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CPT code 92342: Spectacle fitting, multifocal lenses2026 Medicare rate & RVUs

Fitting multifocal spectacles for a nonaphakic patient, with lens positioning and adjustment for vision at multiple distances.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 92342

Spectacle fitting, multifocal lenses

Office or facility?

Work RVUs
0.52
Total RVUs
0.66
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 92342 →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 92342 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 92342 covers

This service covers fitting spectacles with multifocal lenses, which provide more than one optical power to support vision at different distances. It is used for patients who need multifocal eyewear, commonly for near- and distance-vision needs such as presbyopia. An optometrist or ophthalmologist typically evaluates the prescription and fit; optical staff may assist with lens positioning and frame adjustment in an eye-care or optical setting.

Code 92342 is for multifocal spectacle fitting in a patient who is not aphakic. Use the spectacle-fitting code that matches the lens design; aphakia fittings are represented by separate codes. Medicare physician fee schedule status N means Medicare does not cover this service. The code describes spectacle fitting, not contact lens fitting, lens replacement, or spectacle repair.

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 92342 pays more and less

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

109 of 109 payment localities

92342 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

92342 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.

View every state and territory as a table
92342 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 92342 rate is calculated

Each of 92342’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 · 92342

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.52

0.52 RVUs× 1.000 GPCI

Practice expense0.76

0.76 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.3100

Conversion factor

$33.4009

Medicare rate

$43.76

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

Payment rules and modifiers for 92342

92342 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 · 92342

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

92342 isn’t priced in this setting.

92342 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92342

    Spectacle fitting, multifocal lenses0.52 wRVU

    Not priced

  • 92340

    Spectacle fitting, monofocal lenses0.36 wRVU

    Not priced

  • 92341

    Bifocal fitting, except aphakia0.46 wRVU

    Not priced

  • 92353

    Aphakia spectacles, multifocal fitting0.49 wRVU

    Not priced

How to choose

92340Spectacle fittingMonofocal lenses
92340 is for monofocal spectacle fitting. Use 92342 when the spectacles have multifocal lenses.
92341Bifocal fittingExcept aphakia
92341 identifies bifocal spectacle fitting; 92342 identifies multifocal spectacle fitting.
92353Aphakia spectaclesMultifocal fitting
Both involve multifocal spectacles, but 92353 is for a patient with aphakia; 92342 is for a nonaphakic patient.

Codes related to 92342

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

Codes related to 92342
CodeHow it relatesNational office range
Same family
92340Spectacle fitting, monofocal lensesSpectacle fitting for monofocal lenses rather than multifocal lenses.No office rate
92341Bifocal fitting, except aphakiaSpectacle fitting for bifocal lenses rather than multifocal lenses.No office rate
92353Aphakia spectacles, multifocal fittingMultifocal spectacle fitting for a patient with aphakia.No office rate

92342 billing questions

When should 92342 be used instead of 92341?

Use 92342 for multifocal spectacle fitting and 92341 for bifocal spectacle fitting. The lens design determines which code applies.

Does 92342 apply to a patient with aphakia?

No. For multifocal spectacle fitting for a patient with aphakia, the related code is 92353.

Does 92342 describe contact lens fitting?

No. It describes fitting multifocal spectacles; contact lens fitting is a different service.

Does Medicare cover 92342?

No. Its physician fee schedule status is N, meaning Medicare does not cover the service.

Is spectacle repair reported with 92342?

No. 92342 describes a multifocal spectacle fitting, while spectacle repair or refitting is a different 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

Open CMS sourceHow we calculate rates

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