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See a sample rate comparisonCPT 92060 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Sensorimotor Examination, Sensorimotor Examination With Multiple Measurements Of Ocular Deviation (Eg Restrictive Or Paretic Muscle With Diplopia) With Interpretation And Report (Separate Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.13 national non-facility rate (2026) · View Medicare rates for 92060 |
| Medicaid Fee Schedule | $52.11 median of the 8 states in the free preview · View Medicaid rates for 92060 |
National average reimbursement for CPT 92060 by major payers:
$76.83
$74.90
$79.60
$97.52
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CPT 92060
5 of 25 sample ratesHigher to lower in this preview
Jeremy Wong
University Physicians Incorporated
$174.41Published rateNasir Syed
Insight Chicago Inc
$95.22Published rateMajed Dalloul
Saint Anthony Health Affiliates
$70.06Published rateThomas Yau
Silver Spring Eye, LLC
$39.65Published rateMontgomery Eye Physicians & Surgeons, P.A.
$14.82Published rate
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See a sample payer proposalCPT 92060 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92060 code is part of the Medicine Services and Procedures services used for Ophthalmology Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92060 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92025-CPT | Low | Test To Analyze Cornea Shape, Test That Uses A Computer To Produce An Image And Analyze The Shape Of The Cornea (The Transparent Covering Of The Eye). |
| 92060-CPT | Low | Sensorimotor Examination, Sensorimotor Examination With Multiple Measurements Of Ocular Deviation (Eg Restrictive Or Paretic Muscle With Diplopia) With Interpretation And Report (Separate Procedure) |
| 92065-CPT | Low | Orthoptic Andor Pleoptic Trai, Orthoptic Andor Pleoptic Training With Continuing Medical Direction And Evaluation Orthoptic Andor Pleoptic Training With Continuing Medical |
| 92066-CPT | Low | Orthoptic Training Under Supervision Of Phys/Qhp, Orthoptic Training; Under Supervision Of A Physician Or Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92060 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find the cost of a specific medical procedure, you should first request a good faith estimate from your healthcare provider. For a more detailed understanding of potential costs based on specific CPT codes and your location, Payerprice offers a valuable fee schedule lookup tool. You can use their tool to search with CPT codes and your specific location to get an idea of typical charges. Always remember to also contact your health insurance provider to understand your out-of-pocket expenses, including deductibles, co-pays, and co-insurance.
CPT stands for Current Procedural Terminology. CPT codes are a universal set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services and procedures performed on patients. They are crucial for consistent communication between providers, patients, and insurance companies, ensuring accurate billing, processing of claims, and statistical analysis of healthcare services.
CPT codes are proprietary to the American Medical Association (AMA) and require a license for full access. However, there are resources that can help you understand common codes or look up specific ones. Healthcare providers can provide you with the CPT code for a service you're scheduled to receive. For understanding associated costs by searching with CPT codes and specific locations, Payerprice offers a fee schedule lookup tool that can be a useful resource for patients to understand potential pricing.
Insurance coverage for a medical procedure is highly dependent on your specific health insurance plan, its benefits, policy terms, and whether the procedure is deemed medically necessary. It is essential to contact your insurance provider directly before receiving services. They can confirm coverage, explain any prior authorization requirements, and detail your expected out-of-pocket costs such as deductibles, co-pays, and co-insurance.
If you receive an unexpected medical bill, the first step is to review it carefully for accuracy and compare it against your Explanation of Benefits (EOB) from your insurance company. Contact your healthcare provider's billing department to understand the charges and discuss potential errors or payment options. You should also speak with your insurance company to clarify what they covered and why. If you suspect overcharging or want to compare prices for services, tools like Payerprice can help you understand typical costs for specific procedures based on CPT codes and your location, which can be useful in negotiating or understanding the fairness of the bill.