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See a sample rate comparisonCPT 92071 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.
Fit Of Contct Lens For Treatmn Of Ocular Surfac Diseas, Fitting Of Contact Lens For Treatment Of Ocular Surface Disease
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.74 national non-facility rate (2026) · View Medicare rates for 92071 |
| Medicaid Fee Schedule | $29.16 median of the 8 states in the free preview · View Medicaid rates for 92071 |
National average reimbursement for CPT 92071 by major payers:
$51.87
$46.70
$45.95
$60.81
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CPT 92071
5 of 25 sample ratesHigher to lower in this preview
Astrid Botty Van Den Bruele
Duke Health Integrated Practice Inc
$83.87Published rateMichael Damit
Florida Hospital Healthcare Partners Inc
$63.59Published rateLeslie Finkel
Northshore University Healthsystem Faculty Practice Associates
$52.22Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$39.40Published rateStephanie Allen Lilly
United Vein Centers
$22.90Published rate
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See a sample payer proposalCPT 92071 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92071 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 92071 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 |
| 92071-CPT | Low | Fit Of Contct Lens For Treatmn Of Ocular Surfac Diseas, Fitting Of Contact Lens For Treatment Of Ocular Surface Disease |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92071. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92071 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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