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

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, 2026One payment locality

In Houston, TX, Medicare pays $83.27 for 92317 in the office and $17.93 when it’s performed in a hospital or facility.

$83.27Office (non-facility)
$17.93Hospital or facility
−0.3%vs the national office rate ($83.50)

Check a contract rate as a % of Medicare · 92317 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 92317 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 92317 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 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.

How Houston, TX compares for 92317

Across 109 of 109 payment localities, the office rate for 92317 runs from $73.69 in Arkansas to $115.23 in San Benito County, CA. Houston, TX pays $83.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

92317 in Houston, TX vs other payment areas
  1. Houston, TX · this page$83.27
  2. Austin, TX · Texas$87.46+$4.19
  3. Beaumont, TX · Texas$77.32−$5.95
  4. Brazoria, TX · Texas$82.93−$0.34
  5. Dallas, TX · Texas$83.31+$0.04
  6. Fort Worth, TX · Texas$82.63−$0.64
  7. Galveston, TX · Texas$83.08−$0.19

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

Every other payment area

92317 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$79.98$17.53
Los Angeles, CACalifornia$96.52$18.68
Washington, DC areaDistrict of Columbia$96.52$19.01
Miami, FLFlorida$86.82$18.32
Chicago, ILIllinois$84.38$18.25
Manhattan, NYNew York$95.73$19.27
AlaskaAlaska$95.15$25.07
AlabamaAlabama$74.80$17.22

92317 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.

$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

See 92317 in every payment locality

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.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,761

Code
92317
Physician work
0.44
Practice expense
2.05
Malpractice
0.01

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 92317 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.44× 1.0080.4435
Practice expense2.05× 0.9932.0356
Malpractice0.01× 1.3760.0138
Total RVUs2.4929
Conversion factor× 33.4009

Office rate, Houston, TX$83.27

Office: (0.44 × 1.008 + 2.05 × 0.993 + 0.01 × 1.376) × $33.4009 = $83.27

Facility: (0.44 × 1.008 + 0.08 × 0.993 + 0.01 × 1.376) × $33.4009 = $17.93

Open 92317 in the RVU calculator

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.

Codes related to 92317

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

Codes related to 92317
CodeHow it relatesOffice range, Houston, TX
Used instead
92313Contact lens fitting, corneoscleral lensCorneoscleral lens fitting when the clinician performs the fitting service.$95.44
Same family
92314Contact lens fitting, technician, both eyesTechnician fitting for a different contact lens circumstance.No office rate
92315Contact lens fitting, technician, one aphakic eyeTechnician fitting for aphakia in one eye.$78.95
92316Contact lens fitting, technician, aphakia, both eyesTechnician fitting for aphakia in both eyes.$97.64

How 92317 has changed in Houston, TX

92317 · Office / nonfacility

$83.27

Effective 2026-10-01

The base rate is $0.08 lower than on 2025-10-01, moving from $83.35 to $83.27 (0.1%).

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

    $83.35changed to$83.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 2.10 changed to 2.05
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $86.77changed to$83.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.13 changed to 2.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $85.36changed to$86.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $89.33changed to$85.36

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $91.16changed to$89.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.10 changed to 2.13
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $90.84changed to$91.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.07 changed to 2.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $85.46changed to$90.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.86 changed to 2.07
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $83.59changed to$85.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.82 changed to 1.86
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $81.32changed to$83.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.76 changed to 1.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $77.60changed to$81.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.66 changed to 1.76
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $77.25changed to$77.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.67 changed to 1.66
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $77.55changed to$77.25

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.68 changed to 1.67
    • Malpractice RVU 0.01 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $77.17changed to$77.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $76.75changed to$77.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.67 changed to 1.68
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $78.83changed to$76.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.85 changed to 1.67
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $78.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$83.27$17.93RVU26D
2026-07-01$83.27$17.93RVU26C
2026-04-01$83.27$17.93RVU26B
2026-01-01$83.27$17.93RVU26A
2025-10-01$83.35$20.41RVU25D
2025-07-01$83.35$20.41RVU25C
2025-04-01$83.35$20.41RVU25B
2025-01-01$83.35$20.41RVU25A
2024-10-01$86.77$20.67RVU24D
2024-07-01$86.77$20.67RVU24C
2024-04-01$86.77$20.67RVU24B
2024-03-09$86.77$20.67RVU24AR
2024-01-01$85.36$20.33RVU24A
2023-10-01$89.33$21.50RVU23D
2023-07-01$89.33$21.50RVU23C
2023-04-01$89.33$21.50RVU23B
2023-01-01$89.33$21.50RVU23A
2022-10-01$91.16$21.72RVU22D
2022-07-01$91.16$21.72RVU22C
2022-04-01$91.16$21.72RVU22B
2022-01-01$91.16$21.72RVU22A
2021-10-01$90.84$21.90RVU21D
2021-07-01$90.84$21.90RVU21C
2021-04-01$90.84$21.90RVU21B
2021-01-01$90.84$21.90RVU21A
2020-10-01$85.46$22.52RVU20D
2020-07-01$85.46$22.52RVU20C
2020-04-01$85.46$22.52RVU20B
2020-01-01$85.46$22.52RVU20A
2019-10-01$83.59$22.69RVU19D
2019-07-01$83.59$22.69RVU19C
2019-04-01$83.59$22.69RVU19B
2019-01-01$83.59$22.69RVU19A
2018-10-01$81.32$23.03RVU18D
2018-07-01$81.32$23.03RVU18C
2018-04-01$81.32$23.03RVU18B
2018-01-01$81.32$23.03RVU18AR1
2017-10-01$77.60$23.65RVU17D
2017-07-01$77.60$23.65RVU17C
2017-04-01$77.60$23.65RVU17B
2017-01-01$77.60$23.65RVU17A
2016-10-01$77.25$22.86RVU16D
2016-07-01$77.25$22.86RVU16C
2016-04-01$77.25$22.86RVU16B
2016-01-01$77.25$22.86RVU16A
2015-10-01$77.55$22.60RVU15D
2015-07-01$77.55$22.60RVU15C
2015-04-01$77.17$22.49RVU15B
2015-01-01$77.17$22.49RVU15A
2014-10-01$76.75$22.44RVU14D
2014-07-01$76.75$22.44RVU14C
2014-04-01$76.75$22.44RVU14B
2014-01-01$76.75$22.44RVU14A
2013-10-01$78.83$21.56RVU13D
2013-07-01$78.83$21.56RVU13C
2013-04-01$78.83$21.56RVU13B
2013-01-01$78.83$21.56RVU13AR

Price 92317 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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