$127.74
92072 is the fitting code for keratoconus. Use 92071 for therapeutic contact lens fitting for other ocular surface treatment needs.
On this page
CMS RVU26D · Effective 2026-10-01
92071 Contact lens fitting Medicare reimbursement rates in Guam
Report therapeutic contact lens fitting when an eye care professional selects and fits a lens to protect or support healing of an ocular surface. Compare 92071 office and facility rates across CMS payment localities in Guam.
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 92071 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$37.56
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$26.55
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Ophthalmology
About 92071: Therapeutic contact lens fitting
Report therapeutic contact lens fitting when an eye care professional selects and fits a lens to protect or support healing of an ocular surface.
An ophthalmologist or optometrist may fit a therapeutic contact lens to protect the cornea or support healing of an ocular surface problem, such as a corneal epithelial defect or recurrent erosion. The lens serves a treatment purpose rather than correcting refractive error. The service is typically performed in an office after the clinician assesses the affected eye and determines that a therapeutic lens is appropriate.
Report 92071 for the therapeutic fitting, not for routine vision-correction lens fitting. Documentation should identify the eye and ocular surface condition, the treatment reason for the lens, and the fitting work performed. For bilateral treatment, CMS pays the procedure at 150% when modifier 50 is reported. A separately performed eye examination or diagnostic service should be supported as a distinct service rather than treated as part of the fitting automatically.
CMS billing rules for 92071
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU0.59 · 55%
- Practice expense (office) RVU0.46 · 43%
- Malpractice RVU0.02 · 2%
43.9K
Medicare services in 2024 · #830 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.
92071 compared with similar codes
Office rates for Guam, from the same CMS release.
92310
No office rateContact lens fitting ou
92310 addresses optical contact lens fitting for vision correction. 92071 is for a lens fitted to treat an ocular surface condition.
$98.15
92012 represents an intermediate ophthalmic examination for an established patient; 92071 represents therapeutic lens fitting, not an examination level.
Compare 92071 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$37.56
Facility
$26.55
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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 92071 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
11,675
- Code
- 92071
- Physician work
- 0.59
- Practice expense
- 0.46
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 0.46 | × 1.137 | 0.5230 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 1.1246 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$37.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.46 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.59 × 1 + 0.46 × 1.137 + 0.02 × 0.579) × $33.4009 = $37.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.17 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.59 × 1 + 0.17 × 1.137 + 0.02 × 0.579) × $33.4009 = $26.55
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.
92071 billing questions
When should 92071 be chosen instead of 92072?
Use 92071 for therapeutic contact lens fitting to address an ocular surface condition. Use 92072 when the fitting is for keratoconus.
Is this code for ordinary vision-correction contact lenses?
No. It describes fitting a lens for treatment of an ocular surface problem, not a routine refractive contact lens fitting such as 92310.
How is bilateral fitting reported?
Report modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
What documentation supports 92071?
Record the affected eye, the ocular surface condition, why a therapeutic lens is needed, and the fitting performed.
Can an eye examination also be reported?
A distinct ophthalmic examination may be reported when it is separately performed and documented; the fitting work alone does not establish a separate examination.
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.
11,67292060,TC,Sensorimotor examination,A,,0.00,0.83,,0.83,NA,0.01,0.84,0.84,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,67392065,,Orthop traing pfrmd phys/qhp,A,,0.69,0.45,,0.12,,0.01,1.15,0.82,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67492066,,Orthop traing supvj phys/qhp,A,,0.00,0.77,,0.77,NA,0.01,0.78,0.78,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,67592071,,Contact lens fitting for tx,A,,0.59,0.46,,0.17,,0.02,1.07,0.78,0,XXX,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67692072,,Fitg c-lens keratoconus 1st,A,,1.92,1.67,,0.36,,0.01,3.60,2.29,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67792081,,Limited visual field xm,A,,0.29,0.70,,0.70,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67892081,26,Limited visual field xm,A,,0.29,0.17,,0.17,,0.01,0.47,0.47,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014