$93.77
Both codes address a one-eye aphakia fitting. Choose 92315 when the technician performs the fitting; 92311 is the counterpart without that technician distinction.
On this page
CMS RVU26D · Effective 2026-10-01
92315 Contact lens fitting Medicare reimbursement rates in Nebraska
Report this service when a technician fits a corneal contact lens for one aphakic eye under medical supervision of the adaptation process. Compare 92315 office and facility rates across CMS payment localities in Nebraska.
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 92315 in Nebraska?
Nebraska 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
$74.01
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$17.29
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Contact lens services
About 92315: Technician contact lens fitting for aphakia
Report this service when a technician fits a corneal contact lens for one aphakic eye under medical supervision of the adaptation process.
This code describes technician-performed fitting of a corneal contact lens for one eye without a natural lens. Aphakia may follow cataract extraction or another lens-removal procedure. In an ophthalmology or optometry practice, the technician may assess lens fit and movement, evaluate the patient’s response to a trial lens, and assist with adaptation under medical supervision. The code is specific to one aphakic eye; it is not the bilateral fitting code or the technician code for a patient without aphakia.
Report 92315 when the documented service is a technician fitting for one aphakic eye. The record should identify the eye and aphakia, and describe the fitting work, such as trial-lens assessment and adaptation follow-up. Distinguish the technician service from a fitting performed by the eye-care professional, from a bilateral aphakic fitting, and from modification or replacement of an existing lens. The CMS facts supplied for this code contain no additional payment-rule instructions.
Where the value comes from
- Work RVU0.44 · 19%
- Practice expense (office) RVU1.92 · 81%
- Malpractice RVU0.01 · 0%
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.
92315 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$91.84
Both are technician fittings for aphakia. 92315 is for one eye, while 92316 describes fitting both eyes.
92314
No office rateC-lens fitg tech ou
Both describe technician contact lens fitting, but 92315 is for one aphakic eye; 92314 is the bilateral fitting code for a patient without aphakia.
$107.49
Both concern bilateral aphakia fitting. 92315 is for one eye and specifies technician performance, while 92312 is the bilateral counterpart without that distinction.
Compare 92315 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
Nebraska →
Office / nonfacility
$74.01
Facility
$17.29
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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 92315 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
11,759
- Code
- 92315
- Physician work
- 0.44
- Practice expense
- 1.92
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.000 | 0.4400 |
| Practice expense | 1.92 | × 0.923 | 1.7722 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 2.2159 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$74.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 1.92 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.44 × 1 + 1.92 × 0.923 + 0.01 × 0.378) × $33.4009 = $74.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 0.08 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.44 × 1 + 0.08 × 0.923 + 0.01 × 0.378) × $33.4009 = $17.29
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.
92315 billing questions
When should 92315 be chosen over 92311?
Use 92315 when a technician performs the fitting for one aphakic eye under medical supervision. 92311 is the corresponding one-eye aphakia fitting code without the technician distinction.
Is 92315 for one eye or both eyes?
It describes fitting for one aphakic eye. For a technician fitting both aphakic eyes, consider 92316.
Does the patient need to be aphakic?
Yes. This code is for a corneal contact lens fitting in an eye without a natural lens, such as after lens extraction.
What documentation supports reporting 92315?
Document which eye is aphakic, the technician-performed fitting, and the fitting or trial-lens assessment and adaptation work.
Is 92315 the code for changing or replacing a contact lens?
No. It describes a fitting service. Lens modification and replacement are distinct services represented by other codes.
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.
11,75692312,,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
11,76192317,,C-lens fitg tech corneosclrl,A,,0.44,2.05,,0.08,,0.01,2.50,0.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,76292325,,Modification of contact lens,A,,0.00,1.39,,1.39,NA,0.01,1.40,1.40,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068