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CMS RVU26D · Effective 2026-10-01

92060 Eye alignment test Medicare reimbursement rates in Virginia

Reports detailed measurements of eye alignment and movement, commonly performed to evaluate diplopia, strabismus, or suspected restrictive or nerve-related motility problems. Compare 92060 office and facility rates across CMS payment localities in Virginia.

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 92060 in Virginia?

Virginia 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

$63.23–$72.73

2 of 2 localities have a supported rate.

Lowest: Virginia

Highest: Dc + Md/Va Suburbs

A spread of $9.50 per service.

Facility setting

No 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.

Find 92060 in your payment locality →

Ophthalmic diagnostic testing

About 92060: Quantitative ocular alignment examination

Reports detailed measurements of eye alignment and movement, commonly performed to evaluate diplopia, strabismus, or suspected restrictive or nerve-related motility problems.

An ophthalmologist or optometrist uses this examination to quantify how the eyes align and move, rather than relying only on a routine motility screen. Measurements may assess eye position at different fixation distances or gaze positions, as appropriate to the presentation. It is commonly used when a patient reports double vision or has suspected strabismus, a paretic eye muscle, or restricted movement. The service may be performed in an office or facility setting, with findings interpreted and reported by the clinician.

Choose the code when the record supports multiple measurements of ocular deviation and a documented interpretation; a general eye examination alone does not establish that work. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. When multiple ophthalmology diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component. The code is priced as bilateral, so modifier 50 does not increase payment.

CMS billing rules for 92060

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Ophthalmology diagnostic multiple procedure reduction applies to the technical component.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.67 · 35%
  • Practice expense (office) RVU1.23 · 64%
  • Malpractice RVU0.02 · 1%

137.3K

Medicare services in 2024 · #470 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.

92060 compared with similar codes

Office rates for Virginia, from the same CMS release.

92012

Eye exam

Intermediate, established patient

$89.22–$102.75

92012 reports an intermediate ophthalmic examination; 92060 reports quantitative eye-alignment and movement testing. The general examination alone does not support 92060.

92014

Comprehensive eye exam

Established patient

$125.53–$143.94

92014 is a comprehensive ophthalmic examination, while 92060 captures multiple measurements of ocular deviation with interpretation. Use both only when each service is performed and documented.

92065

Orthoptic training

Direct patient contact

$38.06–$42.37

92065 reports orthoptic training, a treatment service. 92060 is diagnostic measurement and interpretation of ocular alignment and movement.

92081

Visual field test

Limited examination

$33.14–$38.50

92081 reports limited visual-field testing. It evaluates visual-field function rather than measuring ocular alignment or movement.

Compare 92060 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

Office and facility base rates · shared scale starting at $0

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92060 billing questions

How is this different from an ophthalmic office visit such as 92012 or 92014?

Those codes report an ophthalmic examination. Report 92060 for the separately documented quantitative alignment and movement testing, not merely because motility was observed during the visit.

Should modifier 26 or TC be reported?

Use modifier 26 for the clinician’s interpretation and modifier TC for the technical service involving equipment and staff. Submit the code without either modifier for the global service.

Does modifier 50 apply when both eyes are evaluated?

No. CMS prices 92060 as bilateral, and modifier 50 does not increase payment.

Which part is subject to the ophthalmology multiple-procedure reduction?

The reduction applies to the technical component when multiple ophthalmology diagnostic procedures are performed. It does not apply to the professional component under the CMS rule supplied for this code.

What documentation supports reporting 92060?

Document the alignment or motility concern, the multiple measurements performed, the findings, and the clinician’s interpretation. A brief notation that eye movements were checked does not describe the service.

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.

RVUs for 92060PPRRVU2026_Oct_nonQPP.csv, line 11,670 (RVU26D)