$92.08–$100.05
92311 is for aphakia fitting in one eye; 92312 is for both eyes and is already priced bilaterally.
On this page
CMS RVU26D · Effective 2026-10-01
92312 Contact lens fitting Medicare reimbursement rates in Georgia
Reports contact lens fitting for aphakia in both eyes, including lens selection and clinical assessment of fit and adaptation. Compare 92312 office and facility rates across CMS payment localities in Georgia.
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.
What does Medicare pay for 92312 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$105.54–$114.57
2 of 2 localities have a supported rate.
Facility setting
$48.33–$49.41
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vision services
About 92312: Bilateral aphakia contact lens fitting
Reports contact lens fitting for aphakia in both eyes, including lens selection and clinical assessment of fit and adaptation.
An ophthalmologist or optometrist uses this code when fitting contact lenses for a patient who is aphakic in both eyes, such as after removal of the crystalline lenses. The service involves assessing the eyes and visual needs, selecting lens characteristics, evaluating fit and vision, and supervising the patient’s adaptation. It is a clinical fitting service, not a report for the contact lenses themselves.
Report 92312 when the fitting addresses aphakia in both eyes; use the unilateral sibling when only one eye is fitted for aphakia. Documentation should identify the aphakia, both eyes, the fitting work performed, lens specifications selected, and the clinical assessment of fit or adaptation. CMS prices this code as bilateral, so report it once for both eyes; modifier 50 does not increase payment.
CMS billing rules for 92312
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.23 · 36%
- Practice expense (office) RVU2.15 · 63%
- Malpractice RVU0.01 · 0%
82
Medicare services in 2024 · #5031 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.
92312 compared with similar codes
Office rates for Georgia, from the same CMS release.
92310
No office rateContact lens fitting ou
92310 is the general bilateral contact lens fitting code. Choose 92312 when the fitting is for aphakia in both eyes.
$89.78–$99.21
92316 is the technician fitting counterpart for bilateral aphakia. Choose 92312 for the physician or other qualified eye-care professional fitting service.
$88.56–$96.73
92313 identifies fitting for a corneoscleral lens. 92312 is selected for bilateral aphakia fitting when that distinct lens type is not the basis for the code.
Compare 92312 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$114.57
Facility
$49.41
Rest Of Georgia →
Office / nonfacility
$105.54
Facility
$48.33
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92312 billing questions
Should 92312 be reported once or once for each eye?
Report 92312 once for a bilateral aphakia fitting. CMS prices the code as bilateral, and modifier 50 does not increase payment.
When is 92311 a better choice?
Use 92311 when the aphakia contact lens fitting is for one eye. 92312 describes the fitting for both eyes.
How does 92312 differ from 92310?
92312 is for fitting contact lenses for aphakia in both eyes. 92310 is the general bilateral fitting code for situations other than aphakia.
How does the technician fitting code differ?
92316 describes a technician-performed bilateral aphakia fitting. 92312 is the corresponding fitting service performed by a physician or other qualified eye-care professional.
What should the record show?
Document aphakia in both eyes, the fitting and lens-selection work, and the assessment of lens fit, vision, or adaptation. The record should make clear that the fitting addressed both eyes.
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.
11,75392288,,Scr dark adaptation meas i&r,N,+,0.17,0.53,,0.53,NA,0.01,0.71,0.71,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75492310,,Contact lens fitting ou,N,+,1.14,1.81,,0.25,,0.07,3.02,1.46,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75592311,,Contact lens fitg aphakia 1,A,,1.05,1.90,,0.20,,0.01,2.96,1.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75692312,,Contact lens fitg aphakia ou,A,,1.23,2.15,,0.23,,0.01,3.39,1.47,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75792313,,C-lens fitg corneosclrl lens,A,,0.90,1.95,,0.16,,0.01,2.86,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75892314,,C-lens fitg tech ou,N,+,0.67,1.93,,0.15,,0.04,2.64,0.86,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,75992315,,C-lens fitg tech aphakia 1,A,,0.44,1.92,,0.08,,0.01,2.37,0.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00