CPT code 92066: Orthoptic training, supervised service2026 Medicare rate & RVUs in South Dakota
Reports the technical service for orthoptic training under physician or qualified health care professional supervision, separately from its interpretation.
In South Dakota, Medicare pays $25.83 for 92066 in the office.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $25.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$25.83
- Los Angeles, CA · California$30.65+$4.82
- Washington, DC area · District of Columbia$30.67+$4.84
- Miami, FL · Florida$27.62+$1.79
- Chicago, IL · Illinois$26.61+$0.78
- Manhattan, NY · New York$30.41+$4.58
- Alaska · Alaska$27.57+$1.74
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $28.37 | — |
| Merced, CACalifornia | $28.37 | — |
| Modesto, CACalifornia | $28.37 | — |
| Napa, CACalifornia | $34.07 | — |
| Oxnard, CACalifornia | $30.61 | — |
| Redding, CACalifornia | $28.37 | — |
| Rest of CaliforniaCalifornia | $28.37 | — |
| Riverside, CACalifornia | $28.47 | — |
| Sacramento, CACalifornia | $30.09 | — |
| Salinas, CACalifornia | $29.99 | — |
| San Diego, CACalifornia | $30.94 | — |
| Marin County, CACalifornia | $36.42 | — |
| San Francisco, CACalifornia | $36.41 | — |
| San Benito County, CACalifornia | $37.27 | — |
| Santa Clara County, CACalifornia | $37.22 | — |
| San Luis Obispo, CACalifornia | $29.47 | — |
| Santa Cruz, CACalifornia | $31.43 | — |
| Santa Maria, CACalifornia | $30.17 | — |
| Santa Rosa, CACalifornia | $31.76 | — |
| Stockton, CACalifornia | $28.37 | — |
| Vallejo, CACalifornia | $34.05 | — |
| Visalia, CACalifornia | $28.37 | — |
| Yuba City, CACalifornia | $28.37 | — |
| ColoradoColorado | $27.63 | — |
| ConnecticutConnecticut | $28.10 | — |
| DelawareDelaware | $25.71 | — |
| Fort Lauderdale, FLFlorida | $26.66 | — |
| Rest of FloridaFlorida | $25.09 | — |
| Atlanta, GAGeorgia | $26.53 | — |
| Rest of GeorgiaGeorgia | $23.34 | — |
| Hawaii, Guam, HIHawaii | $29.44 | — |
| IowaIowa | $23.67 | — |
| IdahoIdaho | $23.82 | — |
| East St. Louis, ILIllinois | $24.33 | — |
| Rest of IllinoisIllinois | $24.00 | — |
| Suburban Chicago, ILIllinois | $27.00 | — |
| IndianaIndiana | $24.00 | — |
| KansasKansas | $23.42 | — |
| KentuckyKentucky | $23.17 | — |
| New Orleans, LALouisiana | $24.58 | — |
| Rest of LouisianaLouisiana | $23.08 | — |
| Metropolitan Boston, MAMassachusetts | $31.01 | — |
| Rest of MassachusettsMassachusetts | $27.35 | — |
| Baltimore area, MDMaryland | $28.01 | — |
| Rest of MarylandMaryland | $26.33 | — |
| Rest of MaineMaine | $23.87 | — |
| Southern Maine, MEMaine | $25.70 | — |
| Detroit, MIMichigan | $25.38 | — |
| Rest of MichiganMichigan | $23.86 | — |
| MinnesotaMinnesota | $26.56 | — |
| Metropolitan Kansas City, MOMissouri | $24.48 | — |
| Metropolitan St. Louis, MOMissouri | $24.82 | — |
| Rest of MissouriMissouri | $22.49 | — |
| MississippiMississippi | $22.39 | — |
| MontanaMontana | $26.05 | — |
| North CarolinaNorth Carolina | $24.21 | — |
| North DakotaNorth Dakota | $25.85 | — |
| NebraskaNebraska | $23.86 | — |
| New HampshireNew Hampshire | $27.07 | — |
| Northern New JerseyNew Jersey | $30.19 | — |
| Rest of New JerseyNew Jersey | $28.45 | — |
| New MexicoNew Mexico | $23.99 | — |
| NevadaNevada | $26.02 | — |
| NYC suburbs and Long Island, NYNew York | $31.20 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $28.57 | — |
| Queens, NYNew York | $30.88 | — |
| Rest of New YorkNew York | $24.67 | — |
| OhioOhio | $23.82 | — |
| OklahomaOklahoma | $23.23 | — |
| Portland, OROregon | $28.82 | — |
| Rest of OregonOregon | $25.85 | — |
| Metropolitan Philadelphia, PAPennsylvania | $27.17 | — |
| Rest of PennsylvaniaPennsylvania | $23.93 | — |
| Puerto RicoPuerto Rico | $26.33 | — |
| Rhode IslandRhode Island | $26.87 | — |
| South CarolinaSouth Carolina | $24.05 | — |
| TennesseeTennessee | $23.56 | — |
| Austin, TXTexas | $27.51 | — |
| Beaumont, TXTexas | $23.71 | — |
| Brazoria, TXTexas | $25.75 | — |
| Dallas, TXTexas | $25.90 | — |
| Fort Worth, TXTexas | $25.65 | — |
| Galveston, TXTexas | $25.82 | — |
| Houston, TXTexas | $26.00 | — |
| Rest of TexasTexas | $24.71 | — |
| UtahUtah | $24.48 | — |
| VirginiaVirginia | $25.52 | — |
| Virgin Islands, VIUnited States Virgin Islands | $26.33 | — |
| VermontVermont | $25.63 | — |
| Rest of WashingtonWashington | $27.34 | — |
| King County, WAWashington | $31.83 | — |
| WisconsinWisconsin | $24.74 | — |
| West VirginiaWest Virginia | $22.83 | — |
| WyomingWyoming | $25.97 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $27.57 | 1 |
| AL | $22.69 | 1 |
| AR | $22.26 | 1 |
| AZ | $25.21 | 1 |
| CA | $28.37–$37.27 | 29 |
| CO | $27.63 | 1 |
| CT | $28.10 | 1 |
| DC | $30.67 | 1 |
| DE | $25.71 | 1 |
| FL | $25.09–$27.62 | 3 |
| GA | $23.34–$26.53 | 2 |
| GU | $29.44 | 1 |
| HI | $29.44 | 1 |
| IA | $23.67 | 1 |
| ID | $23.82 | 1 |
| IL | $24.00–$27.00 | 4 |
| IN | $24.00 | 1 |
| KS | $23.42 | 1 |
| KY | $23.17 | 1 |
| LA | $23.08–$24.58 | 2 |
| MA | $27.35–$31.01 | 2 |
| MD | $26.33–$30.67 | 3 |
| ME | $23.87–$25.70 | 2 |
| MI | $23.86–$25.38 | 2 |
| MN | $26.56 | 1 |
| MO | $22.49–$24.82 | 3 |
| MS | $22.39 | 1 |
| MT | $26.05 | 1 |
| NC | $24.21 | 1 |
| ND | $25.85 | 1 |
| NE | $23.86 | 1 |
| NH | $27.07 | 1 |
| NJ | $28.45–$30.19 | 2 |
| NM | $23.99 | 1 |
| NV | $26.02 | 1 |
| NY | $24.67–$31.20 | 5 |
| OH | $23.82 | 1 |
| OK | $23.23 | 1 |
| OR | $25.85–$28.82 | 2 |
| PA | $23.93–$27.17 | 2 |
| PR | $26.33 | 1 |
| RI | $26.87 | 1 |
| SC | $24.05 | 1 |
| SD | $25.83 | 1 |
| TN | $23.56 | 1 |
| TX | $23.71–$27.51 | 8 |
| UT | $24.48 | 1 |
| VA | $25.52–$30.67 | 2 |
| VI | $26.33 | 1 |
| VT | $25.63 | 1 |
| WA | $27.34–$31.83 | 2 |
| WI | $24.74 | 1 |
| WV | $22.83 | 1 |
| WY | $25.97 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.77 | × 1.000 | 0.7700 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 0.7734 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$25.83
Office: (0 × 1 + 0.77 × 1 + 0.01 × 0.336) × $33.4009 = $25.83
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 3 | Technical component only. |
How 92066 has changed in South Dakota
92066 · Office / nonfacility
$25.83
Effective 2026-10-01
The base rate is $0.15 higher than on 2025-10-01, moving from $25.68 to $25.83 (0.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$25.68changed to$25.83
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.79 changed to 0.77
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$26.09changed to$25.68
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.78 changed to 0.79
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$25.67changed to$26.09
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$25.88changed to$25.67
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.76 changed to 0.78
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
No ratechanged to$25.88
Held through RVU23B, RVU23C, RVU23D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $25.83 | Not available in this setting | RVU26D |
| 2026-07-01 | $25.83 | Not available in this setting | RVU26C |
| 2026-04-01 | $25.83 | Not available in this setting | RVU26B |
| 2026-01-01 | $25.83 | Not available in this setting | RVU26A |
| 2025-10-01 | $25.68 | Not available in this setting | RVU25D |
| 2025-07-01 | $25.68 | Not available in this setting | RVU25C |
| 2025-04-01 | $25.68 | Not available in this setting | RVU25B |
| 2025-01-01 | $25.68 | Not available in this setting | RVU25A |
| 2024-10-01 | $26.09 | Not available in this setting | RVU24D |
| 2024-07-01 | $26.09 | Not available in this setting | RVU24C |
| 2024-04-01 | $26.09 | Not available in this setting | RVU24B |
| 2024-03-09 | $26.09 | Not available in this setting | RVU24AR |
| 2024-01-01 | $25.67 | Not available in this setting | RVU24A |
| 2023-10-01 | $25.88 | Not available in this setting | RVU23D |
| 2023-07-01 | $25.88 | Not available in this setting | RVU23C |
| 2023-04-01 | $25.88 | Not available in this setting | RVU23B |
| 2023-01-01 | $25.88 | Not available in this setting | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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