measures how the eye focuses light and identifies the lens correction needed for clearer vision. An ophthalmologist or optometrist typically performs it by assessing vision with different lenses to determine the appropriate prescription for nearsightedness, farsightedness, or astigmatism. It is distinct from an eye-health examination, which evaluates ocular structures and disease, though both services may occur during the same visit.
Medicare lists this CPT code with status N, meaning Medicare does not cover the refraction. The service is not covered even when an eye examination is also performed. The code represents the refraction itself, not a pair of eyeglasses, contact lenses, or a separate diagnostic test such as corneal topography.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 92015 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 92015 rate is calculated
Each of 92015’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92015
RVUs × geographic indexes × conversion factor
Work0.37
0.37 RVUs× 1.000 GPCI
Practice expense0.18
0.18 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.5700
Conversion factor
$33.4009
Medicare rate
$19.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92015
92015 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 92015
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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92015 isn’t priced in this setting.
92015 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92004Comprehensive eye examNew patient, one or more visits
- Use 92004 for a comprehensive ophthalmological examination of a new patient. Refraction determines optical correction and is a separate service.
- 92014Comprehensive eye examEstablished patient
- Use 92014 for a comprehensive ophthalmological examination of an established patient. This code describes measurement of refractive error.
- 92025Corneal topographyComputerized curvature map
- 92025 reports computerized corneal topography, which maps corneal shape; refraction determines the lens correction needed for vision.
92015 billing questions
How is refraction different from an eye examination?
Refraction determines the lens correction needed for vision. Ophthalmological examination codes describe evaluation of eye health and related findings.
Does Medicare cover this service?
No. Medicare status N identifies this refraction service as not covered.
Can refraction and an eye examination occur on the same date?
Yes. A clinician may perform both during one visit, but refraction determines optical correction while the examination evaluates eye health.
Does this code include eyeglasses or contact lenses?
No. It describes measuring refractive error to determine a prescription, not furnishing eyeglasses or contact lenses.
Should this code be selected instead of corneal topography?
No. Refraction determines lens correction; corneal topography maps the shape of the cornea.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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