CPT code 92325: Lens modification, physical lens alteration2026 Medicare rate & RVUs in Baltimore area, MD
Report this service when an existing contact lens is physically altered, such as by polishing, rather than fitted or replaced.
In Baltimore area, MD, Medicare pays $50.23 for 92325 in the office.
Check a contract rate as a % of Medicare · 92325 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92325 covers
This service covers a physical change to an existing contact lens, such as polishing or altering the lens. It is distinct from evaluating the patient for a new lens fit and from supplying a replacement lens. Ophthalmologists and optometrists may perform or supervise contact lens care in an office setting; trained staff may carry out the modification under the required physician supervision.
Report 92325 when the record identifies the lens modified, the change made, and the clinical reason for altering it. The documentation should distinguish the work from fitting a lens or replacing one. CMS classifies the service as incident-to, so it may be billed only when performed under physician supervision. CMS assigns zero work RVUs, with practice-expense and malpractice RVUs; office and facility practice-expense values are the same.
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 Baltimore area, MD compares for 92325
Across 109 of 109 payment localities, the office rate for 92325 runs from $40.05 in Arkansas to $67.13 in San Benito County, CA. Baltimore area, MD pays $50.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Baltimore area, MD · this page$50.23
- Rest of Maryland · Maryland$47.29−$2.94
- Los Angeles, CA · California$55.15+$4.92
- Washington, DC area · District of Columbia$55.06+$4.83
- Miami, FL · Florida$49.18−$1.05
- Chicago, IL · Illinois$47.43−$2.80
- Manhattan, NY · New York$54.48+$4.25
Other areas in Maryland first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $49.63 | — |
| AlabamaAlabama | $40.81 | — |
| ArkansasArkansas | $40.05 | — |
| ArizonaArizona | $45.27 | — |
| Bakersfield, CACalifornia | $51.09 | — |
| Chico, CACalifornia | $51.06 | — |
| El Centro, CACalifornia | $51.06 | — |
| Fresno, CACalifornia | $51.06 | — |
| Hanford, CACalifornia | $51.06 | — |
| Madera, CACalifornia | $51.06 | — |
| Merced, CACalifornia | $51.06 | — |
| Modesto, CACalifornia | $51.06 | — |
| Napa, CACalifornia | $61.36 | — |
| Oxnard, CACalifornia | $55.09 | — |
| Redding, CACalifornia | $51.06 | — |
| Rest of CaliforniaCalifornia | $51.06 | — |
| Riverside, CACalifornia | $51.17 | — |
| Sacramento, CACalifornia | $54.17 | — |
| Salinas, CACalifornia | $53.99 | — |
| San Diego, CACalifornia | $55.71 | — |
| Marin County, CACalifornia | $65.62 | — |
| San Francisco, CACalifornia | $65.60 | — |
| San Benito County, CACalifornia | $67.13 | — |
| Santa Clara County, CACalifornia | $67.08 | — |
| San Luis Obispo, CACalifornia | $53.06 | — |
| Santa Cruz, CACalifornia | $56.59 | — |
| Santa Maria, CACalifornia | $54.31 | — |
| Santa Rosa, CACalifornia | $57.19 | — |
| Stockton, CACalifornia | $51.06 | — |
| Vallejo, CACalifornia | $61.34 | — |
| Visalia, CACalifornia | $51.06 | — |
| Yuba City, CACalifornia | $51.06 | — |
| ColoradoColorado | $49.66 | — |
| ConnecticutConnecticut | $50.41 | — |
| DelawareDelaware | $46.17 | — |
| Fort Lauderdale, FLFlorida | $47.63 | — |
| Rest of FloridaFlorida | $44.89 | — |
| Atlanta, GAGeorgia | $47.57 | — |
| Rest of GeorgiaGeorgia | $41.81 | — |
| Hawaii, Guam, HIHawaii | $52.98 | — |
| IowaIowa | $42.61 | — |
| IdahoIdaho | $42.87 | — |
| East St. Louis, ILIllinois | $43.39 | — |
| Rest of IllinoisIllinois | $42.91 | — |
| Suburban Chicago, ILIllinois | $48.27 | — |
| IndianaIndiana | $43.20 | — |
| KansasKansas | $42.14 | — |
| KentuckyKentucky | $41.58 | — |
| New Orleans, LALouisiana | $44.07 | — |
| Rest of LouisianaLouisiana | $41.41 | — |
| Metropolitan Boston, MAMassachusetts | $55.73 | — |
| Rest of MassachusettsMassachusetts | $49.15 | — |
| Rest of MaineMaine | $42.92 | — |
| Southern Maine, MEMaine | $46.22 | — |
| Detroit, MIMichigan | $45.37 | — |
| Rest of MichiganMichigan | $42.77 | — |
| MinnesotaMinnesota | $47.87 | — |
| Metropolitan Kansas City, MOMissouri | $43.92 | — |
| Metropolitan St. Louis, MOMissouri | $44.53 | — |
| Rest of MissouriMissouri | $40.35 | — |
| MississippiMississippi | $40.22 | — |
| MontanaMontana | $46.76 | — |
| North CarolinaNorth Carolina | $43.53 | — |
| North DakotaNorth Dakota | $46.56 | — |
| NebraskaNebraska | $42.98 | — |
| New HampshireNew Hampshire | $48.62 | — |
| Northern New JerseyNew Jersey | $54.21 | — |
| Rest of New JerseyNew Jersey | $51.06 | — |
| New MexicoNew Mexico | $42.97 | — |
| NevadaNevada | $46.75 | — |
| NYC suburbs and Long Island, NYNew York | $55.82 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $51.24 | — |
| Queens, NYNew York | $55.36 | — |
| Rest of New YorkNew York | $44.34 | — |
| OhioOhio | $42.72 | — |
| OklahomaOklahoma | $41.72 | — |
| Portland, OROregon | $51.83 | — |
| Rest of OregonOregon | $46.48 | — |
| Metropolitan Philadelphia, PAPennsylvania | $48.73 | — |
| Rest of PennsylvaniaPennsylvania | $42.94 | — |
| Puerto RicoPuerto Rico | $47.27 | — |
| Rhode IslandRhode Island | $48.26 | — |
| South CarolinaSouth Carolina | $43.18 | — |
| South DakotaSouth Dakota | $46.54 | — |
| TennesseeTennessee | $42.38 | — |
| Austin, TXTexas | $49.42 | — |
| Beaumont, TXTexas | $42.56 | — |
| Brazoria, TXTexas | $46.27 | — |
| Dallas, TXTexas | $46.53 | — |
| Fort Worth, TXTexas | $46.07 | — |
| Galveston, TXTexas | $46.38 | — |
| Houston, TXTexas | $46.56 | — |
| Rest of TexasTexas | $44.36 | — |
| UtahUtah | $43.94 | — |
| VirginiaVirginia | $45.87 | — |
| Virgin Islands, VIUnited States Virgin Islands | $47.27 | — |
| VermontVermont | $46.13 | — |
| Rest of WashingtonWashington | $49.14 | — |
| King County, WAWashington | $57.24 | — |
| WisconsinWisconsin | $44.58 | — |
| West VirginiaWest Virginia | $40.82 | — |
| WyomingWyoming | $46.67 | — |
92325 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.
$40.05
$59.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $49.63 | 1 |
| AL | $40.81 | 1 |
| AR | $40.05 | 1 |
| AZ | $45.27 | 1 |
| CA | $51.06–$67.13 | 29 |
| CO | $49.66 | 1 |
| CT | $50.41 | 1 |
| DC | $55.06 | 1 |
| DE | $46.17 | 1 |
| FL | $44.89–$49.18 | 3 |
| GA | $41.81–$47.57 | 2 |
| GU | $52.98 | 1 |
| HI | $52.98 | 1 |
| IA | $42.61 | 1 |
| ID | $42.87 | 1 |
| IL | $42.91–$48.27 | 4 |
| IN | $43.20 | 1 |
| KS | $42.14 | 1 |
| KY | $41.58 | 1 |
| LA | $41.41–$44.07 | 2 |
| MA | $49.15–$55.73 | 2 |
| MD | $47.29–$55.06 | 3 |
| ME | $42.92–$46.22 | 2 |
| MI | $42.77–$45.37 | 2 |
| MN | $47.87 | 1 |
| MO | $40.35–$44.53 | 3 |
| MS | $40.22 | 1 |
| MT | $46.76 | 1 |
| NC | $43.53 | 1 |
| ND | $46.56 | 1 |
| NE | $42.98 | 1 |
| NH | $48.62 | 1 |
| NJ | $51.06–$54.21 | 2 |
| NM | $42.97 | 1 |
| NV | $46.75 | 1 |
| NY | $44.34–$55.82 | 5 |
| OH | $42.72 | 1 |
| OK | $41.72 | 1 |
| OR | $46.48–$51.83 | 2 |
| PA | $42.94–$48.73 | 2 |
| PR | $47.27 | 1 |
| RI | $48.26 | 1 |
| SC | $43.18 | 1 |
| SD | $46.54 | 1 |
| TN | $42.38 | 1 |
| TX | $42.56–$49.42 | 8 |
| UT | $43.94 | 1 |
| VA | $45.87–$55.06 | 2 |
| VI | $47.27 | 1 |
| VT | $46.13 | 1 |
| WA | $49.14–$57.24 | 2 |
| WI | $44.58 | 1 |
| WV | $40.82 | 1 |
| WY | $46.67 | 1 |
How the 92325 rate is calculated
Each of 92325’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 · 92325
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense1.39
1.39 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.4000
Conversion factor
$33.4009
Medicare rate
$46.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Baltimore area, MD inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,762
- Code
- 92325
- Physician work
- 0.00
- Practice expense
- 1.39
- Malpractice
- 0.01
GPCI2026.csv
60
- Locality
- Baltimore area, MD
- Physician work
- 1.016
- Practice expense
- 1.073
- Malpractice
- 1.237
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.016 | 0.0000 |
| Practice expense | 1.39 | × 1.073 | 1.4915 |
| Malpractice | 0.01 | × 1.237 | 0.0124 |
| Total RVUs | 1.5038 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Baltimore area, MD$50.23
Office: (0 × 1.016 + 1.39 × 1.073 + 0.01 × 1.237) × $33.4009 = $50.23
Payment rules and modifiers for 92325
The CMS indicators that decide how 92325 is paid alongside other services.
CMS payment indicators · 92325
Lens modification, physical lens alteration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 92325 has changed in Baltimore area, MD
92325 · Office / nonfacility
$50.23
Effective 2026-10-01
The base rate is $3.08 higher than on 2025-10-01, moving from $47.15 to $50.23 (6.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$47.15changed to$50.23
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.34 changed to 1.39
- Work GPCI 1.020 changed to 1.016
- Practice expense GPCI 1.078 changed to 1.073
- Malpractice GPCI 1.309 changed to 1.237
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$44.21changed to$47.15
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.22 changed to 1.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$43.49changed to$44.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$49.80changed to$43.49
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.34 changed to 1.22
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.087 changed to 1.078
- Malpractice GPCI 1.311 changed to 1.309
January 1, 2023
RVU23A
$51.66changed to$49.80
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.35 changed to 1.34
- Work GPCI 1.028 changed to 1.024
- Practice expense GPCI 1.096 changed to 1.087
- Malpractice GPCI 1.313 changed to 1.311
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$52.85changed to$51.66
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.37 changed to 1.35
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$49.47changed to$52.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.24 changed to 1.37
- Work GPCI 1.026 changed to 1.028
- Practice expense GPCI 1.095 changed to 1.096
- Malpractice GPCI 1.304 changed to 1.313
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$49.01changed to$49.47
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.23 changed to 1.24
- Work GPCI 1.023 changed to 1.026
- Malpractice GPCI 1.295 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$48.56changed to$49.01
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.22 changed to 1.23
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$46.86changed to$48.56
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.18 changed to 1.22
- Practice expense GPCI 1.096 changed to 1.095
- Malpractice GPCI 1.238 changed to 1.295
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$46.38changed to$46.86
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.17 changed to 1.18
- Practice expense GPCI 1.097 changed to 1.096
- Malpractice GPCI 1.181 changed to 1.238
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$46.94changed to$46.38
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.18 changed to 1.17
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$46.71changed to$46.94
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$45.62changed to$46.71
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.15 changed to 1.18
- Work GPCI 1.025 changed to 1.023
- Malpractice GPCI 1.194 changed to 1.181
Held through RVU15B.
January 1, 2014
RVU14A
$47.44changed to$45.62
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.26 changed to 1.15
- Work GPCI 1.027 changed to 1.025
- Malpractice GPCI 1.206 changed to 1.194
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $47.44
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $50.23 | Not available in this setting | RVU26D |
| 2026-07-01 | $50.23 | Not available in this setting | RVU26C |
| 2026-04-01 | $50.23 | Not available in this setting | RVU26B |
| 2026-01-01 | $50.23 | Not available in this setting | RVU26A |
| 2025-10-01 | $47.15 | Not available in this setting | RVU25D |
| 2025-07-01 | $47.15 | Not available in this setting | RVU25C |
| 2025-04-01 | $47.15 | Not available in this setting | RVU25B |
| 2025-01-01 | $47.15 | Not available in this setting | RVU25A |
| 2024-10-01 | $44.21 | Not available in this setting | RVU24D |
| 2024-07-01 | $44.21 | Not available in this setting | RVU24C |
| 2024-04-01 | $44.21 | Not available in this setting | RVU24B |
| 2024-03-09 | $44.21 | Not available in this setting | RVU24AR |
| 2024-01-01 | $43.49 | Not available in this setting | RVU24A |
| 2023-10-01 | $49.80 | Not available in this setting | RVU23D |
| 2023-07-01 | $49.80 | Not available in this setting | RVU23C |
| 2023-04-01 | $49.80 | Not available in this setting | RVU23B |
| 2023-01-01 | $49.80 | Not available in this setting | RVU23A |
| 2022-10-01 | $51.66 | Not available in this setting | RVU22D |
| 2022-07-01 | $51.66 | Not available in this setting | RVU22C |
| 2022-04-01 | $51.66 | Not available in this setting | RVU22B |
| 2022-01-01 | $51.66 | Not available in this setting | RVU22A |
| 2021-10-01 | $52.85 | Not available in this setting | RVU21D |
| 2021-07-01 | $52.85 | Not available in this setting | RVU21C |
| 2021-04-01 | $52.85 | Not available in this setting | RVU21B |
| 2021-01-01 | $52.85 | Not available in this setting | RVU21A |
| 2020-10-01 | $49.47 | Not available in this setting | RVU20D |
| 2020-07-01 | $49.47 | Not available in this setting | RVU20C |
| 2020-04-01 | $49.47 | Not available in this setting | RVU20B |
| 2020-01-01 | $49.47 | Not available in this setting | RVU20A |
| 2019-10-01 | $49.01 | Not available in this setting | RVU19D |
| 2019-07-01 | $49.01 | Not available in this setting | RVU19C |
| 2019-04-01 | $49.01 | Not available in this setting | RVU19B |
| 2019-01-01 | $49.01 | Not available in this setting | RVU19A |
| 2018-10-01 | $48.56 | Not available in this setting | RVU18D |
| 2018-07-01 | $48.56 | Not available in this setting | RVU18C |
| 2018-04-01 | $48.56 | Not available in this setting | RVU18B |
| 2018-01-01 | $48.56 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $46.86 | Not available in this setting | RVU17D |
| 2017-07-01 | $46.86 | Not available in this setting | RVU17C |
| 2017-04-01 | $46.86 | Not available in this setting | RVU17B |
| 2017-01-01 | $46.86 | Not available in this setting | RVU17A |
| 2016-10-01 | $46.38 | Not available in this setting | RVU16D |
| 2016-07-01 | $46.38 | Not available in this setting | RVU16C |
| 2016-04-01 | $46.38 | Not available in this setting | RVU16B |
| 2016-01-01 | $46.38 | Not available in this setting | RVU16A |
| 2015-10-01 | $46.94 | Not available in this setting | RVU15D |
| 2015-07-01 | $46.94 | Not available in this setting | RVU15C |
| 2015-04-01 | $46.71 | Not available in this setting | RVU15B |
| 2015-01-01 | $46.71 | Not available in this setting | RVU15A |
| 2014-10-01 | $45.62 | Not available in this setting | RVU14D |
| 2014-07-01 | $45.62 | Not available in this setting | RVU14C |
| 2014-04-01 | $45.62 | Not available in this setting | RVU14B |
| 2014-01-01 | $45.62 | Not available in this setting | RVU14A |
| 2013-10-01 | $47.44 | Not available in this setting | RVU13D |
| 2013-07-01 | $47.44 | Not available in this setting | RVU13C |
| 2013-04-01 | $47.44 | Not available in this setting | RVU13B |
| 2013-01-01 | $47.44 | Not available in this setting | RVU13AR |
Where the Baltimore area, MD rate applies
Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.
- Baltimore
- Aberdeen
- Aberdeen Proving Ground
- Abingdon
- Annapolis
- Annapolis Neck
- Arbutus
- Arden on the Severn
92325 billing questions
When should 92325 be used instead of a contact lens fitting code?
Use 92325 for a physical alteration to an existing lens, such as polishing. A fitting code describes the fitting service, not the alteration itself.
How is 92325 different from 92326?
92325 represents altering an existing lens. 92326 represents replacing a contact lens; use the code that matches the service actually performed.
What documentation supports 92325?
Document which lens was modified, what physical change was made, and why the alteration was needed. The record should make clear that the service was not a fitting or replacement.
Can staff perform the modification and bill 92325?
CMS classifies 92325 as incident-to and permits billing only when the service is performed under physician supervision.
Can 92325 be reported with a contact lens fitting code?
A fitting and a distinct physical lens modification may be separate services when both are performed and documented. The record should identify each service rather than treating fitting work as a lens alteration.
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
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