FeeBase
Log inGet started
Menu

CPT code 92071: Contact lens fitting, ocular surface treatment2026 Medicare rate & RVUs in Ohio

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 Ohio, Medicare pays $34.41 for 92071 in the office and $25.56 when it’s performed in a hospital or facility.

$34.41Office (non-facility)
$25.56Hospital or facility
−3.7%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 Ohio
  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 Ohio 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. Ohio pays $34.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

92071 in Ohio vs other payment areas
  1. Ohio · this page$34.41
  2. Los Angeles, CA · California$39.13+$4.72
  3. Washington, DC area · District of Columbia$39.61+$5.20
  4. Miami, FL · Florida$37.39+$2.98
  5. Chicago, IL · Illinois$36.82+$2.41
  6. Manhattan, NY · New York$39.88+$5.47
  7. Alaska · Alaska$46.29+$11.88

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

Every other payment area

92071 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$33.53$25.05
ArkansasArkansas$33.25$24.93
ArizonaArizona$35.17$25.78
Bakersfield, CACalifornia$37.33$26.71
Chico, CACalifornia$37.24$26.62
El Centro, CACalifornia$37.24$26.63
Fresno, CACalifornia$37.24$26.62
Hanford, CACalifornia$37.24$26.62

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 92071 in Ohio
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense0.46× 0.9130.4200
Malpractice0.02× 1.0080.0202
Total RVUs1.0301
Conversion factor× 33.4009

Office rate, Ohio$34.41

Office: (0.59 × 1 + 0.46 × 0.913 + 0.02 × 1.008) × $33.4009 = $34.41

Facility: (0.59 × 1 + 0.17 × 0.913 + 0.02 × 1.008) × $33.4009 = $25.56

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, Ohio
Same family
92072Contact lens fitting, keratoconus, initialTherapeutic lens fitting specifically for keratoconus.$115.39
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.$85.41

How 92071 has changed in Ohio

92071 · Office / nonfacility

$34.41

Effective 2026-10-01

The base rate is $0.75 higher than on 2025-10-01, moving from $33.66 to $34.41 (2.2%).

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

    $33.66changed to$34.41

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $34.64changed to$33.66

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $34.07changed to$34.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.30changed to$34.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $35.77changed to$35.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $36.07changed to$35.77

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.97changed to$36.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.43 changed to 0.44
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $37.25changed to$36.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.44 changed to 0.43
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $37.21changed to$37.25

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $37.11changed to$37.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $37.01changed to$37.11

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $37.15changed to$37.01

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $36.96changed to$37.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $37.60changed to$36.96

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $33.37changed to$37.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.36 changed to 0.44
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $33.37

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$34.41$25.56RVU26D
2026-07-01$34.41$25.56RVU26C
2026-04-01$34.41$25.56RVU26B
2026-01-01$34.41$25.56RVU26A
2025-10-01$33.66$29.83RVU25D
2025-07-01$33.66$29.83RVU25C
2025-04-01$33.66$29.83RVU25B
2025-01-01$33.66$29.83RVU25A
2024-10-01$34.64$30.70RVU24D
2024-07-01$34.64$30.70RVU24C
2024-04-01$34.64$30.70RVU24B
2024-03-09$34.64$30.70RVU24AR
2024-01-01$34.07$30.20RVU24A
2023-10-01$35.30$31.28RVU23D
2023-07-01$35.30$31.28RVU23C
2023-04-01$35.30$31.28RVU23B
2023-01-01$35.30$31.28RVU23A
2022-10-01$35.77$31.66RVU22D
2022-07-01$35.77$31.66RVU22C
2022-04-01$35.77$31.66RVU22B
2022-01-01$35.77$31.66RVU22A
2021-10-01$36.07$31.92RVU21D
2021-07-01$36.07$31.92RVU21C
2021-04-01$36.07$31.92RVU21B
2021-01-01$36.07$31.92RVU21A
2020-10-01$36.97$33.01RVU20D
2020-07-01$36.97$33.01RVU20C
2020-04-01$36.97$33.01RVU20B
2020-01-01$36.97$33.01RVU20A
2019-10-01$37.25$33.28RVU19D
2019-07-01$37.25$33.28RVU19C
2019-04-01$37.25$33.28RVU19B
2019-01-01$37.25$33.28RVU19A
2018-10-01$37.21$33.58RVU18D
2018-07-01$37.21$33.58RVU18C
2018-04-01$37.21$33.58RVU18B
2018-01-01$37.21$33.58RVU18AR1
2017-10-01$37.11$33.15RVU17D
2017-07-01$37.11$33.15RVU17C
2017-04-01$37.11$33.15RVU17B
2017-01-01$37.11$33.15RVU17A
2016-10-01$37.01$33.07RVU16D
2016-07-01$37.01$33.07RVU16C
2016-04-01$37.01$33.07RVU16B
2016-01-01$37.01$33.07RVU16A
2015-10-01$37.15$33.19RVU15D
2015-07-01$37.15$33.19RVU15C
2015-04-01$36.96$33.02RVU15B
2015-01-01$36.96$33.02RVU15A
2014-10-01$37.60$33.96RVU14D
2014-07-01$37.60$33.96RVU14C
2014-04-01$37.60$33.96RVU14B
2014-01-01$37.60$33.96RVU14A
2013-10-01$33.37$29.90RVU13D
2013-07-01$33.37$29.90RVU13C
2013-04-01$33.37$29.90RVU13B
2013-01-01$33.37$29.90RVU13AR

Price 92071 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92071 pays in Ohio?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 92071 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet