CPT code 92353: Aphakia spectacles, multifocal fitting2026 Medicare rate & RVUs

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

What 92353 covers

This service covers fitting multifocal spectacles used as an optical prosthesis for a person with aphakia, the absence of the eye’s natural lens. The fitting addresses lens selection and adaptation for useful vision at more than one viewing distance. Ophthalmologists and optometrists commonly determine the optical correction; dispensing optical staff may handle frame adjustments. This code is specific to aphakia and multifocal spectacle correction rather than routine multifocal spectacles or contact lenses.

For Medicare, the physician fee schedule assigns status B: Medicare never pays 92353 separately because its payment is included in payment for other services. Its multifocal designation separates it from the monofocal aphakia fitting code 92352.

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 92353 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

92353 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 92353 rate is calculated

Each of 92353’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 92353

92353 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.

92353 compared with similar codes

How to choose

92352Aphakia spectaclesMonofocal, one eye

Both are aphakia spectacle fittings. Choose 92353 for multifocal lenses and 92352 for monofocal lenses.

92342Spectacle fittingMultifocal lenses

This is the multifocal spectacle fitting code for aphakia. Code 92342 is for multifocal fitting outside the aphakia-specific category.

92312Contact lens fittingAphakia, both eyes

Code 92312 describes contact lens fitting for aphakia in both eyes; 92353 is for multifocal spectacles.

Codes related to 92353

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