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CMS RVU26D · Effective 2026-10-01

92072 in El Centro

Office / nonfacility

$126.53

Base rate per service

Facility setting

$78.58

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.

Contact lens services

About 92072: Initial keratoconus contact lens fitting

An initial specialty contact lens fitting for keratoconus, reported when an eye-care clinician selects and evaluates a lens to manage corneal irregularity.

Ophthalmologists and optometrists use this service to fit a contact lens for a patient with keratoconus, whose irregular corneal shape can limit vision with spectacles. The clinician evaluates lens position, movement, vision, and fit; rigid gas-permeable and scleral lenses are common options. The service may take place in an ophthalmology or optometry office where the clinician can assess the cornea and evaluate the lens on the eye.

Report 92072 for the initial fitting specifically for keratoconus, rather than a general contact lens fitting or a therapeutic lens fitting for an ocular-surface condition. Documentation should identify keratoconus and support the fitting work, including the lens fit and clinical assessment. CMS prices this code as bilateral, so modifier 50 does not increase payment. The CMS bilateral pricing applies whether the fitting involves one eye or both.

CMS billing rules for 92072

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

Where the value comes from

  • Work RVU1.92 · 53%
  • Practice expense (office) RVU1.67 · 46%
  • Malpractice RVU0.01 · 0%

2K

Medicare services in 2024 · #2449 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.

92072 compared with similar codes

Office rates for El Centro, from the same CMS release.

92071

Contact lens fitting

Ocular surface treatment

$37.24

Choose 92072 for an initial contact lens fitting to manage keratoconus. Choose 92071 when the lens is fitted to treat an ocular-surface condition.

92310

Contact lens fitting ou

No office rate

92310 describes a general contact lens fitting. 92072 is the keratoconus-specific code for the initial fitting.

92025

Corneal topography

Computerized curvature map

$39.37

92025 reports computerized corneal topography, not the contact lens fitting itself. 92072 reports the initial fitting for keratoconus.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 92072 is $126.69—$0.16 higher than the $126.53 rate in El Centro. Both use the same code, release and participation basis.

92072 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $126.53

  2. $0.16 higher than El Centro

  3. Chico

    $126.53

    The same base rate than El Centro

  4. Fresno

    $126.53

    The same base rate than El Centro

  5. The same base rate than El Centro

  6. $6.44 higher than El Centro

  7. Madera

    $126.53

    The same base rate than El Centro

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, 92072 ranges from $112.22 in Arkansas to $155.78 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 · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Napa

    California · 92072

    Office

    $141.86

    Facility

    $84.19

    $15.33 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92072

    Office

    $132.06

    Facility

    $80.35

    $5.53 higher than El Centro for the office setting.

  • Redding

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92072

    Office

    $126.70

    Facility

    $78.75

    $0.17 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92072

    Office

    $131.49

    Facility

    $80.60

    $4.96 higher than El Centro for the office setting.

  • Salinas

    California · 92072

    Office

    $130.95

    Facility

    $80.23

    $4.42 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92072

    Office

    $132.95

    Facility

    $80.62

    $6.42 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92072

    Office

    $149.02

    Facility

    $87.33

    $22.49 higher than El Centro for the office setting.

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

    California · 92072

    Office

    $149.01

    Facility

    $87.32

    $22.48 higher than El Centro for the office setting.

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

    California · 92072

    Office

    $151.80

    Facility

    $88.70

    $25.27 higher than El Centro for the office setting.

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

    California · 92072

    Office

    $151.75

    Facility

    $88.66

    $25.22 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92072

    Office

    $128.93

    Facility

    $79.09

    $2.40 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 92072

    Office

    $133.43

    Facility

    $80.27

    $6.90 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 92072

    Office

    $131.14

    Facility

    $80.12

    $4.61 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 92072

    Office

    $134.73

    Facility

    $81.00

    $8.20 higher than El Centro for the office setting.

  • Stockton

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 92072

    Office

    $141.84

    Facility

    $84.17

    $15.31 higher than El Centro for the office setting.

  • Visalia

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 92072

    Office

    $126.53

    Facility

    $78.58

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92072

    Office

    $133.67

    Facility

    $82.13

    $7.14 higher than El Centro for the office setting.

  • Miami

    Florida · 92072

    Office

    $123.04

    Facility

    $77.49

    $3.49 lower than El Centro for the office setting.

  • Chicago

    Illinois · 92072

    Office

    $121.40

    Facility

    $77.43

    $5.13 lower than El Centro for the office setting.

  • Manhattan

    New York · 92072

    Office

    $133.58

    Facility

    $82.74

    $7.05 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 92072

    Office

    $155.78

    Facility

    $109.18

    $29.25 higher than El Centro for the office setting.

  • Alabama

    Alabama · 92072

    Office

    $113.13

    Facility

    $74.84

    $13.40 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 92072

    Office

    $112.22

    Facility

    $74.63

    $14.31 lower than El Centro for the office setting.

  • Arizona

    Arizona · 92072

    Office

    $118.47

    Facility

    $76.07

    $8.06 lower than El Centro for the office setting.

  • Colorado

    Colorado · 92072

    Office

    $124.51

    Facility

    $77.95

    $2.02 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 92072

    Office

    $125.89

    Facility

    $78.77

    $0.64 lower than El Centro for the office setting.

  • Delaware

    Delaware · 92072

    Office

    $119.86

    Facility

    $76.63

    $6.67 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 92072

    Office

    $121.24

    Facility

    $76.91

    $5.29 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 92072

    Office

    $117.96

    Facility

    $76.13

    $8.57 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 92072

    Office

    $121.40

    Facility

    $76.94

    $5.13 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 92072

    Office

    $114.28

    Facility

    $75.25

    $12.25 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 92072

    Office

    $127.74

    Facility

    $77.99

    $1.21 higher than El Centro for the office setting.

  • Iowa

    Iowa · 92072

    Office

    $115.30

    Facility

    $75.26

    $11.23 lower than El Centro for the office setting.

  • Idaho

    Idaho · 92072

    Office

    $115.60

    Facility

    $75.35

    $10.93 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 92072

    Office

    $116.12

    Facility

    $75.86

    $10.41 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 92072

    Office

    $115.58

    Facility

    $75.63

    $10.95 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 92072

    Office

    $122.46

    Facility

    $77.52

    $4.07 lower than El Centro for the office setting.

  • Indiana

    Indiana · 92072

    Office

    $116.00

    Facility

    $75.44

    $10.53 lower than El Centro for the office setting.

  • Kansas

    Kansas · 92072

    Office

    $114.72

    Facility

    $75.17

    $11.81 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 92072

    Office

    $114.02

    Facility

    $75.12

    $12.51 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 92072

    Office

    $117.00

    Facility

    $75.82

    $9.53 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 92072

    Office

    $113.81

    Facility

    $75.09

    $12.72 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 92072

    Office

    $133.66

    Facility

    $81.41

    $7.13 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92072

    Office

    $124.16

    Facility

    $78.08

    $2.37 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92072

    Office

    $125.42

    Facility

    $78.47

    $1.11 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 92072

    Office

    $121.53

    Facility

    $77.25

    $5.00 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 92072

    Office

    $115.65

    Facility

    $75.40

    $10.88 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 92072

    Office

    $119.62

    Facility

    $76.26

    $6.91 lower than El Centro for the office setting.

  • Detroit

    Michigan · 92072

    Office

    $118.52

    Facility

    $76.30

    $8.01 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 92072

    Office

    $115.43

    Facility

    $75.49

    $11.10 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 92072

    Office

    $121.63

    Facility

    $76.60

    $4.90 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 92072

    Office

    $116.83

    Facility

    $75.75

    $9.70 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 92072

    Office

    $117.57

    Facility

    $75.91

    $8.96 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 92072

    Office

    $112.54

    Facility

    $74.82

    $13.99 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 92072

    Office

    $112.40

    Facility

    $74.73

    $14.13 lower than El Centro for the office setting.

  • Montana**

    Montana · 92072

    Office

    $120.24

    Facility

    $76.49

    $6.29 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 92072

    Office

    $116.39

    Facility

    $75.56

    $10.14 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 92072

    Office

    $120.04

    Facility

    $76.29

    $6.49 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 92072

    Office

    $115.74

    Facility

    $75.35

    $10.79 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 92072

    Office

    $122.49

    Facility

    $76.94

    $4.04 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 92072

    Office

    $133.23

    Facility

    $82.47

    $6.70 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 92072

    Office

    $127.97

    Facility

    $80.19

    $1.44 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 92072

    Office

    $115.68

    Facility

    $75.56

    $10.85 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 92072

    Office

    $120.24

    Facility

    $76.44

    $6.29 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92072

    Office

    $135.18

    Facility

    $83.15

    $8.65 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92072

    Office

    $128.50

    Facility

    $80.59

    $1.97 higher than El Centro for the office setting.

  • Queens

    New York · 92072

    Office

    $134.65

    Facility

    $82.93

    $8.12 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 92072

    Office

    $117.36

    Facility

    $75.79

    $9.17 lower than El Centro for the office setting.

  • Ohio

    Ohio · 92072

    Office

    $115.39

    Facility

    $75.44

    $11.14 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 92072

    Office

    $114.20

    Facility

    $75.13

    $12.33 lower than El Centro for the office setting.

  • Portland

    Oregon · 92072

    Office

    $127.38

    Facility

    $78.76

    $0.85 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 92072

    Office

    $119.92

    Facility

    $76.34

    $6.61 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92072

    Office

    $123.75

    Facility

    $78.20

    $2.78 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92072

    Office

    $115.65

    Facility

    $75.48

    $10.88 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 92072

    Office

    $120.85

    Facility

    $76.62

    $5.68 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 92072

    Office

    $123.27

    Facility

    $78.07

    $3.26 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 92072

    Office

    $115.95

    Facility

    $75.52

    $10.58 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 92072

    Office

    $120.02

    Facility

    $76.27

    $6.51 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 92072

    Office

    $115.01

    Facility

    $75.24

    $11.52 lower than El Centro for the office setting.

  • Austin

    Texas · 92072

    Office

    $123.57

    Facility

    $77.28

    $2.96 lower than El Centro for the office setting.

  • Beaumont

    Texas · 92072

    Office

    $115.20

    Facility

    $75.38

    $11.33 lower than El Centro for the office setting.

  • Brazoria

    Texas · 92072

    Office

    $120.18

    Facility

    $76.82

    $6.35 lower than El Centro for the office setting.

  • Dallas

    Texas · 92072

    Office

    $120.55

    Facility

    $76.97

    $5.98 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 92072

    Office

    $120.00

    Facility

    $76.85

    $6.53 lower than El Centro for the office setting.

  • Galveston

    Texas · 92072

    Office

    $120.31

    Facility

    $76.86

    $6.22 lower than El Centro for the office setting.

  • Houston

    Texas · 92072

    Office

    $120.49

    Facility

    $77.04

    $6.04 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 92072

    Office

    $117.37

    Facility

    $75.84

    $9.16 lower than El Centro for the office setting.

  • Utah

    Utah · 92072

    Office

    $116.86

    Facility

    $75.73

    $9.67 lower than El Centro for the office setting.

  • Virginia

    Virginia · 92072

    Office

    $119.20

    Facility

    $76.19

    $7.33 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92072

    Office

    $120.85

    Facility

    $76.62

    $5.68 lower than El Centro for the office setting.

  • Vermont

    Vermont · 92072

    Office

    $119.52

    Facility

    $76.20

    $7.01 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 92072

    Office

    $123.95

    Facility

    $77.88

    $2.58 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 92072

    Office

    $136.05

    Facility

    $82.36

    $9.52 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 92072

    Office

    $117.67

    Facility

    $75.75

    $8.86 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 92072

    Office

    $113.08

    Facility

    $75.06

    $13.45 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 92072

    Office

    $120.16

    Facility

    $76.40

    $6.37 lower than El Centro for the office setting.

See how rates vary across the country

92072 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$112.22

$155.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$155.781
AL$113.131
AR$112.221
AZ$118.471
CA$126.53–$151.8029
CO$124.511
CT$125.891
DC$133.671
DE$119.861
FL$117.96–$123.043
GA$114.28–$121.402
GU$127.741
HI$127.741
IA$115.301
ID$115.601
IL$115.58–$122.464
IN$116.001
KS$114.721
KY$114.021
LA$113.81–$117.002
MA$124.16–$133.662
MD$121.53–$133.673
ME$115.65–$119.622
MI$115.43–$118.522
MN$121.631
MO$112.54–$117.573
MS$112.401
MT$120.241
NC$116.391
ND$120.041
NE$115.741
NH$122.491
NJ$127.97–$133.232
NM$115.681
NV$120.241
NY$117.36–$135.185
OH$115.391
OK$114.201
OR$119.92–$127.382
PA$115.65–$123.752
PR$120.851
RI$123.271
SC$115.951
SD$120.021
TN$115.011
TX$115.20–$123.578
UT$116.861
VA$119.20–$133.672
VI$120.851
VT$119.521
WA$123.95–$136.052
WI$117.671
WV$113.081
WY$120.161

Explore 92072 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.

Why are the office and facility amounts different?

For 92072 in El Centro, the physician’s office rate is $126.53 and the facility-setting rate is $78.58: a difference of $47.95.

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 92072 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$139.18

$126.53 × 110% = $139.18

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 92072 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

11,676

Code
92072
Physician work
1.92
Practice expense
1.67
Malpractice
0.01

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 92072 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0171.9526
Practice expense1.67× 1.0961.8303
Malpractice0.01× 0.5410.0054
Total RVUs3.7884
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$126.53

Open 92072 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.921.017
Practice expense1.671.096
Malpractice0.010.541

(1.92 × 1.017 + 1.67 × 1.096 + 0.01 × 0.541) × $33.4009 = $126.53

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.921.017
Practice expense0.361.096
Malpractice0.010.541

(1.92 × 1.017 + 0.36 × 1.096 + 0.01 × 0.541) × $33.4009 = $78.58

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

92072 · Office / nonfacility

$126.53

Effective 2026-10-01

The base rate is $1.09 higher than on 2025-10-01, moving from $125.44 to $126.53 (0.9%).

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

    $125.44changed to$126.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.97 changed to 1.92
    • Practice expense RVU 1.71 changed to 1.67
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $125.44

    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$126.53$78.58RVU26D
2026-07-01$126.53$78.58RVU26C
2026-04-01$126.53$78.58RVU26B
2026-01-01$126.53$78.58RVU26A
2025-10-01$125.44$91.50RVU25D
2025-07-01$125.44$91.50RVU25C
2025-04-01$125.44$91.50RVU25B
2025-01-01$125.44$91.50RVU25A

92072 billing questions

How is 92072 different from 92071?

92072 is for an initial contact lens fitting to manage keratoconus. 92071 is for fitting a contact lens to treat an ocular-surface condition.

Can 92072 be reported for one eye?

Yes. CMS prices 92072 as bilateral even when the fitting involves only one eye.

Should modifier 50 be appended?

Modifier 50 does not increase payment for 92072 because CMS already prices the code as bilateral.

Is corneal topography part of the fitting?

92072 represents the contact lens fitting, while 92025 represents computerized corneal topography. Report topography separately only when it is performed and documented as a distinct service.

What documentation supports 92072?

Document keratoconus as the reason for the fitting and describe the lens assessment, including fit and clinical evaluation.

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 92072PPRRVU2026_Oct_nonQPP.csv, line 11,676 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)