CPT code 92315: Contact lens fitting, technician, one aphakic eye2026 Medicare rate & RVUs

Medicare pays $79.16 for 92315 nationally in the office and $17.70 in a hospital or facility. Local office rates run $69.96–$108.97.

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

What 92315 covers

This code describes technician-performed fitting of a corneal contact lens for one eye without a natural lens. Aphakia may follow cataract extraction or another lens-removal procedure. In an ophthalmology or optometry practice, the technician may assess lens fit and movement, evaluate the patient’s response to a trial lens, and assist with adaptation under medical supervision. The code is specific to one aphakic eye; it is not the bilateral fitting code or the technician code for a patient without aphakia.

Report 92315 when the documented service is a technician fitting for one aphakic eye. The record should identify the eye and aphakia, and describe the fitting work, such as trial-lens assessment and adaptation follow-up. Distinguish the technician service from a fitting performed by the eye-care professional, from a bilateral aphakic fitting, and from modification or replacement of an existing lens.

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.

Where 92315 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92315 rates by state

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

How the 92315 rate is calculated

Each of 92315’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 92315

92315 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.

92315 compared with similar codes

How to choose

92311Contact lens fittingAphakia, one eye

Both codes address a one-eye aphakia fitting. Choose 92315 when the technician performs the fitting; 92311 is the counterpart without that technician distinction.

92316Contact lens fittingTechnician, aphakia, both eyes

Both are technician fittings for aphakia. 92315 is for one eye, while 92316 describes fitting both eyes.

92314Contact lens fittingTechnician, both eyes

Both describe technician contact lens fitting, but 92315 is for one aphakic eye; 92314 is the bilateral fitting code for a patient without aphakia.

92312Contact lens fittingAphakia, both eyes

Both concern bilateral aphakia fitting. 92315 is for one eye and specifies technician performance, while 92312 is the bilateral counterpart without that distinction.

Codes related to 92315

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

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