Billing code 92325: Lens modificationMedicare rate & RVUs in Utah
Report this service when an existing contact lens is physically altered, such as by polishing, rather than fitted or replaced.
Medicare pays $43.94 for 92325 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 92325 covers
This service covers a physical change to an existing contact lens, such as polishing or altering the lens. It is distinct from evaluating the patient for a new lens fit and from supplying a replacement lens. Ophthalmologists and optometrists may perform or supervise contact lens care in an office setting; trained staff may carry out the modification under the required physician supervision.
Report 92325 when the record identifies the lens modified, the change made, and the clinical reason for altering it. The documentation should distinguish the work from fitting a lens or replacing one. CMS classifies the service as incident-to, so it may be billed only when performed under physician supervision. The CMS relative-value data assign zero work RVUs, with practice-expense and malpractice RVUs; office and facility practice-expense values are the same.
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.
92325 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $43.94 | Unavailable |
How the 92325 rate is calculated
Each of 92325’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92325
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 1.39Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92325
The CMS indicators that decide how 92325 is paid alongside other services.
CMS payment indicators · 92325
Lens modification
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
92325 compared with similar codes
Compare codes
92325 vs 92326 vs 92310 vs 92314: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92326Lens replacement
- 92325 covers physically altering an existing lens; 92326 covers replacing the lens.
- 92310Contact lens fitting ou
- 92310 describes contact lens fitting. Choose 92325 when the service is a physical alteration to an existing lens, not fitting.
- 92314C-lens fitg tech ou
- 92314 is a technician-performed contact lens fitting service for both eyes. 92325 describes physical alteration of a lens.
92325 billing questions
When should 92325 be used instead of a contact lens fitting code?
Use 92325 for a physical alteration to an existing lens, such as polishing. A fitting code describes the fitting service, not the alteration itself.
How is 92325 different from 92326?
92325 represents altering an existing lens. 92326 represents replacing a contact lens; use the code that matches the service actually performed.
What documentation supports 92325?
Document which lens was modified, what physical change was made, and why the alteration was needed. The record should make clear that the service was not a fitting or replacement.
Can staff perform the modification and bill 92325?
CMS classifies 92325 as incident-to and permits billing only when the service is performed under physician supervision.
Can 92325 be reported with a contact lens fitting code?
A fitting and a distinct physical lens modification may be separate services when both are performed and documented. The record should identify each service rather than treating fitting work as a lens alteration.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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