CPT code 92060: Eye alignment test, multiple deviation measurements2026 Medicare rate & RVUs in Napa, CA

Reports detailed measurements of eye alignment and movement, commonly performed to evaluate diplopia, strabismus, or suspected restrictive or nerve-related motility problems.

CMS RVU26DEffective Oct 1, 2026One payment locality137.3K Medicare services in 2024

In Napa, CA, Medicare pays $78.28 for 92060 in the office.

$78.28Office (non-facility)
Not available in this settingHospital or facility
+22.1%vs the national office rate ($64.13)

Check a contract rate as a % of Medicare · 92060 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92060 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Napa, CA
  2. What 92060 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92060 covers

An ophthalmologist or optometrist uses this examination to quantify how the eyes align and move, rather than relying only on a routine motility screen. Measurements may assess eye position at different fixation distances or gaze positions, as appropriate to the presentation. It is commonly used when a patient reports double vision or has suspected strabismus, a paretic eye muscle, or restricted movement. The service may be performed in an office or facility setting, with findings interpreted and reported by the clinician.

Choose the code when the record supports multiple measurements of ocular deviation and a documented interpretation; a general eye examination alone does not establish that work. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.

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.

How Napa, CA compares for 92060

Across 109 of 109 payment localities, the office rate for 92060 runs from $58.01 in Arkansas to $84.44 in San Benito County, CA. Napa, CA pays $78.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

92060 in Napa, CA vs other payment areas
  1. Napa, CA · this page$78.28
  2. Bakersfield, CA · California$68.24−$10.04
  3. Chico, CA · California$68.14−$10.14
  4. El Centro, CA · California$68.15−$10.13
  5. Fresno, CA · California$68.14−$10.14
  6. Hanford, CA · California$68.14−$10.14
  7. Los Angeles, CA · California$72.34−$5.94

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

92060 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$68.14—
Merced, CACalifornia$68.14—
Modesto, CACalifornia$68.14—
Oxnard, CACalifornia$71.98—
Redding, CACalifornia$68.14—
Rest of CaliforniaCalifornia$68.14—
Riverside, CACalifornia$68.38—
Sacramento, CACalifornia$71.32—

92060 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$58.01

$77.69

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92060 office rate range by state
State / territoryOffice rate rangeLocalities
AK$77.691
AL$58.701
AR$58.011
AZ$62.761
CA$68.14–$84.4429
CO$66.881
CT$67.881
DC$72.731
DE$63.681
FL$62.66–$66.843
GA$59.82–$64.992
GU$69.481
HI$69.481
IA$60.231
ID$60.491
IL$60.93–$65.914
IN$60.791
KS$59.851
KY$59.511
LA$59.38–$61.802
MA$66.53–$72.942
MD$64.79–$72.733
ME$60.59–$63.512
MI$60.64–$63.152
MN$64.851
MO$58.44–$62.163
MS$58.241
MT$64.131
NC$61.141
ND$63.731
NE$60.551
NH$65.731
NJ$68.87–$72.162
NM$60.851
NV$64.061
NY$61.88–$73.905
OH$60.561
OK$59.581
OR$63.77–$68.882
PA$60.72–$66.352
PR$64.571
RI$65.841
SC$60.911
SD$63.691
TN$60.081
TX$60.38–$66.488
UT$61.601
VA$63.23–$72.732
VI$64.571
VT$63.391
WA$66.44–$74.452
WI$61.941
WV$59.041
WY$63.961

See 92060 in every payment locality

How the 92060 rate is calculated

Each of 92060’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 · 92060

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.67

0.67 RVUs× 1.000 GPCI

Practice expense1.23

1.23 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.9200

Conversion factor

$33.4009

Medicare rate

$64.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Napa, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,670

Code
92060
Physician work
0.67
Practice expense
1.23
Malpractice
0.02

GPCI2026.csv

17

Locality
Napa, CA
Physician work
1.063
Practice expense
1.318
Malpractice
0.508
Office calculation for 92060 in Napa, CA
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0630.7122
Practice expense1.23× 1.3181.6211
Malpractice0.02× 0.5080.0102
Total RVUs2.3435
Conversion factor× 33.4009

Office rate, Napa, CA$78.28

Office: (0.67 × 1.063 + 1.23 × 1.318 + 0.02 × 0.508) × $33.4009 = $78.28

Open 92060 in the RVU calculator

Payment rules and modifiers for 92060

The CMS indicators that decide how 92060 is paid alongside other services.

CMS payment indicators · 92060

Eye alignment test, multiple deviation measurements

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures7Diagnostic ophthalmology reduction applies to the technical component.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

92060 without 26 · national office

$64.13

Eye alignment test, multiple deviation measurements

92060-26 · Professional component

$36.07

Pays only the interpretation and report.

When to use modifier 26

How 92060 has changed in Napa, CA

92060 · Office / nonfacility

$78.28

Effective 2026-10-01

The base rate is $3.48 higher than on 2025-10-01, moving from $74.80 to $78.28 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $74.80changed to$78.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Practice expense RVU 1.20 changed to 1.23
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.521 changed to 0.508

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.98changed to$74.80

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $75.72changed to$76.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $75.08changed to$75.72

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.17 changed to 1.20
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.265 changed to 1.310
    • Malpractice GPCI 0.513 changed to 0.521
  5. January 1, 2023

    RVU23A

    $72.99changed to$75.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.13 changed to 1.17
    • Work GPCI 1.044 changed to 1.051
    • Practice expense GPCI 1.220 changed to 1.265
    • Malpractice GPCI 0.504 changed to 0.513

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $73.59changed to$72.99

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $74.73changed to$73.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.08 changed to 1.13
    • Work GPCI 1.049 changed to 1.044
    • Practice expense GPCI 1.238 changed to 1.220
    • Malpractice GPCI 0.496 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $76.81changed to$74.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.11 changed to 1.08
    • Work GPCI 1.055 changed to 1.049
    • Practice expense GPCI 1.256 changed to 1.238
    • Malpractice GPCI 0.458 changed to 0.496

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $77.63changed to$76.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.13 changed to 1.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $78.06changed to$77.63

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.057 changed to 1.055
    • Practice expense GPCI 1.271 changed to 1.256
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$78.06

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$78.28Not available in this settingRVU26D
2026-07-01$78.28Not available in this settingRVU26C
2026-04-01$78.28Not available in this settingRVU26B
2026-01-01$78.28Not available in this settingRVU26A
2025-10-01$74.80Not available in this settingRVU25D
2025-07-01$74.80Not available in this settingRVU25C
2025-04-01$74.80Not available in this settingRVU25B
2025-01-01$74.80Not available in this settingRVU25A
2024-10-01$76.98Not available in this settingRVU24D
2024-07-01$76.98Not available in this settingRVU24C
2024-04-01$76.98Not available in this settingRVU24B
2024-03-09$76.98Not available in this settingRVU24AR
2024-01-01$75.72Not available in this settingRVU24A
2023-10-01$75.08Not available in this settingRVU23D
2023-07-01$75.08Not available in this settingRVU23C
2023-04-01$75.08Not available in this settingRVU23B
2023-01-01$75.08Not available in this settingRVU23A
2022-10-01$72.99Not available in this settingRVU22D
2022-07-01$72.99Not available in this settingRVU22C
2022-04-01$72.99Not available in this settingRVU22B
2022-01-01$72.99Not available in this settingRVU22A
2021-10-01$73.59Not available in this settingRVU21D
2021-07-01$73.59Not available in this settingRVU21C
2021-04-01$73.59Not available in this settingRVU21B
2021-01-01$73.59Not available in this settingRVU21A
2020-10-01$74.73Not available in this settingRVU20D
2020-07-01$74.73Not available in this settingRVU20C
2020-04-01$74.73Not available in this settingRVU20B
2020-01-01$74.73Not available in this settingRVU20A
2019-10-01$76.81Not available in this settingRVU19D
2019-07-01$76.81Not available in this settingRVU19C
2019-04-01$76.81Not available in this settingRVU19B
2019-01-01$76.81Not available in this settingRVU19A
2018-10-01$77.63Not available in this settingRVU18D
2018-07-01$77.63Not available in this settingRVU18C
2018-04-01$77.63Not available in this settingRVU18B
2018-01-01$77.63Not available in this settingRVU18AR1
2017-10-01$78.06Not available in this settingRVU17D
2017-07-01$78.06Not available in this settingRVU17C
2017-04-01$78.06Not available in this settingRVU17B
2017-01-01$78.06Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 92060 for an earlier date of service

Where the Napa, CA rate applies

Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Napa
  • American Canyon
  • Angwin
  • Calistoga
  • Deer Park
  • Moskowite Corner
  • Oakville
  • Rutherford

Browse all communities in California

92060 billing questions

How is this different from an ophthalmic office visit such as 92012 or 92014?

Those codes report an ophthalmic examination. Report 92060 for the separately documented quantitative alignment and movement testing, not merely because motility was observed during the visit.

Should modifier 26 or TC be reported?

Use modifier 26 for the clinician’s interpretation and modifier TC for the technical service involving equipment and staff. Submit the code without either modifier for the global service.

Does modifier 50 apply when both eyes are evaluated?

No. CMS prices 92060 as bilateral, and modifier 50 does not increase payment.

Which part is subject to the ophthalmology multiple-procedure reduction?

The reduction applies to the technical component when multiple ophthalmology diagnostic procedures are performed. It does not apply to the professional component.

What documentation supports reporting 92060?

Document the alignment or motility concern, the multiple measurements performed, the findings, and the clinician’s interpretation. A brief notation that eye movements were checked does not describe the service.

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

Show the CMS file lines behind this rate
RVUs for 92060PPRRVU2026_Oct_nonQPP.csv, line 11,670 (RVU26D)
Geographic factors for Napa, CAGPCI2026.csv, line 17 (RVU26D)

Open CMS sourceHow we calculate rates

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