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CPT code 92071: Contact lens fitting, ocular surface treatment2026 Medicare rate & RVUs in Santa Clara County, CA

Report therapeutic contact lens fitting when an eye care professional selects and fits a lens to protect or support healing of an ocular surface.

CMS RVU26DEffective Oct 1, 2026One payment locality43.9K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $44.29 for 92071 in the office and $30.33 when it’s performed in a hospital or facility.

$44.29Office (non-facility)
$30.33Hospital or facility
+23.9%vs the national office rate ($35.74)

Check a contract rate as a % of Medicare · 92071 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 92071 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 92071 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 92071 covers

An ophthalmologist or optometrist may fit a therapeutic contact lens to protect the cornea or support healing of an ocular surface problem, such as a corneal epithelial defect or recurrent erosion. The lens serves a treatment purpose rather than correcting refractive error. The service is typically performed in an office after the clinician assesses the affected eye and determines that a therapeutic lens is appropriate.

Report 92071 for the therapeutic fitting, not for routine vision-correction lens fitting. Documentation should identify the eye and ocular surface condition, the treatment reason for the lens, and the fitting work performed. For bilateral treatment, CMS pays the procedure at 150% when modifier 50 is reported. A separately performed eye examination or diagnostic service should be supported as a distinct service rather than treated as part of the fitting automatically.

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 Santa Clara County, CA compares for 92071

Across 109 of 109 payment localities, the office rate for 92071 runs from $33.25 in Arkansas to $46.29 in Alaska. Santa Clara County, CA pays $44.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

92071 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$44.29
  2. Bakersfield, CA · California$37.33−$6.96
  3. Chico, CA · California$37.24−$7.05
  4. El Centro, CA · California$37.24−$7.05
  5. Fresno, CA · California$37.24−$7.05
  6. Hanford, CA · California$37.24−$7.05
  7. Los Angeles, CA · California$39.13−$5.16

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

Every other payment area

92071 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$37.24$26.62
Merced, CACalifornia$37.24$26.62
Modesto, CACalifornia$37.24$26.62
Napa, CACalifornia$41.54$28.77
Oxnard, CACalifornia$38.84$27.39
Redding, CACalifornia$37.24$26.62
Rest of CaliforniaCalifornia$37.24$26.62
Riverside, CACalifornia$37.47$26.85

92071 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$33.25

$46.29

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

View every state and territory as a table
92071 office rate range by state
State / territoryOffice rate rangeLocalities
AK$46.291
AL$33.531
AR$33.251
AZ$35.171
CA$37.24–$44.3929
CO$36.811
CT$37.461
DC$39.611
DE$35.591
FL$35.40–$37.393
GA$34.21–$36.182
GU$37.561
HI$37.561
IA$34.031
ID$34.161
IL$34.78–$36.824
IN$34.271
KS$33.931
KY$33.981
LA$33.94–$34.922
MA$36.73–$39.452
MD$36.07–$39.613
ME$34.26–$35.352
MI$34.49–$35.662
MN$35.711
MO$33.60–$35.003
MS$33.431
MT$35.741
NC$34.471
ND$35.341
NE$34.141
NH$36.291
NJ$38.01–$39.482
NM$34.601
NV$35.641
NY$34.77–$40.485
OH$34.411
OK$33.951
OR$35.48–$37.592
PA$34.44–$36.852
PR$35.901
RI$36.551
SC$34.471
SD$35.301
TN$34.031
TX$34.31–$36.598
UT$34.751
VA$35.28–$39.612
VI$35.901
VT$35.261
WA$36.65–$40.092
WI$34.631
WV$34.011
WY$35.571

See 92071 in every payment locality

How the 92071 rate is calculated

Each of 92071’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 · 92071

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense0.46

0.46 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.0700

Conversion factor

$33.4009

Medicare rate

$35.74

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

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,675

Code
92071
Physician work
0.59
Practice expense
0.46
Malpractice
0.02

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 92071 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work0.59× 1.1100.6549
Practice expense0.46× 1.4420.6633
Malpractice0.02× 0.3970.0079
Total RVUs1.3262
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$44.29

Office: (0.59 × 1.11 + 0.46 × 1.442 + 0.02 × 0.397) × $33.4009 = $44.29

Facility: (0.59 × 1.11 + 0.17 × 1.442 + 0.02 × 0.397) × $33.4009 = $30.33

Open 92071 in the RVU calculator

Payment rules and modifiers for 92071

The CMS indicators that decide how 92071 is paid alongside other services.

CMS payment indicators · 92071

Contact lens fitting, ocular surface treatment

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

92071 without 50 · national office

$35.74

Contact lens fitting, ocular surface treatment

92071-50 · Bilateral: 150%

$53.61

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 92071

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

Codes related to 92071
CodeHow it relatesOffice range, Santa Clara County, CA
Same family
92072Contact lens fitting, keratoconus, initialTherapeutic lens fitting specifically for keratoconus.$151.75
Used instead
92310Contact lens fitting, both eyes; non-aphakicOptical contact lens fitting for refractive correction rather than ocular surface treatment.No office rate
Often billed with
92012Eye exam, intermediate, established patientAn independently documented intermediate eye examination may accompany the therapeutic fitting.$119.28

How 92071 has changed in Santa Clara County, CA

92071 · Office / nonfacility

$44.29

Effective 2026-10-01

The base rate is $1.43 higher than on 2025-10-01, moving from $42.86 to $44.29 (3.3%).

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

    $42.86changed to$44.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.61 changed to 0.59
    • Practice expense RVU 0.45 changed to 0.46
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.11changed to$42.86

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $43.39changed to$44.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $44.47changed to$43.39

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $44.48changed to$44.47

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.44 changed to 0.45
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $44.85changed to$44.48

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $45.51changed to$44.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.43 changed to 0.44
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.56changed to$45.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.44 changed to 0.43
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $45.51changed to$45.56

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $45.40changed to$45.51

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $45.28changed to$45.40

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $45.44changed to$45.28

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $45.22changed to$45.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $45.32changed to$45.22

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $39.25changed to$45.32

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.36 changed to 0.44
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$39.25

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$44.29$30.33RVU26D
2026-07-01$44.29$30.33RVU26C
2026-04-01$44.29$30.33RVU26B
2026-01-01$44.29$30.33RVU26A
2025-10-01$42.86$36.83RVU25D
2025-07-01$42.86$36.83RVU25C
2025-04-01$42.86$36.83RVU25B
2025-01-01$42.86$36.83RVU25A
2024-10-01$44.11$37.90RVU24D
2024-07-01$44.11$37.90RVU24C
2024-04-01$44.11$37.90RVU24B
2024-03-09$44.11$37.90RVU24AR
2024-01-01$43.39$37.28RVU24A
2023-10-01$44.47$38.26RVU23D
2023-07-01$44.47$38.26RVU23C
2023-04-01$44.47$38.26RVU23B
2023-01-01$44.47$38.26RVU23A
2022-10-01$44.48$38.26RVU22D
2022-07-01$44.48$38.26RVU22C
2022-04-01$44.48$38.26RVU22B
2022-01-01$44.48$38.26RVU22A
2021-10-01$44.85$38.58RVU21D
2021-07-01$44.85$38.58RVU21C
2021-04-01$44.85$38.58RVU21B
2021-01-01$44.85$38.58RVU21A
2020-10-01$45.51$39.58RVU20D
2020-07-01$45.51$39.58RVU20C
2020-04-01$45.51$39.58RVU20B
2020-01-01$45.51$39.58RVU20A
2019-10-01$45.56$39.70RVU19D
2019-07-01$45.56$39.70RVU19C
2019-04-01$45.56$39.70RVU19B
2019-01-01$45.56$39.70RVU19A
2018-10-01$45.51$40.15RVU18D
2018-07-01$45.51$40.15RVU18C
2018-04-01$45.51$40.15RVU18B
2018-01-01$45.51$40.15RVU18AR1
2017-10-01$45.40$39.58RVU17D
2017-07-01$45.40$39.58RVU17C
2017-04-01$45.40$39.58RVU17B
2017-01-01$45.40$39.58RVU17A
2016-10-01$45.28$39.49RVU16D
2016-07-01$45.28$39.49RVU16C
2016-04-01$45.28$39.49RVU16B
2016-01-01$45.28$39.49RVU16A
2015-10-01$45.44$39.64RVU15D
2015-07-01$45.44$39.64RVU15C
2015-04-01$45.22$39.44RVU15B
2015-01-01$45.22$39.44RVU15A
2014-10-01$45.32$40.03RVU14D
2014-07-01$45.32$40.03RVU14C
2014-04-01$45.32$40.03RVU14B
2014-01-01$45.32$40.03RVU14A
2013-10-01$39.25$34.25RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92071 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

92071 billing questions

When should 92071 be chosen instead of 92072?

Use 92071 for therapeutic contact lens fitting to address an ocular surface condition. Use 92072 when the fitting is for keratoconus.

Is this code for ordinary vision-correction contact lenses?

No. It describes fitting a lens for treatment of an ocular surface problem, not a routine refractive contact lens fitting such as 92310.

How is bilateral fitting reported?

Report modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.

What documentation supports 92071?

Record the affected eye, the ocular surface condition, why a therapeutic lens is needed, and the fitting performed.

Can an eye examination also be reported?

A distinct ophthalmic examination may be reported when it is separately performed and documented; the fitting work alone does not establish a separate examination.

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 92071PPRRVU2026_Oct_nonQPP.csv, line 11,675 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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