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See a sample rate comparisonCPT 92072 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.
Contact Lens Fitting, A Doctors Office Visit For The Fitting Of A Contact Lens Designed To Aid A Condition That Is Causing The Cornea (Clear Surface Of The Eye) To Deteriorate.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $120.24 national non-facility rate (2026) · View Medicare rates for 92072 |
| Medicaid Fee Schedule | $95.535 median of the 8 states in the free preview · View Medicaid rates for 92072 |
National average reimbursement for CPT 92072 by major payers:
$171.90
$157.40
$150.47
$166.02
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CPT 92072
5 of 25 sample ratesHigher to lower in this preview
Heidi Odierna
Dartmouth-Hitchcock Clinic
$485.73Published rateVictoria Martin
Dartmouth-Hitchcock Clinic
$485.73Published rateEunice Chen
Dartmouth-Hitchcock Clinic
$484.51Published rateMichelle Montgomery
Dartmouth-Hitchcock Clinic
$310.80Published rateMichael Danis
Dartmouth-Hitchcock Clinic
$310.80Published rate
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See a sample payer proposalCPT 92072 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92072 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 92072 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 |
| 92072-CPT | Low | Contact Lens Fitting, A Doctors Office Visit For The Fitting Of A Contact Lens Designed To Aid A Condition That Is Causing The Cornea (Clear Surface Of The Eye) To Deteriorate. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92072 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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