$23.42
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.
On this page
CMS RVU26D · Effective 2026-10-01
92065 Orthoptic training Medicare reimbursement rates in Kansas
Report 92065 for a directly delivered orthoptic or pleoptic training session with continuing medical direction and evaluation, such as therapy for binocular vision dysfunction. Compare 92065 office and facility rates across CMS payment localities in Kansas.
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 92065 in Kansas?
Kansas 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
$36.80
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$26.84
1 of 1 localities have a supported rate.
Payment area: Kansas
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 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 Kansas, from the same CMS release.
$59.85
92060 is a diagnostic sensorimotor examination of ocular alignment and movement; 92065 is a therapeutic training session.
$119.06
92014 reports a comprehensive ophthalmological examination for an established patient. It does not describe a therapeutic orthoptic or pleoptic training session.
Compare 92065 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
Kansas →
Office / nonfacility
$36.80
Facility
$26.84
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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 92065 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
11,673
- Code
- 92065
- Physician work
- 0.69
- Practice expense
- 0.45
- Malpractice
- 0.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.69 | × 1.000 | 0.6900 |
| Practice expense | 0.45 | × 0.904 | 0.4068 |
| Malpractice | 0.01 | × 0.504 | 0.0050 |
| Total RVUs | 1.1018 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$36.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 0.45 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.69 × 1 + 0.45 × 0.904 + 0.01 × 0.504) × $33.4009 = $36.80
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 0.12 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.69 × 1 + 0.12 × 0.904 + 0.01 × 0.504) × $33.4009 = $26.84
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.
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.
11,67092060,,Sensorimotor examination,A,,0.67,1.23,,1.23,NA,0.02,1.92,1.92,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67192060,26,Sensorimotor examination,A,,0.67,0.40,,0.40,,0.01,1.08,1.08,1,XXX,0.00,0.00,0.00,7,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,67292060,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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958