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

Report this service when a technician fits a corneal contact lens for one aphakic eye under medical supervision of the adaptation process.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $91.41 for 92315 in the office and $19.01 when it’s performed in a hospital or facility.

$91.41Office (non-facility)
$19.01Hospital or facility
+15.5%vs the national office rate ($79.16)

Check a contract rate as a % of Medicare · 92315 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 92315 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 92315 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 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.

How Washington, DC area compares for 92315

Across 109 of 109 payment localities, the office rate for 92315 runs from $69.96 in Arkansas to $108.97 in San Benito County, CA. Washington, DC area pays $91.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

92315 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$91.41
  2. Los Angeles, CA · California$91.39−$0.02
  3. Miami, FL · Florida$82.30−$9.11
  4. Chicago, IL · Illinois$80.02−$11.39
  5. Manhattan, NY · New York$90.69−$0.72
  6. Alaska · Alaska$90.53−$0.88
  7. Alabama · Alabama$71.00−$20.41

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

92315 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$69.96$17.16
ArizonaArizona$77.12$17.57
Bakersfield, CACalifornia$85.47$18.11
Chico, CACalifornia$85.41$18.05
El Centro, CACalifornia$85.41$18.06
Fresno, CACalifornia$85.41$18.05
Hanford, CACalifornia$85.41$18.05
Madera, CACalifornia$85.41$18.05

92315 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.

$69.96

$97.19

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

View every state and territory as a table
92315 office rate range by state
State / territoryOffice rate rangeLocalities
AK$90.531
AL$71.001
AR$69.961
AZ$77.121
CA$85.41–$108.9729
CO$83.371
CT$84.461
DC$91.411
DE$78.431
FL$76.51–$82.303
GA$72.30–$80.302
GU$87.811
HI$87.811
IA$73.511
ID$73.851
IL$73.77–$81.254
IN$74.311
KS$72.841
KY$72.011
LA$71.77–$75.422
MA$82.73–$92.172
MD$80.05–$91.413
ME$73.90–$78.462
MI$73.62–$77.142
MN$80.781
MO$70.30–$76.083
MS$70.161
MT$79.161
NC$74.741
ND$78.961
NE$74.011
NH$81.751
NJ$85.68–$90.372
NM$73.901
NV$79.171
NY$75.85–$92.515
OH$73.581
OK$72.221
OR$78.80–$86.432
PA$73.88–$82.122
PR$79.861
RI$81.521
SC$74.241
SD$78.941
TN$73.171
TX$73.36–$82.878
UT$75.281
VA$77.97–$91.412
VI$79.861
VT$78.351
WA$82.67–$94.392
WI$76.241
WV$70.901
WY$79.071

See 92315 in every payment locality

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.

How the rate is built · 92315

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense1.92

1.92 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.3700

Conversion factor

$33.4009

Medicare rate

$79.16

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,759

Code
92315
Physician work
0.44
Practice expense
1.92
Malpractice
0.01

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 92315 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0540.4638
Practice expense1.92× 1.1782.2618
Malpractice0.01× 1.1130.0111
Total RVUs2.7367
Conversion factor× 33.4009

Office rate, Washington, DC area$91.41

Office: (0.44 × 1.054 + 1.92 × 1.178 + 0.01 × 1.113) × $33.4009 = $91.41

Facility: (0.44 × 1.054 + 0.08 × 1.178 + 0.01 × 1.113) × $33.4009 = $19.01

Open 92315 in the RVU calculator

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.

Place of service · 92315

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$79.16

Non-facility (office)
$79.16
Facility
$17.70

Higher because the practice carries its own overhead.

Codes related to 92315

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

Codes related to 92315
CodeHow it relatesOffice range, Washington, DC area
Same family
92311Contact lens fitting, aphakia, one eyeOne-eye aphakia fitting counterpart without the technician distinction.$112.09
92316Contact lens fitting, technician, aphakia, both eyesTechnician fitting for both aphakic eyes.$112.53
92314Contact lens fitting, technician, both eyesTechnician fitting for both eyes when the fitting is not for aphakia.No office rate
92317Contact lens fitting, technician, corneoscleral lensTechnician fitting for a corneoscleral lens.$96.52
92312Contact lens fitting, aphakia, both eyesBilateral aphakia fitting counterpart without the technician distinction.$128.27

How 92315 has changed in Washington, DC area

92315 · Office / nonfacility

$91.41

Effective 2026-10-01

The base rate is $0.31 lower than on 2025-10-01, moving from $91.72 to $91.41 (0.3%).

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

    $91.72changed to$91.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 1.97 changed to 1.92
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $95.18changed to$91.72

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.99 changed to 1.97

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $93.63changed to$95.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $98.80changed to$93.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.00 changed to 1.99
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $101.55changed to$98.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.98 changed to 2.00
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.10changed to$101.55

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.95 changed to 1.98

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $95.05changed to$101.10

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.76 changed to 1.95
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $92.55changed to$95.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.72 changed to 1.76
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $89.85changed to$92.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.66 changed to 1.72

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $87.90changed to$89.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.62 changed to 1.66
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $86.02changed to$87.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.58 changed to 1.62
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $86.30changed to$86.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.59 changed to 1.58
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $85.87changed to$86.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $86.69changed to$85.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.58 changed to 1.59
    • Malpractice RVU 0.04 changed to 0.01
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $99.12changed to$86.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.00 changed to 1.58
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $99.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$91.41$19.01RVU26D
2026-07-01$91.41$19.01RVU26C
2026-04-01$91.41$19.01RVU26B
2026-01-01$91.41$19.01RVU26A
2025-10-01$91.72$21.93RVU25D
2025-07-01$91.72$21.93RVU25C
2025-04-01$91.72$21.93RVU25B
2025-01-01$91.72$21.93RVU25A
2024-10-01$95.18$22.17RVU24D
2024-07-01$95.18$22.17RVU24C
2024-04-01$95.18$22.17RVU24B
2024-03-09$95.18$22.17RVU24AR
2024-01-01$93.63$21.81RVU24A
2023-10-01$98.80$23.10RVU23D
2023-07-01$98.80$23.10RVU23C
2023-04-01$98.80$23.10RVU23B
2023-01-01$98.80$23.10RVU23A
2022-10-01$101.55$23.28RVU22D
2022-07-01$101.55$23.28RVU22C
2022-04-01$101.55$23.28RVU22B
2022-01-01$101.55$23.28RVU22A
2021-10-01$101.10$23.47RVU21D
2021-07-01$101.10$23.47RVU21C
2021-04-01$101.10$23.47RVU21B
2021-01-01$101.10$23.47RVU21A
2020-10-01$95.05$24.11RVU20D
2020-07-01$95.05$24.11RVU20C
2020-04-01$95.05$24.11RVU20B
2020-01-01$95.05$24.11RVU20A
2019-10-01$92.55$24.37RVU19D
2019-07-01$92.55$24.37RVU19C
2019-04-01$92.55$24.37RVU19B
2019-01-01$92.55$24.37RVU19A
2018-10-01$89.85$24.78RVU18D
2018-07-01$89.85$24.78RVU18C
2018-04-01$89.85$24.78RVU18B
2018-01-01$89.85$24.78RVU18AR1
2017-10-01$87.90$24.76RVU17D
2017-07-01$87.90$24.76RVU17C
2017-04-01$87.90$24.76RVU17B
2017-01-01$87.90$24.76RVU17A
2016-10-01$86.02$24.32RVU16D
2016-07-01$86.02$24.32RVU16C
2016-04-01$86.02$24.32RVU16B
2016-01-01$86.02$24.32RVU16A
2015-10-01$86.30$23.95RVU15D
2015-07-01$86.30$23.95RVU15C
2015-04-01$85.87$23.83RVU15B
2015-01-01$85.87$23.83RVU15A
2014-10-01$86.69$25.54RVU14D
2014-07-01$86.69$25.54RVU14C
2014-04-01$86.69$25.54RVU14B
2014-01-01$86.69$25.54RVU14A
2013-10-01$99.12$27.38RVU13D
2013-07-01$99.12$27.38RVU13C
2013-04-01$99.12$27.38RVU13B
2013-01-01$99.12$27.38RVU13AR

Price 92315 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

92315 billing questions

When should 92315 be chosen over 92311?

Use 92315 when a technician performs the fitting for one aphakic eye under medical supervision. 92311 is the corresponding one-eye aphakia fitting code without the technician distinction.

Is 92315 for one eye or both eyes?

It describes fitting for one aphakic eye. For a technician fitting both aphakic eyes, consider 92316.

Does the patient need to be aphakic?

Yes. This code is for a corneal contact lens fitting in an eye without a natural lens, such as after lens extraction.

What documentation supports reporting 92315?

Document which eye is aphakic, the technician-performed fitting, and the fitting or trial-lens assessment and adaptation work.

Is 92315 the code for changing or replacing a contact lens?

No. It describes a fitting service. Lens modification and replacement are distinct services represented by other codes.

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 92315PPRRVU2026_Oct_nonQPP.csv, line 11,759 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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