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CPT code 92072: Contact lens fitting, keratoconus, initial2026 Medicare rate & RVUs in Ohio

An initial specialty contact lens fitting for keratoconus, reported when an eye-care clinician selects and evaluates a lens to manage corneal irregularity.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In Ohio, Medicare pays $115.39 for 92072 in the office and $75.44 when it’s performed in a hospital or facility.

$115.39Office (non-facility)
$75.44Hospital or facility
−4.0%vs the national office rate ($120.24)

Check a contract rate as a % of Medicare · 92072 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 92072 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 92072 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 92072 covers

Ophthalmologists and optometrists use this service to fit a contact lens for a patient with keratoconus, whose irregular corneal shape can limit vision with spectacles. The clinician evaluates lens position, movement, vision, and fit; rigid gas-permeable and scleral lenses are common options. The service may take place in an ophthalmology or optometry office where the clinician can assess the cornea and evaluate the lens on the eye.

Report 92072 for the initial fitting specifically for keratoconus, rather than a general contact lens fitting or a therapeutic lens fitting for an ocular-surface condition. Documentation should identify keratoconus and support the fitting work, including the lens fit and clinical assessment. CMS prices this code as bilateral, so modifier 50 does not increase payment. The CMS bilateral pricing applies whether the fitting involves one eye or both.

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 92072

Across 109 of 109 payment localities, the office rate for 92072 runs from $112.22 in Arkansas to $155.78 in Alaska. Ohio pays $115.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

92072 in Ohio vs other payment areas
  1. Ohio · this page$115.39
  2. Los Angeles, CA · California$132.97+$17.58
  3. Washington, DC area · District of Columbia$133.67+$18.28
  4. Miami, FL · Florida$123.04+$7.65
  5. Chicago, IL · Illinois$121.40+$6.01
  6. Manhattan, NY · New York$133.58+$18.19
  7. Alaska · Alaska$155.78+$40.39

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

Every other payment area

92072 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$113.13$74.84
ArkansasArkansas$112.22$74.63
ArizonaArizona$118.47$76.07
Bakersfield, CACalifornia$126.69$78.73
Chico, CACalifornia$126.53$78.58
El Centro, CACalifornia$126.53$78.58
Fresno, CACalifornia$126.53$78.58
Hanford, CACalifornia$126.53$78.58

92072 rates by state

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

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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.

$112.22

$155.78

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

View every state and territory as a table
92072 office rate range by state
State / territoryOffice rate rangeLocalities
AK$155.781
AL$113.131
AR$112.221
AZ$118.471
CA$126.53–$151.8029
CO$124.511
CT$125.891
DC$133.671
DE$119.861
FL$117.96–$123.043
GA$114.28–$121.402
GU$127.741
HI$127.741
IA$115.301
ID$115.601
IL$115.58–$122.464
IN$116.001
KS$114.721
KY$114.021
LA$113.81–$117.002
MA$124.16–$133.662
MD$121.53–$133.673
ME$115.65–$119.622
MI$115.43–$118.522
MN$121.631
MO$112.54–$117.573
MS$112.401
MT$120.241
NC$116.391
ND$120.041
NE$115.741
NH$122.491
NJ$127.97–$133.232
NM$115.681
NV$120.241
NY$117.36–$135.185
OH$115.391
OK$114.201
OR$119.92–$127.382
PA$115.65–$123.752
PR$120.851
RI$123.271
SC$115.951
SD$120.021
TN$115.011
TX$115.20–$123.578
UT$116.861
VA$119.20–$133.672
VI$120.851
VT$119.521
WA$123.95–$136.052
WI$117.671
WV$113.081
WY$120.161

See 92072 in every payment locality

How the 92072 rate is calculated

Each of 92072’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 · 92072

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.92

1.92 RVUs× 1.000 GPCI

Practice expense1.67

1.67 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

3.6000

Conversion factor

$33.4009

Medicare rate

$120.24

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

11,676

Code
92072
Physician work
1.92
Practice expense
1.67
Malpractice
0.01

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 92072 in Ohio
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0001.9200
Practice expense1.67× 0.9131.5247
Malpractice0.01× 1.0080.0101
Total RVUs3.4548
Conversion factor× 33.4009

Office rate, Ohio$115.39

Office: (1.92 × 1 + 1.67 × 0.913 + 0.01 × 1.008) × $33.4009 = $115.39

Facility: (1.92 × 1 + 0.36 × 0.913 + 0.01 × 1.008) × $33.4009 = $75.44

Open 92072 in the RVU calculator

Payment rules and modifiers for 92072

The CMS indicators that decide how 92072 is paid alongside other services.

CMS payment indicators · 92072

Contact lens fitting, keratoconus, initial

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/technical0Physician service: no professional/technical split.

Codes related to 92072

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

Codes related to 92072
CodeHow it relatesOffice range, Ohio
Used instead
92071Contact lens fitting, ocular surface treatmentFits a contact lens for an ocular-surface treatment indication rather than keratoconus management.$34.41
92310Contact lens fitting, both eyes; non-aphakicGeneral contact lens fitting for a different indication, rather than the keratoconus-specific initial fitting.No office rate
Often billed with
92025Corneal topography, computerized curvature mapComputerized corneal topography may be performed to assess corneal shape during keratoconus care.$34.90

How 92072 has changed in Ohio

92072 · Office / nonfacility

$115.39

Effective 2026-10-01

The base rate is $0.61 higher than on 2025-10-01, moving from $114.78 to $115.39 (0.5%).

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

    $114.78changed to$115.39

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.97 changed to 1.92
    • Practice expense RVU 1.71 changed to 1.67
    • Malpractice RVU 0.02 changed to 0.01
    • 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

    $119.03changed to$114.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.74 changed to 1.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $117.09changed to$119.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $121.87changed to$117.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.76 changed to 1.74
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $124.03changed to$121.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.72 changed to 1.76
    • Malpractice RVU 0.04 changed to 0.02
    • 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

    $125.06changed to$124.03

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $125.73changed to$125.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.62 changed to 1.72
    • Malpractice RVU 0.03 changed to 0.04
    • 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

    $129.05changed to$125.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.68 changed to 1.62
    • Malpractice RVU 0.07 changed to 0.03
    • 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

    $130.56changed to$129.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.73 changed to 1.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $130.87changed to$130.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.75 changed to 1.73
    • 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

    $131.20changed to$130.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.77 changed to 1.75
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $130.99changed to$131.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.76 changed to 1.77
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $130.34changed to$130.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.15changed to$130.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.82 changed to 1.76
    • Malpractice RVU 0.11 changed to 0.06
    • 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

    $124.65changed to$135.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.68 changed to 1.82
    • 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: $124.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$115.39$75.44RVU26D
2026-07-01$115.39$75.44RVU26C
2026-04-01$115.39$75.44RVU26B
2026-01-01$115.39$75.44RVU26A
2025-10-01$114.78$86.49RVU25D
2025-07-01$114.78$86.49RVU25C
2025-04-01$114.78$86.49RVU25B
2025-01-01$114.78$86.49RVU25A
2024-10-01$119.03$89.31RVU24D
2024-07-01$119.03$89.31RVU24C
2024-04-01$119.03$89.31RVU24B
2024-03-09$119.03$89.31RVU24AR
2024-01-01$117.09$87.85RVU24A
2023-10-01$121.87$91.89RVU23D
2023-07-01$121.87$91.89RVU23C
2023-04-01$121.87$91.89RVU23B
2023-01-01$121.87$91.89RVU23A
2022-10-01$124.03$94.02RVU22D
2022-07-01$124.03$94.02RVU22C
2022-04-01$124.03$94.02RVU22B
2022-01-01$124.03$94.02RVU22A
2021-10-01$125.06$95.12RVU21D
2021-07-01$125.06$95.12RVU21C
2021-04-01$125.06$95.12RVU21B
2021-01-01$125.06$95.12RVU21A
2020-10-01$125.73$97.33RVU20D
2020-07-01$125.73$97.33RVU20C
2020-04-01$125.73$97.33RVU20B
2020-01-01$125.73$97.33RVU20A
2019-10-01$129.05$99.97RVU19D
2019-07-01$129.05$99.97RVU19C
2019-04-01$129.05$99.97RVU19B
2019-01-01$129.05$99.97RVU19A
2018-10-01$130.56$100.85RVU18D
2018-07-01$130.56$100.85RVU18C
2018-04-01$130.56$100.85RVU18B
2018-01-01$130.56$100.85RVU18AR1
2017-10-01$130.87$101.87RVU17D
2017-07-01$130.87$101.87RVU17C
2017-04-01$130.87$101.87RVU17B
2017-01-01$130.87$101.87RVU17A
2016-10-01$131.20$101.95RVU16D
2016-07-01$131.20$101.95RVU16C
2016-04-01$131.20$101.95RVU16B
2016-01-01$131.20$101.95RVU16A
2015-10-01$130.99$101.63RVU15D
2015-07-01$130.99$101.63RVU15C
2015-04-01$130.34$101.12RVU15B
2015-01-01$130.34$101.12RVU15A
2014-10-01$135.15$106.05RVU14D
2014-07-01$135.15$106.05RVU14C
2014-04-01$135.15$106.05RVU14B
2014-01-01$135.15$106.05RVU14A
2013-10-01$124.65$96.90RVU13D
2013-07-01$124.65$96.90RVU13C
2013-04-01$124.65$96.90RVU13B
2013-01-01$124.65$96.90RVU13AR

Price 92072 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

92072 billing questions

How is 92072 different from 92071?

92072 is for an initial contact lens fitting to manage keratoconus. 92071 is for fitting a contact lens to treat an ocular-surface condition.

Can 92072 be reported for one eye?

Yes. CMS prices 92072 as bilateral even when the fitting involves only one eye.

Should modifier 50 be appended?

Modifier 50 does not increase payment for 92072 because CMS already prices the code as bilateral.

Is corneal topography part of the fitting?

92072 represents the contact lens fitting, while 92025 represents computerized corneal topography. Report topography separately only when it is performed and documented as a distinct service.

What documentation supports 92072?

Document keratoconus as the reason for the fitting and describe the lens assessment, including fit and clinical evaluation.

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 92072PPRRVU2026_Oct_nonQPP.csv, line 11,676 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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