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CPT code 92352: Aphakia spectacles, monofocal, one eye2026 Medicare rate & RVUs

Reports fitting monofocal spectacles for aphakia in one eye when an eye care professional provides spectacle correction for the absent natural lens.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 92352

Aphakia spectacles, monofocal, one eye

Office or facility?

Work RVUs
0.36
Total RVUs
0.46
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 92352 →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 92352 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 92352 covers

This service covers fitting monofocal spectacles for a person with aphakia, or absence of the eye’s natural lens, in one eye. Aphakia may follow cataract removal. An ophthalmologist or optometrist may provide or report the fitting as part of eye care, with the lens arrangement selected to correct the affected eye. This code is for spectacles, not contact lens fitting, and distinguishes a monofocal design from multifocal aphakic spectacles. The fitting is directed to spectacle correction for the aphakic eye; contact lens fitting codes identify a different optical device.

Medicare assigns this code physician fee schedule status B, meaning it is never paid separately; its payment is included in payment for other services. The code identifies fitting for one eye.

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 92352 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

92352 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

92352 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
92352 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 92352 rate is calculated

Each of 92352’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 · 92352

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.36

0.36 RVUs× 1.000 GPCI

Practice expense0.93

0.93 RVUs× 1.000 GPCI

Malpractice0.02

0.02 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 92352

92352 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 · 92352

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

92352 isn’t priced in this setting.

92352 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92352

    Aphakia spectacles, monofocal, one eye0.36 wRVU

    Not priced

  • 92353

    Aphakia spectacles, multifocal fitting0.49 wRVU

    Not priced

  • 92340

    Spectacle fitting, monofocal lenses0.36 wRVU

    Not priced

  • 92311

    Contact lens fitting, aphakia, one eye1.05 wRVU

    $98.87

How to choose

92353Aphakia spectaclesMultifocal fitting
Both concern spectacle fitting for aphakia. Choose 92352 for a monofocal design and 92353 for a multifocal design.
92340Spectacle fittingMonofocal lenses
92352 identifies monofocal spectacle fitting for aphakia in one eye; 92340 is the general monofocal spectacle-fitting code.
92311Contact lens fittingAphakia, one eye
92311 is for aphakia contact lens fitting in one eye, while 92352 is for monofocal spectacle fitting in one eye.

Codes related to 92352

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

Codes related to 92352
CodeHow it relatesNational office range
Same family
92353Aphakia spectacles, multifocal fittingAphakic spectacle fitting with a multifocal rather than monofocal lens design.No office rate
Used instead
92340Spectacle fitting, monofocal lensesGeneral monofocal spectacle fitting when the service is not aphakia-specific.No office rate
92311Contact lens fitting, aphakia, one eyeAphakia contact lens fitting for one eye, rather than spectacle fitting.$89.76–$130.62
92312Contact lens fitting, aphakia, both eyesAphakia contact lens fitting for both eyes, rather than spectacle fitting.$102.94–$149.33

92352 billing questions

When should this code be selected instead of 92353?

Use this code for monofocal aphakic spectacles in one eye. Code 92353 is for multifocal aphakic spectacle fitting.

Is this for fitting contact lenses?

No. This code describes fitting spectacles for aphakia. For aphakia contact lens fitting, compare 92311 for one eye and 92312 for both eyes.

Does Medicare pay this code separately?

No. Its physician fee schedule status is B, so Medicare includes payment in payment for other services rather than paying it separately.

Does the code describe fitting for one eye or both?

It identifies monofocal aphakic spectacle fitting for one eye.

How does this differ from 92340?

This code identifies monofocal spectacle fitting for aphakia in one eye. Code 92340 is the general monofocal spectacle-fitting code.

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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