Billing code 92060: Eye alignment testMedicare rate & RVUs

Medicare pays $64.13 for 92060 nationally in the office. Local office rates run $58.01–$84.44.

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

What 92060 covers

An ophthalmologist or optometrist uses this examination to quantify how the eyes align and move, rather than relying only on a routine motility screen. Measurements may assess eye position at different fixation distances or gaze positions, as appropriate to the presentation. It is commonly used when a patient reports double vision or has suspected strabismus, a paretic eye muscle, or restricted movement. The service may be performed in an office or facility setting, with findings interpreted and reported by the clinician.

Choose the code when the record supports multiple measurements of ocular deviation and a documented interpretation; a general eye examination alone does not establish that work. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.

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 92060 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

92060 rates by state

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

How the 92060 rate is calculated

Each of 92060’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 92060

The CMS indicators that decide how 92060 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

92060 compared with similar codes

How to choose

92012Eye exam

92012 reports an intermediate ophthalmic examination; 92060 reports quantitative eye-alignment and movement testing. The general examination alone does not support 92060.

92014Comprehensive eye exam

92014 is a comprehensive ophthalmic examination, while 92060 captures multiple measurements of ocular deviation with interpretation. Use both only when each service is performed and documented.

92065Orthoptic training

92065 reports orthoptic training, a treatment service. 92060 is diagnostic measurement and interpretation of ocular alignment and movement.

92081Visual field test

92081 reports limited visual-field testing. It evaluates visual-field function rather than measuring ocular alignment or movement.

Codes related to 92060

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