CPT code 92315: Contact lens fitting, technician, one aphakic eye2026 Medicare rate & RVUs in Missouri
Report this service when a technician fits a corneal contact lens for one aphakic eye under medical supervision of the adaptation process.
Medicare pays $70.30–$76.08 for 92315 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$70.30 to $76.08
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $75.24 | $17.53 |
| Metropolitan St. Louis, MO | $76.08 | $17.57 |
| Rest of Missouri | $70.30 | $17.33 |
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
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.
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.
92315 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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