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

CMS doesn’t publish an office rate for 92342 in California.

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

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 in California

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

29 of 29 payment localities

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.

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.

92342 compared with similar codes

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.

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