CPT code 92060: Eye alignment test, multiple deviation measurements2026 Medicare rate & RVUs in Texas
Reports detailed measurements of eye alignment and movement, commonly performed to evaluate diplopia, strabismus, or suspected restrictive or nerve-related motility problems.
Medicare pays $60.38–$66.48 for 92060 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
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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On this page 9 sections
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.
Where 92060 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$60.38 to $66.48
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $66.48 | Unavailable |
| Beaumont, TX | $60.38 | Unavailable |
| Brazoria, TX | $63.79 | Unavailable |
| Dallas, TX | $64.07 | Unavailable |
| Fort Worth, TX | $63.67 | Unavailable |
| Galveston, TX | $63.91 | Unavailable |
| Houston, TX | $64.27 | Unavailable |
| Rest of Texas | $61.97 | Unavailable |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 7 | Diagnostic ophthalmology reduction applies to the technical component. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
92060 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92012Eye examIntermediate, established patient
- 92012 reports an intermediate ophthalmic examination; 92060 reports quantitative eye-alignment and movement testing. The general examination alone does not support 92060.
- 92014Comprehensive eye examEstablished patient
- 92014 is a comprehensive ophthalmic examination, while 92060 captures multiple measurements of ocular deviation with interpretation. Use both only when each service is performed and documented.
- 92065Orthoptic trainingDirect patient contact
- 92065 reports orthoptic training, a treatment service. 92060 is diagnostic measurement and interpretation of ocular alignment and movement.
- 92081Visual field testLimited examination
- 92081 reports limited visual-field testing. It evaluates visual-field function rather than measuring ocular alignment or movement.
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
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