CPT code 92352: Aphakia spectacles, monofocal, one eye2026 Medicare rate & RVUs in Texas
Reports fitting monofocal spectacles for aphakia in one eye when an eye care professional provides spectacle correction for the absent natural lens.
CMS doesn’t publish an office rate for 92352 in Texas.
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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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
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
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
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92352 isn’t priced in this setting.
92352 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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