CPT code 92313: Contact lens fitting, corneoscleral lens2026 Medicare rate & RVUs in Houston, TX

In Houston, TX, Medicare pays $95.44 for 92313 in the office and $36.07 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 92313 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92313 covers

Code 92313 describes a clinician-directed fitting of a corneoscleral contact lens, which vaults the cornea and bears on the sclera. An ophthalmologist or optometrist typically evaluates the eye, selects and assesses trial lenses, and supervises adaptation. This approach is often considered for irregular corneas, such as with keratoconus or after corneal transplantation, and for some ocular-surface conditions. Fitting may include evaluating lens position and clearance, vision, comfort, and the patient’s ability to handle the lens.

Choose this code for the corneoscleral lens service, rather than a standard corneal lens fitting or a technician-performed fitting. Documentation should support the lens type, clinical fitting work, assessment of the trial lens, and the clinician’s supervision of adaptation. The contact lens product is distinct from the fitting service and should be handled separately when reportable. CMS valuation uses work and practice-expense inputs, with practice expense valued differently for office and facility settings.

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 Houston, TX compares for 92313

Across 109 of 109 payment localities, the office rate for 92313 runs from $86.18 in Arkansas to $127.47 in San Benito County, CA. Houston, TX pays $95.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92313 rates by state

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

See 92313 in every payment locality

How the 92313 rate is calculated

Each of 92313’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.

Payment rules and modifiers for 92313

92313 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 92313

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

How 92313 has changed in Houston, TX

Price 92313 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 92313 in Houston · multiple payment areas
• Aldine
• Atascocita
• Barrett
• 92313 in Baytown · multiple payment areas
• Bellaire
• Bunker Hill Village
• Channelview

Browse all communities in Texas

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

Open CMS sourceHow we calculate rates