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

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 Detroit, MI, Medicare pays $77.14 for 92315 in the office and $17.84 when it’s performed in a hospital or facility.

$77.14Office (non-facility)
$17.84Hospital or facility
−2.6%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 Detroit, MI
  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 Detroit, MI 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. Detroit, MI pays $77.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

92315 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$77.14
  2. Rest of Michigan · Michigan$73.62−$3.52
  3. Los Angeles, CA · California$91.39+$14.25
  4. Washington, DC area · District of Columbia$91.41+$14.27
  5. Miami, FL · Florida$82.30+$5.16
  6. Chicago, IL · Illinois$80.02+$2.88
  7. Manhattan, NY · New York$90.69+$13.55

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

Every other payment area

92315 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$90.53$25.07
AlabamaAlabama$71.00$17.22
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

92315 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.

$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 Detroit, MI 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

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 92315 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0000.4400
Practice expense1.92× 0.9651.8528
Malpractice0.01× 1.6860.0169
Total RVUs2.3097
Conversion factor× 33.4009

Office rate, Detroit, MI$77.14

Office: (0.44 × 1 + 1.92 × 0.965 + 0.01 × 1.686) × $33.4009 = $77.14

Facility: (0.44 × 1 + 0.08 × 0.965 + 0.01 × 1.686) × $33.4009 = $17.84

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.

How 92315 has changed in Detroit, MI

92315 · Office / nonfacility

$77.14

Effective 2026-10-01

The base rate is $0.85 lower than on 2025-10-01, moving from $77.99 to $77.14 (1.1%).

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

    $77.99changed to$77.14

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $80.91changed to$77.99

    • 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

    $79.59changed to$80.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $83.05changed to$79.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.00 changed to 1.99
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718
  5. January 1, 2023

    RVU23A

    $84.45changed to$83.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.98 changed to 2.00
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $84.11changed to$84.45

    • 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

    $79.91changed to$84.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.76 changed to 1.95
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $78.74changed to$79.91

    • 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
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $76.52changed to$78.74

    • 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

    $74.91changed to$76.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.62 changed to 1.66
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $73.29changed to$74.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.58 changed to 1.62
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $73.44changed to$73.29

    • 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

    $73.07changed to$73.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $75.64changed to$73.07

    • 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 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $87.73changed to$75.64

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.00 changed to 1.58
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $87.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$77.14$17.84RVU26D
2026-07-01$77.14$17.84RVU26C
2026-04-01$77.14$17.84RVU26B
2026-01-01$77.14$17.84RVU26A
2025-10-01$77.99$20.26RVU25D
2025-07-01$77.99$20.26RVU25C
2025-04-01$77.99$20.26RVU25B
2025-01-01$77.99$20.26RVU25A
2024-10-01$80.91$20.52RVU24D
2024-07-01$80.91$20.52RVU24C
2024-04-01$80.91$20.52RVU24B
2024-03-09$80.91$20.52RVU24AR
2024-01-01$79.59$20.18RVU24A
2023-10-01$83.05$21.19RVU23D
2023-07-01$83.05$21.19RVU23C
2023-04-01$83.05$21.19RVU23B
2023-01-01$83.05$21.19RVU23A
2022-10-01$84.45$21.31RVU22D
2022-07-01$84.45$21.31RVU22C
2022-04-01$84.45$21.31RVU22B
2022-01-01$84.45$21.31RVU22A
2021-10-01$84.11$21.49RVU21D
2021-07-01$84.11$21.49RVU21C
2021-04-01$84.11$21.49RVU21B
2021-01-01$84.11$21.49RVU21A
2020-10-01$79.91$22.21RVU20D
2020-07-01$79.91$22.21RVU20C
2020-04-01$79.91$22.21RVU20B
2020-01-01$79.91$22.21RVU20A
2019-10-01$78.74$22.78RVU19D
2019-07-01$78.74$22.78RVU19C
2019-04-01$78.74$22.78RVU19B
2019-01-01$78.74$22.78RVU19A
2018-10-01$76.52$23.11RVU18D
2018-07-01$76.52$23.11RVU18C
2018-04-01$76.52$23.11RVU18B
2018-01-01$76.52$23.11RVU18AR1
2017-10-01$74.91$22.93RVU17D
2017-07-01$74.91$22.93RVU17C
2017-04-01$74.91$22.93RVU17B
2017-01-01$74.91$22.93RVU17A
2016-10-01$73.29$22.40RVU16D
2016-07-01$73.29$22.40RVU16C
2016-04-01$73.29$22.40RVU16B
2016-01-01$73.29$22.40RVU16A
2015-10-01$73.44$22.00RVU15D
2015-07-01$73.44$22.00RVU15C
2015-04-01$73.07$21.90RVU15B
2015-01-01$73.07$21.90RVU15A
2014-10-01$75.64$24.32RVU14D
2014-07-01$75.64$24.32RVU14C
2014-04-01$75.64$24.32RVU14B
2014-01-01$75.64$24.32RVU14A
2013-10-01$87.73$26.47RVU13D
2013-07-01$87.73$26.47RVU13C
2013-04-01$87.73$26.47RVU13B
2013-01-01$87.73$26.47RVU13AR

Price 92315 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

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 Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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