CPT code 92341: Bifocal fitting, except aphakia2026 Medicare rate & RVUs in Missouri
Fitting bifocal spectacles for a patient without aphakia, distinct from monofocal, multifocal, aphakia-specific, and contact lens fitting services.
CMS doesn’t publish an office rate for 92341 in Missouri.
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 92341 covers
92341 identifies fitting bifocal spectacles for a patient without aphakia. The service concerns spectacles with lenses providing distance and near viewing, rather than monofocal spectacles or contact lenses. Eye-care professionals, including optometrists and ophthalmologists, report the service when fitting bifocal eyewear in an eye-care or optical practice. Aphakia-specific spectacle fitting codes are separate, so the patient’s aphakia status matters when choosing the fitting code.
Medicare physician fee schedule status N means Medicare does not cover 92341. This is a CPT Category I service code. Select the spectacle fitting code according to whether the lenses are bifocal, monofocal, or multifocal and whether the patient has aphakia. Contact lens fitting is a different service.
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 92341 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.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 92341 rate is calculated
Each of 92341’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 · 92341
RVUs × geographic indexes × conversion factor
Work0.46
0.46 RVUs× 1.000 GPCI
Practice expense0.73
0.73 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.2200
Conversion factor
$33.4009
Medicare rate
$40.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92341
92341 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 · 92341
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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92341 isn’t priced in this setting.
92341 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92340Spectacle fittingMonofocal lenses
- Use 92340 for monofocal spectacle fitting. Use 92341 for bifocal spectacle fitting.
- 92342Spectacle fittingMultifocal lenses
- 92342 is for multifocal spectacle fitting in the non-aphakia series; 92341 is for bifocal fitting.
- 92353Aphakia spectaclesMultifocal fitting
- 92353 is for aphakia-specific multifocal spectacle fitting. Code 92341 is for bifocal spectacle fitting in a patient without aphakia.
- 92310Contact lens fittingBoth eyes; non-aphakic
- 92310 describes contact lens fitting; 92341 describes bifocal spectacle fitting.
92341 billing questions
How does 92341 differ from 92340 and 92342?
92341 is for bifocal spectacle fitting. Code 92340 is for monofocal spectacle fitting, and 92342 is for multifocal spectacle fitting in the non-aphakia series.
Can 92341 be used for a patient with aphakia?
No. The aphakia-specific spectacle fitting codes are separate; select the code based on the spectacle lens type.
Is 92341 for contact lens fitting?
No. It identifies bifocal spectacle fitting. Code 92310 is for contact lens fitting.
Will Medicare cover 92341?
No. Medicare physician fee schedule status N identifies this service as not covered.
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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