CPT code 92071: Contact lens fitting, ocular surface treatment2026 Medicare rate & RVUs in South Dakota
Report therapeutic contact lens fitting when an eye care professional selects and fits a lens to protect or support healing of an ocular surface.
In South Dakota, Medicare pays $35.30 for 92071 in the office and $25.61 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $35.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$35.30
- Los Angeles, CA · California$39.13+$3.83
- Washington, DC area · District of Columbia$39.61+$4.31
- Miami, FL · Florida$37.39+$2.09
- Chicago, IL · Illinois$36.82+$1.52
- Manhattan, NY · New York$39.88+$4.58
- Alaska · Alaska$46.29+$10.99
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| 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 |
| Sacramento, CACalifornia | $38.64 | $27.38 |
| Salinas, CACalifornia | $38.48 | $27.26 |
| San Diego, CACalifornia | $39.04 | $27.45 |
| Marin County, CACalifornia | $43.55 | $29.89 |
| San Francisco, CACalifornia | $43.53 | $29.87 |
| San Benito County, CACalifornia | $44.39 | $30.42 |
| Santa Clara County, CACalifornia | $44.29 | $30.33 |
| San Luis Obispo, CACalifornia | $37.90 | $26.87 |
| Santa Cruz, CACalifornia | $39.15 | $27.38 |
| Santa Maria, CACalifornia | $38.53 | $27.24 |
| Santa Rosa, CACalifornia | $39.52 | $27.63 |
| Stockton, CACalifornia | $37.24 | $26.62 |
| Vallejo, CACalifornia | $41.50 | $28.74 |
| Visalia, CACalifornia | $37.24 | $26.62 |
| Yuba City, CACalifornia | $37.24 | $26.62 |
| ColoradoColorado | $36.81 | $26.51 |
| ConnecticutConnecticut | $37.46 | $27.02 |
| DelawareDelaware | $35.59 | $26.02 |
| Fort Lauderdale, FLFlorida | $36.48 | $26.67 |
| Rest of FloridaFlorida | $35.40 | $26.14 |
| Atlanta, GAGeorgia | $36.18 | $26.34 |
| Rest of GeorgiaGeorgia | $34.21 | $25.57 |
| Hawaii, Guam, HIHawaii | $37.56 | $26.55 |
| IowaIowa | $34.03 | $25.17 |
| IdahoIdaho | $34.16 | $25.25 |
| East St. Louis, ILIllinois | $35.19 | $26.28 |
| Rest of IllinoisIllinois | $34.78 | $25.93 |
| Suburban Chicago, ILIllinois | $36.81 | $26.86 |
| IndianaIndiana | $34.27 | $25.29 |
| KansasKansas | $33.93 | $25.18 |
| KentuckyKentucky | $33.98 | $25.37 |
| New Orleans, LALouisiana | $34.92 | $25.81 |
| Rest of LouisianaLouisiana | $33.94 | $25.37 |
| Metropolitan Boston, MAMassachusetts | $39.45 | $27.89 |
| Rest of MassachusettsMassachusetts | $36.73 | $26.53 |
| Baltimore area, MDMaryland | $37.33 | $26.94 |
| Rest of MarylandMaryland | $36.07 | $26.26 |
| Rest of MaineMaine | $34.26 | $25.35 |
| Southern Maine, MEMaine | $35.35 | $25.76 |
| Detroit, MIMichigan | $35.66 | $26.31 |
| Rest of MichiganMichigan | $34.49 | $25.64 |
| MinnesotaMinnesota | $35.71 | $25.75 |
| Metropolitan Kansas City, MOMissouri | $34.79 | $25.69 |
| Metropolitan St. Louis, MOMissouri | $35.00 | $25.78 |
| Rest of MissouriMissouri | $33.60 | $25.25 |
| MississippiMississippi | $33.43 | $25.09 |
| MontanaMontana | $35.74 | $26.05 |
| North CarolinaNorth Carolina | $34.47 | $25.43 |
| North DakotaNorth Dakota | $35.34 | $25.66 |
| NebraskaNebraska | $34.14 | $25.20 |
| New HampshireNew Hampshire | $36.29 | $26.20 |
| Northern New JerseyNew Jersey | $39.48 | $28.25 |
| Rest of New JerseyNew Jersey | $38.01 | $27.43 |
| New MexicoNew Mexico | $34.60 | $25.72 |
| NevadaNevada | $35.64 | $25.95 |
| NYC suburbs and Long Island, NYNew York | $40.48 | $28.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $38.23 | $27.62 |
| Queens, NYNew York | $40.09 | $28.64 |
| Rest of New YorkNew York | $34.77 | $25.57 |
| OhioOhio | $34.41 | $25.56 |
| OklahomaOklahoma | $33.95 | $25.30 |
| Portland, OROregon | $37.59 | $26.83 |
| Rest of OregonOregon | $35.48 | $25.83 |
| Metropolitan Philadelphia, PAPennsylvania | $36.85 | $26.77 |
| Rest of PennsylvaniaPennsylvania | $34.44 | $25.55 |
| Puerto RicoPuerto Rico | $35.90 | $26.11 |
| Rhode IslandRhode Island | $36.55 | $26.54 |
| South CarolinaSouth Carolina | $34.47 | $25.52 |
| TennesseeTennessee | $34.03 | $25.23 |
| Austin, TXTexas | $36.59 | $26.35 |
| Beaumont, TXTexas | $34.31 | $25.49 |
| Brazoria, TXTexas | $35.61 | $26.01 |
| Dallas, TXTexas | $35.76 | $26.11 |
| Fort Worth, TXTexas | $35.62 | $26.06 |
| Galveston, TXTexas | $35.67 | $26.06 |
| Houston, TXTexas | $36.04 | $26.42 |
| Rest of TexasTexas | $34.89 | $25.70 |
| UtahUtah | $34.75 | $25.64 |
| VirginiaVirginia | $35.28 | $25.76 |
| Virgin Islands, VIUnited States Virgin Islands | $35.90 | $26.11 |
| VermontVermont | $35.26 | $25.67 |
| Rest of WashingtonWashington | $36.65 | $26.45 |
| King County, WAWashington | $40.09 | $28.20 |
| WisconsinWisconsin | $34.63 | $25.35 |
| West VirginiaWest Virginia | $34.01 | $25.60 |
| WyomingWyoming | $35.57 | $25.88 |
92071 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.
$33.25
$46.29
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 | $46.29 | 1 |
| AL | $33.53 | 1 |
| AR | $33.25 | 1 |
| AZ | $35.17 | 1 |
| CA | $37.24–$44.39 | 29 |
| CO | $36.81 | 1 |
| CT | $37.46 | 1 |
| DC | $39.61 | 1 |
| DE | $35.59 | 1 |
| FL | $35.40–$37.39 | 3 |
| GA | $34.21–$36.18 | 2 |
| GU | $37.56 | 1 |
| HI | $37.56 | 1 |
| IA | $34.03 | 1 |
| ID | $34.16 | 1 |
| IL | $34.78–$36.82 | 4 |
| IN | $34.27 | 1 |
| KS | $33.93 | 1 |
| KY | $33.98 | 1 |
| LA | $33.94–$34.92 | 2 |
| MA | $36.73–$39.45 | 2 |
| MD | $36.07–$39.61 | 3 |
| ME | $34.26–$35.35 | 2 |
| MI | $34.49–$35.66 | 2 |
| MN | $35.71 | 1 |
| MO | $33.60–$35.00 | 3 |
| MS | $33.43 | 1 |
| MT | $35.74 | 1 |
| NC | $34.47 | 1 |
| ND | $35.34 | 1 |
| NE | $34.14 | 1 |
| NH | $36.29 | 1 |
| NJ | $38.01–$39.48 | 2 |
| NM | $34.60 | 1 |
| NV | $35.64 | 1 |
| NY | $34.77–$40.48 | 5 |
| OH | $34.41 | 1 |
| OK | $33.95 | 1 |
| OR | $35.48–$37.59 | 2 |
| PA | $34.44–$36.85 | 2 |
| PR | $35.90 | 1 |
| RI | $36.55 | 1 |
| SC | $34.47 | 1 |
| SD | $35.30 | 1 |
| TN | $34.03 | 1 |
| TX | $34.31–$36.59 | 8 |
| UT | $34.75 | 1 |
| VA | $35.28–$39.61 | 2 |
| VI | $35.90 | 1 |
| VT | $35.26 | 1 |
| WA | $36.65–$40.09 | 2 |
| WI | $34.63 | 1 |
| WV | $34.01 | 1 |
| WY | $35.57 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 0.46 | × 1.000 | 0.4600 |
| Malpractice | 0.02 | × 0.336 | 0.0067 |
| Total RVUs | 1.0567 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$35.30
Office: (0.59 × 1 + 0.46 × 1 + 0.02 × 0.336) × $33.4009 = $35.30
Facility: (0.59 × 1 + 0.17 × 1 + 0.02 × 0.336) × $33.4009 = $25.61
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
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 | 0 | Physician 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).
How 92071 has changed in South Dakota
92071 · Office / nonfacility
$35.30
Effective 2026-10-01
The base rate is $0.77 higher than on 2025-10-01, moving from $34.53 to $35.30 (2.2%).
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
$34.53changed to$35.30
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$35.54changed to$34.53
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$34.96changed to$35.54
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$36.17changed to$34.96
- Conversion factor 33.8872 changed to 32.7442
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$36.58changed to$36.17
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.44 changed to 0.45
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$36.88changed to$36.58
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$37.80changed to$36.88
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.43 changed to 0.44
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$38.12changed to$37.80
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.44 changed to 0.43
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$38.08changed to$38.12
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$37.97changed to$38.08
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$37.88changed to$37.97
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$38.02changed to$37.88
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$37.83changed to$38.02
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$38.06changed to$37.83
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.03 changed to 0.02
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$33.44changed to$38.06
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.36 changed to 0.44
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $33.44
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $35.30 | $25.61 | RVU26D |
| 2026-07-01 | $35.30 | $25.61 | RVU26C |
| 2026-04-01 | $35.30 | $25.61 | RVU26B |
| 2026-01-01 | $35.30 | $25.61 | RVU26A |
| 2025-10-01 | $34.53 | $30.33 | RVU25D |
| 2025-07-01 | $34.53 | $30.33 | RVU25C |
| 2025-04-01 | $34.53 | $30.33 | RVU25B |
| 2025-01-01 | $34.53 | $30.33 | RVU25A |
| 2024-10-01 | $35.54 | $31.21 | RVU24D |
| 2024-07-01 | $35.54 | $31.21 | RVU24C |
| 2024-04-01 | $35.54 | $31.21 | RVU24B |
| 2024-03-09 | $35.54 | $31.21 | RVU24AR |
| 2024-01-01 | $34.96 | $30.70 | RVU24A |
| 2023-10-01 | $36.17 | $31.76 | RVU23D |
| 2023-07-01 | $36.17 | $31.76 | RVU23C |
| 2023-04-01 | $36.17 | $31.76 | RVU23B |
| 2023-01-01 | $36.17 | $31.76 | RVU23A |
| 2022-10-01 | $36.58 | $32.08 | RVU22D |
| 2022-07-01 | $36.58 | $32.08 | RVU22C |
| 2022-04-01 | $36.58 | $32.08 | RVU22B |
| 2022-01-01 | $36.58 | $32.08 | RVU22A |
| 2021-10-01 | $36.88 | $32.34 | RVU21D |
| 2021-07-01 | $36.88 | $32.34 | RVU21C |
| 2021-04-01 | $36.88 | $32.34 | RVU21B |
| 2021-01-01 | $36.88 | $32.34 | RVU21A |
| 2020-10-01 | $37.80 | $33.47 | RVU20D |
| 2020-07-01 | $37.80 | $33.47 | RVU20C |
| 2020-04-01 | $37.80 | $33.47 | RVU20B |
| 2020-01-01 | $37.80 | $33.47 | RVU20A |
| 2019-10-01 | $38.12 | $33.80 | RVU19D |
| 2019-07-01 | $38.12 | $33.80 | RVU19C |
| 2019-04-01 | $38.12 | $33.80 | RVU19B |
| 2019-01-01 | $38.12 | $33.80 | RVU19A |
| 2018-10-01 | $38.08 | $34.12 | RVU18D |
| 2018-07-01 | $38.08 | $34.12 | RVU18C |
| 2018-04-01 | $38.08 | $34.12 | RVU18B |
| 2018-01-01 | $38.08 | $34.12 | RVU18AR1 |
| 2017-10-01 | $37.97 | $33.66 | RVU17D |
| 2017-07-01 | $37.97 | $33.66 | RVU17C |
| 2017-04-01 | $37.97 | $33.66 | RVU17B |
| 2017-01-01 | $37.97 | $33.66 | RVU17A |
| 2016-10-01 | $37.88 | $33.58 | RVU16D |
| 2016-07-01 | $37.88 | $33.58 | RVU16C |
| 2016-04-01 | $37.88 | $33.58 | RVU16B |
| 2016-01-01 | $37.88 | $33.58 | RVU16A |
| 2015-10-01 | $38.02 | $33.71 | RVU15D |
| 2015-07-01 | $38.02 | $33.71 | RVU15C |
| 2015-04-01 | $37.83 | $33.54 | RVU15B |
| 2015-01-01 | $37.83 | $33.54 | RVU15A |
| 2014-10-01 | $38.06 | $34.12 | RVU14D |
| 2014-07-01 | $38.06 | $34.12 | RVU14C |
| 2014-04-01 | $38.06 | $34.12 | RVU14B |
| 2014-01-01 | $38.06 | $34.12 | RVU14A |
| 2013-10-01 | $33.44 | $29.70 | RVU13D |
| 2013-07-01 | $33.44 | $29.70 | RVU13C |
| 2013-04-01 | $33.44 | $29.70 | RVU13B |
| 2013-01-01 | $33.44 | $29.70 | 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
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
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