CPT code 92317: Contact lens fitting, technician, corneoscleral lens2026 Medicare rate & RVUs

Report this service when a technician performs fitting work for a corneoscleral contact lens, rather than a standard contact lens fitting.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $83.50 for 92317 nationally in the office and $17.70 in a hospital or facility. Local office rates run $73.69–$115.23.

Medicare rate · 92317

Contact lens fitting, technician, corneoscleral lens

Office or facility?

Work RVUs
0.44
Total RVUs
2.50
Global days
XXX

National rate · 2026

$83.50

Office setting, before claim adjustments.

See every locality for 92317 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92317 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92317 covers

This service covers technician-performed fitting of a corneoscleral contact lens. It may be part of specialty lens care for an irregular corneal surface, such as with keratoconus or corneal scarring. An optometrist or ophthalmologist may direct the patient’s contact lens care, while a trained technician carries out fitting tasks such as assessing trial-lens fit and refining lens parameters.

Choose the code for the corneoscleral lens design and technician-performed fitting; codes 92313 and 92314 describe different fitting circumstances. Documentation should identify the lens design, clinical reason for the fitting, technician’s work, and relevant fit or parameter findings. The CMS physician fee schedule assigns work, practice-expense, and malpractice values to this service, with practice-expense inputs 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.

Where 92317 pays more and less

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

109 payment localities

$73.69 to $115.23

$73.69$94.46$115.23
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92317 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$74.80$17.22
Alaska$95.15$25.07
Arizona$81.33$17.57
Arkansas$73.69$17.16
Atlanta, GA$84.71$17.86
Austin, TX$87.46$17.85
Bakersfield, CA$90.22$18.11
Baltimore area, MD$88.81$18.21
Beaumont, TX$77.32$17.44
Brazoria, TX$82.93$17.72

92317 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.

$73.69

$102.70

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

View every state and territory as a table
92317 office rate range by state
State / territoryOffice rate rangeLocalities
AK$95.151
AL$74.801
AR$73.691
AZ$81.331
CA$90.17–$115.2329
CO$87.991
CT$89.141
DC$96.521
DE$82.721
FL$80.66–$86.823
GA$76.17–$84.712
GU$92.741
HI$92.741
IA$77.481
ID$77.851
IL$77.73–$85.714
IN$78.331
KS$76.761
KY$75.871
LA$75.61–$79.512
MA$87.30–$97.352
MD$84.44–$96.523
ME$77.90–$82.762
MI$77.59–$81.332
MN$85.251
MO$74.04–$80.223
MS$73.901
MT$83.501
NC$78.791
ND$83.301
NE$78.021
NH$86.271
NJ$90.42–$95.412
NM$77.891
NV$83.511
NY$79.98–$97.675
OH$77.551
OK$76.101
OR$83.13–$91.252
PA$77.87–$86.642
PR$84.251
RI$86.001
SC$78.251
SD$83.281
TN$77.121
TX$77.32–$87.468
UT$79.361
VA$82.24–$96.522
VI$84.251
VT$82.651
WA$87.24–$99.722
WI$80.401
WV$74.681
WY$83.421

How the 92317 rate is calculated

Each of 92317’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 · 92317

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.44

0.44 RVUs× 1.000 GPCI

Practice expense2.05

2.05 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.5000

Conversion factor

$33.4009

Medicare rate

$83.50

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

Payment rules and modifiers for 92317

92317 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 · 92317

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$83.50

Non-facility (office)
$83.50
Facility
$17.70

Higher because the practice carries its own overhead.

92317 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 92317

    Contact lens fitting, technician, corneoscleral lens0.44 wRVU

    $83.50

  • 92313

    Contact lens fitting, corneoscleral lens0.9 wRVU

    $95.53+$12.03

  • 92314

    Contact lens fitting, technician, both eyes0.67 wRVU

    Not priced

  • 92315

    Contact lens fitting, technician, one aphakic eye0.44 wRVU

    $79.16−$4.34

  • 92316

    Contact lens fitting, technician, aphakia, both eyes0.66 wRVU

    $97.86+$14.36

How to choose

92313Contact lens fittingCorneoscleral lens
Both concern corneoscleral lenses; 92317 is for technician-performed fitting, while 92313 is the clinician-performed fitting code.
92314Contact lens fittingTechnician, both eyes
92314 is technician fitting for a non-aphakic contact lens circumstance; 92317 identifies corneoscleral lens fitting.
92315Contact lens fittingTechnician, one aphakic eye
92315 is technician fitting for aphakia in one eye. Choose 92317 for a corneoscleral lens fitting instead.
92316Contact lens fittingTechnician, aphakia, both eyes
92316 is technician fitting for aphakia in both eyes. The corneoscleral lens design distinguishes 92317.

92317 billing questions

Is 92317 used for every contact lens fitting performed by a technician?

No. It is specific to technician-performed fitting of a corneoscleral lens. A standard contact lens fitting or an aphakia fitting belongs to a different code circumstance.

How does 92317 differ from 92313?

Both concern corneoscleral lens fitting, but 92317 identifies a technician-performed fitting. Use 92313 for the corresponding fitting service performed by the clinician.

What should the record support?

Document the corneoscleral lens design, reason for specialty fitting, technician’s fitting work, and findings that support the selected lens parameters.

Does the code descriptor establish separate units for each eye?

The descriptor identifies the corneoscleral lens fitting but does not establish a per-eye unit rule. Do not infer separate units from the descriptor alone.

Is 92317 a technical component of an eye examination?

No such component relationship is indicated. The code describes a technician-performed contact lens fitting service.

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 92317PPRRVU2026_Oct_nonQPP.csv, line 11,761 (RVU26D)

Open CMS sourceHow we calculate rates

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