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CMS RVU26D · Effective 2026-10-01

92065 in Chico

Office / nonfacility

$40.09

Base rate per service

Facility setting

$28.01

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Ophthalmology

About 92065: Direct orthoptic or pleoptic training session

Report 92065 for a directly delivered orthoptic or pleoptic training session with continuing medical direction and evaluation, such as therapy for binocular vision dysfunction.

This service covers a hands-on session of orthoptic or pleoptic training delivered in direct contact with the patient. Ophthalmologists, optometrists, or other qualified health care professionals may perform sessions that address visual function, such as binocular coordination or convergence problems. Training may use prescribed eye exercises or other structured activities selected for the patient’s diagnosed condition and treatment goals; it is not simply an eye examination or a recommendation for home exercises.

Report the code for each qualifying session, supported by documentation of the condition treated, the training performed, the patient’s participation and response, and the continuing medical direction and evaluation. The record should distinguish the treatment session from a separately performed assessment, such as a sensorimotor examination. CMS pricing treats this code as bilateral, so modifier 50 does not increase payment.

CMS billing rules for 92065

Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.69 · 60%
  • Practice expense (office) RVU0.45 · 39%
  • Malpractice RVU0.01 · 1%

19K

Medicare services in 2024 · #1166 by national volume

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.

92065 compared with similar codes

Office rates for Chico, from the same CMS release.

92066

Orthoptic training

Supervised service

$28.37

Choose 92065 for training performed in direct patient contact by a physician or other qualified health care professional. Use 92066 for training performed under that professional’s supervision.

92060

Eye alignment test

Multiple deviation measurements

$68.14

92060 is a diagnostic sensorimotor examination of ocular alignment and movement; 92065 is a therapeutic training session.

92014

Comprehensive eye exam

Established patient

$134.98

92014 reports a comprehensive ophthalmological examination for an established patient. It does not describe a therapeutic orthoptic or pleoptic training session.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 92065 is $40.16—$0.07 higher than the $40.09 rate in Chico. Both use the same code, release and participation basis.

92065 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $40.09

  2. Bakersfield

    $40.16

    $0.07 higher than Chico

  3. El Centro

    $40.09

    The same base rate than Chico

  4. Fresno

    $40.09

    The same base rate than Chico

  5. Hanford-Corcoran

    $40.09

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $41.99

    $1.90 higher than Chico

  7. Madera

    $40.09

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92065 ranges from $36.13 in Arkansas to $50.76 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Modesto

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Napa

    California · 92065

    Office

    $44.48

    Facility

    $29.95

    $4.39 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92065

    Office

    $41.67

    Facility

    $28.64

    $1.58 higher than Chico for the office setting.

  • Redding

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92065

    Office

    $40.22

    Facility

    $28.14

    $0.13 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92065

    Office

    $41.54

    Facility

    $28.72

    $1.45 higher than Chico for the office setting.

  • Salinas

    California · 92065

    Office

    $41.36

    Facility

    $28.59

    $1.27 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92065

    Office

    $41.90

    Facility

    $28.71

    $1.81 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92065

    Office

    $46.58

    Facility

    $31.04

    $6.49 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92065

    Office

    $46.57

    Facility

    $31.03

    $6.48 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92065

    Office

    $47.43

    Facility

    $31.54

    $7.34 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92065

    Office

    $47.39

    Facility

    $31.49

    $7.30 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92065

    Office

    $40.74

    Facility

    $28.18

    $0.65 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 92065

    Office

    $41.97

    Facility

    $28.58

    $1.88 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 92065

    Office

    $41.40

    Facility

    $28.54

    $1.31 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 92065

    Office

    $42.37

    Facility

    $28.84

    $2.28 higher than Chico for the office setting.

  • Stockton

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 92065

    Office

    $44.46

    Facility

    $29.93

    $4.37 higher than Chico for the office setting.

  • Visalia

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 92065

    Office

    $40.09

    Facility

    $28.01

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92065

    Office

    $42.37

    Facility

    $29.38

    $2.28 higher than Chico for the office setting.

  • Miami

    Florida · 92065

    Office

    $39.54

    Facility

    $28.06

    $0.55 lower than Chico for the office setting.

  • Chicago

    Illinois · 92065

    Office

    $39.08

    Facility

    $28.00

    $1.01 lower than Chico for the office setting.

  • Manhattan

    New York · 92065

    Office

    $42.52

    Facility

    $29.71

    $2.43 higher than Chico for the office setting.

  • Alaska*

    Alaska · 92065

    Office

    $50.76

    Facility

    $39.02

    $10.67 higher than Chico for the office setting.

  • Alabama

    Alabama · 92065

    Office

    $36.39

    Facility

    $26.74

    $3.70 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 92065

    Office

    $36.13

    Facility

    $26.66

    $3.96 lower than Chico for the office setting.

  • Arizona

    Arizona · 92065

    Office

    $37.90

    Facility

    $27.22

    $2.19 lower than Chico for the office setting.

  • Colorado

    Colorado · 92065

    Office

    $39.58

    Facility

    $27.85

    $0.51 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 92065

    Office

    $40.10

    Facility

    $28.23

    $0.01 higher than Chico for the office setting.

  • Delaware

    Delaware · 92065

    Office

    $38.31

    Facility

    $27.42

    $1.78 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 92065

    Office

    $38.88

    Facility

    $27.71

    $1.21 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 92065

    Office

    $37.92

    Facility

    $27.38

    $2.17 lower than Chico for the office setting.

  • Atlanta

    Georgia · 92065

    Office

    $38.79

    Facility

    $27.59

    $1.30 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 92065

    Office

    $36.85

    Facility

    $27.02

    $3.24 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 92065

    Office

    $40.33

    Facility

    $27.80

    $0.24 higher than Chico for the office setting.

  • Iowa

    Iowa · 92065

    Office

    $36.93

    Facility

    $26.85

    $3.16 lower than Chico for the office setting.

  • Idaho

    Idaho · 92065

    Office

    $37.03

    Facility

    $26.89

    $3.06 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 92065

    Office

    $37.55

    Facility

    $27.41

    $2.54 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 92065

    Office

    $37.29

    Facility

    $27.23

    $2.80 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 92065

    Office

    $39.24

    Facility

    $27.92

    $0.85 lower than Chico for the office setting.

  • Indiana

    Indiana · 92065

    Office

    $37.14

    Facility

    $26.92

    $2.95 lower than Chico for the office setting.

  • Kansas

    Kansas · 92065

    Office

    $36.80

    Facility

    $26.84

    $3.29 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 92065

    Office

    $36.71

    Facility

    $26.92

    $3.38 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 92065

    Office

    $37.57

    Facility

    $27.20

    $2.52 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 92065

    Office

    $36.67

    Facility

    $26.91

    $3.42 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 92065

    Office

    $42.24

    Facility

    $29.07

    $2.15 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92065

    Office

    $39.51

    Facility

    $27.90

    $0.58 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92065

    Office

    $39.96

    Facility

    $28.13

    $0.13 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 92065

    Office

    $38.79

    Facility

    $27.64

    $1.30 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 92065

    Office

    $37.08

    Facility

    $26.94

    $3.01 lower than Chico for the office setting.

  • Southern Maine

    Maine · 92065

    Office

    $38.15

    Facility

    $27.23

    $1.94 lower than Chico for the office setting.

  • Detroit

    Michigan · 92065

    Office

    $38.11

    Facility

    $27.48

    $1.98 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 92065

    Office

    $37.15

    Facility

    $27.08

    $2.94 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 92065

    Office

    $38.61

    Facility

    $27.27

    $1.48 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 92065

    Office

    $37.49

    Facility

    $27.14

    $2.60 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 92065

    Office

    $37.69

    Facility

    $27.20

    $2.40 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 92065

    Office

    $36.33

    Facility

    $26.83

    $3.76 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 92065

    Office

    $36.23

    Facility

    $26.74

    $3.86 lower than Chico for the office setting.

  • Montana**

    Montana · 92065

    Office

    $38.41

    Facility

    $27.39

    $1.68 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 92065

    Office

    $37.28

    Facility

    $27.00

    $2.81 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 92065

    Office

    $38.21

    Facility

    $27.19

    $1.88 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 92065

    Office

    $37.05

    Facility

    $26.87

    $3.04 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 92065

    Office

    $38.99

    Facility

    $27.51

    $1.10 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 92065

    Office

    $42.29

    Facility

    $29.50

    $2.20 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 92065

    Office

    $40.75

    Facility

    $28.71

    $0.66 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 92065

    Office

    $37.23

    Facility

    $27.12

    $2.86 lower than Chico for the office setting.

  • Nevada**

    Nevada · 92065

    Office

    $38.37

    Facility

    $27.34

    $1.72 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92065

    Office

    $43.01

    Facility

    $29.91

    $2.92 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92065

    Office

    $40.95

    Facility

    $28.88

    $0.86 higher than Chico for the office setting.

  • Queens

    New York · 92065

    Office

    $42.77

    Facility

    $29.74

    $2.68 higher than Chico for the office setting.

  • Rest Of New York

    New York · 92065

    Office

    $37.56

    Facility

    $27.09

    $2.53 lower than Chico for the office setting.

  • Ohio

    Ohio · 92065

    Office

    $37.11

    Facility

    $27.04

    $2.98 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 92065

    Office

    $36.73

    Facility

    $26.89

    $3.36 lower than Chico for the office setting.

  • Portland

    Oregon · 92065

    Office

    $40.36

    Facility

    $28.12

    $0.27 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 92065

    Office

    $38.25

    Facility

    $27.27

    $1.84 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92065

    Office

    $39.51

    Facility

    $28.03

    $0.58 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92065

    Office

    $37.16

    Facility

    $27.04

    $2.93 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 92065

    Office

    $38.57

    Facility

    $27.43

    $1.52 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 92065

    Office

    $39.31

    Facility

    $27.92

    $0.78 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 92065

    Office

    $37.22

    Facility

    $27.03

    $2.87 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 92065

    Office

    $38.19

    Facility

    $27.17

    $1.90 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 92065

    Office

    $36.89

    Facility

    $26.87

    $3.20 lower than Chico for the office setting.

  • Austin

    Texas · 92065

    Office

    $39.29

    Facility

    $27.63

    $0.80 lower than Chico for the office setting.

  • Beaumont

    Texas · 92065

    Office

    $37.03

    Facility

    $27.00

    $3.06 lower than Chico for the office setting.

  • Brazoria

    Texas · 92065

    Office

    $38.39

    Facility

    $27.46

    $1.70 lower than Chico for the office setting.

  • Dallas

    Texas · 92065

    Office

    $38.51

    Facility

    $27.53

    $1.58 lower than Chico for the office setting.

  • Fort Worth

    Texas · 92065

    Office

    $38.36

    Facility

    $27.50

    $1.73 lower than Chico for the office setting.

  • Galveston

    Texas · 92065

    Office

    $38.43

    Facility

    $27.49

    $1.66 lower than Chico for the office setting.

  • Houston

    Texas · 92065

    Office

    $38.62

    Facility

    $27.67

    $1.47 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 92065

    Office

    $37.61

    Facility

    $27.15

    $2.48 lower than Chico for the office setting.

  • Utah

    Utah · 92065

    Office

    $37.48

    Facility

    $27.11

    $2.61 lower than Chico for the office setting.

  • Virginia

    Virginia · 92065

    Office

    $38.06

    Facility

    $27.22

    $2.03 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92065

    Office

    $38.57

    Facility

    $27.43

    $1.52 lower than Chico for the office setting.

  • Vermont

    Vermont · 92065

    Office

    $38.10

    Facility

    $27.18

    $1.99 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 92065

    Office

    $39.43

    Facility

    $27.82

    $0.66 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 92065

    Office

    $42.91

    Facility

    $29.39

    $2.82 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 92065

    Office

    $37.55

    Facility

    $26.99

    $2.54 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 92065

    Office

    $36.59

    Facility

    $27.01

    $3.50 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 92065

    Office

    $38.32

    Facility

    $27.30

    $1.77 lower than Chico for the office setting.

See how rates vary across the country

92065 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$36.13

$50.76

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$50.761
AL$36.391
AR$36.131
AZ$37.901
CA$40.09–$47.4329
CO$39.581
CT$40.101
DC$42.371
DE$38.311
FL$37.92–$39.543
GA$36.85–$38.792
GU$40.331
HI$40.331
IA$36.931
ID$37.031
IL$37.29–$39.244
IN$37.141
KS$36.801
KY$36.711
LA$36.67–$37.572
MA$39.51–$42.242
MD$38.79–$42.373
ME$37.08–$38.152
MI$37.15–$38.112
MN$38.611
MO$36.33–$37.693
MS$36.231
MT$38.411
NC$37.281
ND$38.211
NE$37.051
NH$38.991
NJ$40.75–$42.292
NM$37.231
NV$38.371
NY$37.56–$43.015
OH$37.111
OK$36.731
OR$38.25–$40.362
PA$37.16–$39.512
PR$38.571
RI$39.311
SC$37.221
SD$38.191
TN$36.891
TX$37.03–$39.298
UT$37.481
VA$38.06–$42.372
VI$38.571
VT$38.101
WA$39.43–$42.912
WI$37.551
WV$36.591
WY$38.321

Explore 92065 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 92065 in Chico, the physician’s office rate is $40.09 and the facility-setting rate is $28.01: a difference of $12.08.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92065 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$44.10

$40.09 × 110% = $44.10

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92065 in Chico.

PPRRVU2026_Oct_nonQPP.csv

11,673

Code
92065
Physician work
0.69
Practice expense
0.45
Malpractice
0.01

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92065 in Chico
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0170.7017
Practice expense0.45× 1.0960.4932
Malpractice0.01× 0.5360.0054
Total RVUs1.2003
Conversion factor× 33.4009

Office / nonfacility rate, Chico$40.09

Open 92065 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.691.017
Practice expense0.451.096
Malpractice0.010.536

(0.69 × 1.017 + 0.45 × 1.096 + 0.01 × 0.536) × $33.4009 = $40.09

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.691.017
Practice expense0.121.096
Malpractice0.010.536

(0.69 × 1.017 + 0.12 × 1.096 + 0.01 × 0.536) × $33.4009 = $28.01

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92065 · Office / nonfacility

$40.09

Effective 2026-10-01

The base rate is unchanged from 2025-10-01: $40.09 in both releases.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $40.09changed to$40.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense RVU 0.47 changed to 0.45
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $40.09

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$40.09$28.01RVU26D
2026-07-01$40.09$28.01RVU26C
2026-04-01$40.09$28.01RVU26B
2026-01-01$40.09$28.01RVU26A
2025-10-01$40.09$32.31RVU25D
2025-07-01$40.09$32.31RVU25C
2025-04-01$40.09$32.31RVU25B
2025-01-01$40.09$32.31RVU25A

92065 billing questions

How does 92065 differ from 92066?

92065 is for training delivered in direct contact with the patient by a physician or other qualified health care professional. 92066 describes training performed under a physician’s or qualified health care professional’s supervision.

Can 92065 be reported with a sensorimotor examination?

Yes, when a distinct sensorimotor examination is performed and documented in addition to the training session. The examination evaluates alignment or eye movement; the training is the therapeutic service.

Should modifier 50 be appended?

No. CMS pricing already treats 92065 as bilateral, and modifier 50 does not increase payment.

What documentation supports a session?

Document the treated visual condition, the specific training activities, direct patient participation, the response or progress, and the continuing medical direction and evaluation.

Is 92065 reported per hour or per exercise?

The code is reported for each qualifying training session, not separately for each exercise. The record should identify the session and the services delivered.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92065PPRRVU2026_Oct_nonQPP.csv, line 11,673 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet