Billing code 92317: Contact lens fittingMedicare rate & RVUs
Report this service when a technician performs fitting work for a corneoscleral contact lens, rather than a standard contact lens fitting.
Medicare pays $83.50 for 92317 nationally in the office and $17.70 in a hospital or facility. Local office rates run $73.69–$115.23.
Medicare rate · 92317
Contact lens fitting
Swap in your local Medicare rate.
- Work RVUs
- 0.44
- Total RVUs
- 2.50
- Global days
- XXX
National rate · 2026
$83.50
Office setting, before claim adjustments.
See every locality for 92317 → · 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.
On this page 10 sections
What 92317 covers
This service covers technician-performed fitting of a corneoscleral contact lens. It may be part of specialty lens care for an irregular corneal surface, such as with keratoconus or corneal scarring. An optometrist or ophthalmologist may direct the patient’s contact lens care, while a trained technician carries out fitting tasks such as assessing trial-lens fit and refining lens parameters.
Choose the code for the corneoscleral lens design and technician-performed fitting; codes 92313 and 92314 describe different fitting circumstances. Documentation should identify the lens design, clinical reason for the fitting, technician’s work, and relevant fit or parameter findings. The CMS physician fee schedule assigns work, practice-expense, and malpractice values to this service, with practice-expense inputs for office and facility settings.
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 92317 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$73.69 to $115.23
109 of 109 payment localities
92317 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$73.69
$102.70
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $95.15 | 1 |
| AL | $74.80 | 1 |
| AR | $73.69 | 1 |
| AZ | $81.33 | 1 |
| CA | $90.17–$115.23 | 29 |
| CO | $87.99 | 1 |
| CT | $89.14 | 1 |
| DC | $96.52 | 1 |
| DE | $82.72 | 1 |
| FL | $80.66–$86.82 | 3 |
| GA | $76.17–$84.71 | 2 |
| GU | $92.74 | 1 |
| HI | $92.74 | 1 |
| IA | $77.48 | 1 |
| ID | $77.85 | 1 |
| IL | $77.73–$85.71 | 4 |
| IN | $78.33 | 1 |
| KS | $76.76 | 1 |
| KY | $75.87 | 1 |
| LA | $75.61–$79.51 | 2 |
| MA | $87.30–$97.35 | 2 |
| MD | $84.44–$96.52 | 3 |
| ME | $77.90–$82.76 | 2 |
| MI | $77.59–$81.33 | 2 |
| MN | $85.25 | 1 |
| MO | $74.04–$80.22 | 3 |
| MS | $73.90 | 1 |
| MT | $83.50 | 1 |
| NC | $78.79 | 1 |
| ND | $83.30 | 1 |
| NE | $78.02 | 1 |
| NH | $86.27 | 1 |
| NJ | $90.42–$95.41 | 2 |
| NM | $77.89 | 1 |
| NV | $83.51 | 1 |
| NY | $79.98–$97.67 | 5 |
| OH | $77.55 | 1 |
| OK | $76.10 | 1 |
| OR | $83.13–$91.25 | 2 |
| PA | $77.87–$86.64 | 2 |
| PR | $84.25 | 1 |
| RI | $86.00 | 1 |
| SC | $78.25 | 1 |
| SD | $83.28 | 1 |
| TN | $77.12 | 1 |
| TX | $77.32–$87.46 | 8 |
| UT | $79.36 | 1 |
| VA | $82.24–$96.52 | 2 |
| VI | $84.25 | 1 |
| VT | $82.65 | 1 |
| WA | $87.24–$99.72 | 2 |
| WI | $80.40 | 1 |
| WV | $74.68 | 1 |
| WY | $83.42 | 1 |
How the 92317 rate is calculated
Each of 92317’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 · 92317
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.44Practice expense 2.05Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92317
92317 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 · 92317
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$83.50
The facility rate would be $17.70 (+$65.80). In a facility, the facility bills its own costs separately.
92317 compared with similar codes
Compare codes
92317 vs 92313 vs 92314 vs 92315 vs 92316: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92313Contact lens fitting
- Both concern corneoscleral lenses; 92317 is for technician-performed fitting, while 92313 is the clinician-performed fitting code.
- 92314C-lens fitg tech ou
- 92314 is technician fitting for a non-aphakic contact lens circumstance; 92317 identifies corneoscleral lens fitting.
- 92315Contact lens fitting
- 92315 is technician fitting for aphakia in one eye. Choose 92317 for a corneoscleral lens fitting instead.
- 92316Contact lens fitting
- 92316 is technician fitting for aphakia in both eyes. The corneoscleral lens design distinguishes 92317.
92317 billing questions
Is 92317 used for every contact lens fitting performed by a technician?
No. It is specific to technician-performed fitting of a corneoscleral lens. A standard contact lens fitting or an aphakia fitting belongs to a different code circumstance.
How does 92317 differ from 92313?
Both concern corneoscleral lens fitting, but 92317 identifies a technician-performed fitting. Use 92313 for the corresponding fitting service performed by the clinician.
What should the record support?
Document the corneoscleral lens design, reason for specialty fitting, technician’s fitting work, and findings that support the selected lens parameters.
Does the code descriptor establish separate units for each eye?
The descriptor identifies the corneoscleral lens fitting but does not establish a per-eye unit rule. Do not infer separate units from the descriptor alone.
Is 92317 a technical component of an eye examination?
No such component relationship is indicated by the code facts. The code describes a technician-performed contact lens fitting service.
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
Show the CMS file lines behind this rate
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