Billing code 92066: Orthoptic trainingMedicare rate & RVUs in Florida
Reports the technical service for orthoptic training under physician or qualified health care professional supervision, separately from its interpretation.
Medicare pays $25.09–$27.62 for 92066 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
What 92066 covers
This code represents the technical work of orthoptic training delivered under a physician’s or other qualified health care professional’s supervision. Orthoptic training is used for binocular vision and eye-alignment problems, with exercises intended to improve coordinated use of the eyes. The training may be carried out by supporting staff in an office setting; the supervising professional directs the service. This code is distinct from training performed directly by a physician or qualified health care professional.
Report the code for the supervised training service, with documentation identifying the training provided and the supervising professional. CMS treats it as technical-component-only; a separate code covers interpretation. The Medicare relative value units assign no physician work and include practice expense and malpractice components. Payment is priced as bilateral, so modifier 50 does not increase payment. The code’s units should reflect the documented service; do not infer a time-based unit from the supervision language.
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 92066 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$25.09 to $27.62
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $26.66 | Unavailable |
| Miami | $27.62 | Unavailable |
| Rest Of Florida | $25.09 | Unavailable |
How the 92066 rate is calculated
Each of 92066’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 · 92066
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 0.77Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92066
The CMS indicators that decide how 92066 is paid alongside other services.
CMS payment indicators · 92066
Orthoptic training
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
92066 compared with similar codes
Compare codes
92066 vs 92065 vs 92060 vs 92012: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92065Orthoptic training
- Use 92066 for the supervised technical training service. Use 92065 when a physician or qualified health care professional performs the orthoptic training.
- 92060Eye alignment test
- 92060 reports a sensorimotor examination used to assess eye alignment and movement; 92066 reports supervised training rather than that diagnostic examination.
- 92012Eye exam
- 92012 is an intermediate ophthalmological examination. It does not represent the supervised orthoptic training service reported with 92066.
92066 billing questions
How does 92066 differ from 92065?
92066 represents supervised orthoptic training as a technical service. 92065 is the related code for training performed by a physician or other qualified health care professional.
Is 92066 a technical-component-only code?
Yes. CMS identifies 92066 as technical-component-only, with a separate code covering interpretation.
Should modifier 50 be appended?
No. CMS prices 92066 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 92066?
Document the orthoptic training provided and the physician or qualified health care professional supervising it. The record should make clear that the service was supervised rather than performed directly by that professional.
Can 92060 be reported on the same date?
A sensorimotor examination may be reported when it is a distinct service from the orthoptic training. Document the examination separately from the training activity.
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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