CPT code 92066: Orthoptic training, supervised service2026 Medicare rate & RVUs

Medicare pays $26.05 for 92066 nationally in the office. Local office rates run $22.26–$37.27.

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

What 92066 covers

This code represents the technical work of orthoptic training delivered under a physician’s or other qualified health care professional’s supervision. Orthoptic training is used for binocular vision and eye-alignment problems, with exercises intended to improve coordinated use of the eyes. The training may be carried out by supporting staff in an office setting; the supervising professional directs the service. This code is distinct from training performed directly by a physician or qualified health care professional.

Report the code for the supervised training service, with documentation identifying the training provided and the supervising professional. CMS treats it as technical-component-only; a separate code covers interpretation. The Medicare relative value units assign no physician work and include practice expense and malpractice components. Payment is priced as bilateral, so modifier 50 does not increase payment. The code’s units should reflect the documented service; do not infer a time-based unit from the supervision language.

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 92066 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92066 rates by state

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

How the 92066 rate is calculated

Each of 92066’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.

Payment rules and modifiers for 92066

The CMS indicators that decide how 92066 is paid alongside other services.

92066 compared with similar codes

How to choose

92065Orthoptic trainingDirect patient contact

Use 92066 for the supervised technical training service. Use 92065 when a physician or qualified health care professional performs the orthoptic training.

92060Eye alignment testMultiple deviation measurements

92060 reports a sensorimotor examination used to assess eye alignment and movement; 92066 reports supervised training rather than that diagnostic examination.

92012Eye examIntermediate, established patient

92012 is an intermediate ophthalmological examination. It does not represent the supervised orthoptic training service reported with 92066.

Codes related to 92066

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates