92310
No office rateContact lens fitting ou
Use 92313 for a corneoscleral lens. Use 92310 for the specified standard corneal lens fitting.
On this page
CMS RVU26D · Effective 2026-10-01
92313 Contact lens fitting Medicare reimbursement rates in Michigan
Clinician-directed corneoscleral lens fitting with supervised adaptation, commonly used when corneal shape or the ocular surface makes a standard corneal lens unsuitable. Compare 92313 office and facility rates across CMS payment localities in Michigan.
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 92313 in Michigan?
Michigan 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
$89.90–$93.48
2 of 2 localities have a supported rate.
Facility setting
$35.32–$35.78
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.
Contact lens services
About 92313: Corneoscleral contact lens fitting with supervision
Clinician-directed corneoscleral lens fitting with supervised adaptation, commonly used when corneal shape or the ocular surface makes a standard corneal lens unsuitable.
Code 92313 describes a clinician-directed fitting of a corneoscleral contact lens, which vaults the cornea and bears on the sclera. An ophthalmologist or optometrist typically evaluates the eye, selects and assesses trial lenses, and supervises adaptation. This approach is often considered for irregular corneas, such as with keratoconus or after corneal transplantation, and for some ocular-surface conditions. Fitting may include evaluating lens position and clearance, vision, comfort, and the patient’s ability to handle the lens.
Choose this code for the corneoscleral lens service, rather than a standard corneal lens fitting or a technician-performed fitting. Documentation should support the lens type, clinical fitting work, assessment of the trial lens, and the clinician’s supervision of adaptation. The contact lens product is distinct from the fitting service and should be handled separately when reportable. CMS valuation uses work and practice-expense inputs, with practice expense valued differently for office and facility settings.
Where the value comes from
- Work RVU0.90 · 31%
- Practice expense (office) RVU1.95 · 68%
- Malpractice RVU0.01 · 0%
1.4K
Medicare services in 2024 · #2725 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.
92313 compared with similar codes
Office rates for Michigan, from the same CMS release.
$77.59–$81.33
Both concern corneoscleral lenses, but 92317 is the technician-performed fitting code; 92313 describes clinician-directed fitting with medical supervision.
$93.39–$96.87
92311 is for a corneal lens fitting in aphakia in one eye. 92313 identifies a corneoscleral lens fitting.
Compare 92313 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
Detroit →
Office / nonfacility
$93.48
Facility
$35.78
Rest Of Michigan →
Office / nonfacility
$89.90
Facility
$35.32
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92313 billing questions
How is 92313 different from 92310?
92313 is for a corneoscleral lens fitting. 92310 is used for the specified standard corneal lens fitting, not the corneoscleral lens service.
Can a technician-performed corneoscleral fitting be reported with 92313?
92313 describes clinician-directed fitting with medical supervision of adaptation. Code 92317 is the technician fitting counterpart; select the code that matches who performed the service.
Does 92313 include the contact lens itself?
The code describes the fitting and supervised adaptation service, not the lens product. Handle the lens separately when it is independently reportable.
What documentation supports 92313?
Record why a corneoscleral lens was selected, the trial-lens assessment and fitting work, and the clinician’s role in supervising adaptation.
Does the code identify one eye or both eyes?
The code identifies a corneoscleral lens fitting and does not specify an eye in its descriptor. Follow current CPT reporting instructions for units and document the service performed.
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.
11,75492310,,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
11,76092316,,C-lens fitg tech aphakia ou,A,,0.66,2.26,,0.12,,0.01,2.93,0.79,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00