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

Reports the technical service for orthoptic training under physician or qualified health care professional supervision, separately from its interpretation.

CMS RVU26DEffective Oct 1, 2026One payment locality9.2K Medicare services in 2024

In Oklahoma, Medicare pays $23.23 for 92066 in the office.

$23.23Office (non-facility)
Not available in this settingHospital or facility
−10.8%vs the national office rate ($26.05)

Check a contract rate as a % of Medicare · 92066 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 92066 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 92066 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 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.

How Oklahoma compares for 92066

Across 109 of 109 payment localities, the office rate for 92066 runs from $22.26 in Arkansas to $37.27 in San Benito County, CA. Oklahoma pays $23.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

92066 in Oklahoma vs other payment areas
  1. Oklahoma · this page$23.23
  2. Los Angeles, CA · California$30.65+$7.42
  3. Washington, DC area · District of Columbia$30.67+$7.44
  4. Miami, FL · Florida$27.62+$4.39
  5. Chicago, IL · Illinois$26.61+$3.38
  6. Manhattan, NY · New York$30.41+$7.18
  7. Alaska · Alaska$27.57+$4.34

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

Every other payment area

92066 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$22.69—
ArkansasArkansas$22.26—
ArizonaArizona$25.21—
Bakersfield, CACalifornia$28.39—
Chico, CACalifornia$28.37—
El Centro, CACalifornia$28.37—
Fresno, CACalifornia$28.37—
Hanford, CACalifornia$28.37—

92066 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.

$22.26

$32.82

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

View every state and territory as a table
92066 office rate range by state
State / territoryOffice rate rangeLocalities
AK$27.571
AL$22.691
AR$22.261
AZ$25.211
CA$28.37–$37.2729
CO$27.631
CT$28.101
DC$30.671
DE$25.711
FL$25.09–$27.623
GA$23.34–$26.532
GU$29.441
HI$29.441
IA$23.671
ID$23.821
IL$24.00–$27.004
IN$24.001
KS$23.421
KY$23.171
LA$23.08–$24.582
MA$27.35–$31.012
MD$26.33–$30.673
ME$23.87–$25.702
MI$23.86–$25.382
MN$26.561
MO$22.49–$24.823
MS$22.391
MT$26.051
NC$24.211
ND$25.851
NE$23.861
NH$27.071
NJ$28.45–$30.192
NM$23.991
NV$26.021
NY$24.67–$31.205
OH$23.821
OK$23.231
OR$25.85–$28.822
PA$23.93–$27.172
PR$26.331
RI$26.871
SC$24.051
SD$25.831
TN$23.561
TX$23.71–$27.518
UT$24.481
VA$25.52–$30.672
VI$26.331
VT$25.631
WA$27.34–$31.832
WI$24.741
WV$22.831
WY$25.971

See 92066 in every payment locality

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.

How the rate is built · 92066

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.77

0.77 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.7800

Conversion factor

$33.4009

Medicare rate

$26.05

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

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,674

Code
92066
Physician work
0.00
Practice expense
0.77
Malpractice
0.01

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office calculation for 92066 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.77× 0.8930.6876
Malpractice0.01× 0.7770.0078
Total RVUs0.6954
Conversion factor× 33.4009

Office rate, Oklahoma$23.23

Office: (0 × 1 + 0.77 × 0.893 + 0.01 × 0.777) × $33.4009 = $23.23

Open 92066 in the RVU calculator

Payment rules and modifiers for 92066

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

CMS payment indicators · 92066

Orthoptic training, supervised service

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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/technical3Technical component only.

How 92066 has changed in Oklahoma

92066 · Office / nonfacility

$23.23

Effective 2026-10-01

The base rate is $0.20 higher than on 2025-10-01, moving from $23.03 to $23.23 (0.9%).

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

    $23.03changed to$23.23

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.79 changed to 0.77
    • Practice expense GPCI 0.891 changed to 0.893
    • Malpractice GPCI 0.813 changed to 0.777

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.40changed to$23.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.78 changed to 0.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $23.02changed to$23.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $23.09changed to$23.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.76 changed to 0.78
    • Practice expense GPCI 0.886 changed to 0.891
    • Malpractice GPCI 0.798 changed to 0.813
  5. January 1, 2023

    RVU23A

    No ratechanged to$23.09

    Held through RVU23B, RVU23C, RVU23D.

  6. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$23.23Not available in this settingRVU26D
2026-07-01$23.23Not available in this settingRVU26C
2026-04-01$23.23Not available in this settingRVU26B
2026-01-01$23.23Not available in this settingRVU26A
2025-10-01$23.03Not available in this settingRVU25D
2025-07-01$23.03Not available in this settingRVU25C
2025-04-01$23.03Not available in this settingRVU25B
2025-01-01$23.03Not available in this settingRVU25A
2024-10-01$23.40Not available in this settingRVU24D
2024-07-01$23.40Not available in this settingRVU24C
2024-04-01$23.40Not available in this settingRVU24B
2024-03-09$23.40Not available in this settingRVU24AR
2024-01-01$23.02Not available in this settingRVU24A
2023-10-01$23.09Not available in this settingRVU23D
2023-07-01$23.09Not available in this settingRVU23C
2023-04-01$23.09Not available in this settingRVU23B
2023-01-01$23.09Not available in this settingRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 92066 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

92066 billing questions

How does 92066 differ from 92065?

92066 represents supervised orthoptic training as a technical service. 92065 is the related code for training performed by a physician or other qualified health care professional.

Is 92066 a technical-component-only code?

Yes. CMS identifies 92066 as technical-component-only, with a separate code covering interpretation.

Should modifier 50 be appended?

No. CMS prices 92066 as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 92066?

Document the orthoptic training provided and the physician or qualified health care professional supervising it. The record should make clear that the service was supervised rather than performed directly by that professional.

Can 92060 be reported on the same date?

A sensorimotor examination may be reported when it is a distinct service from the orthoptic training. Document the examination separately from the training activity.

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 92066PPRRVU2026_Oct_nonQPP.csv, line 11,674 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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