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CPT 92341 Fee Schedule

Last Verified: January 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 Spectacles,Not Aphakia; Bifocal
Key FactDetail
Service Type

Medicine Services and Procedures

Ophthalmology Services and Procedures

Common Place of Service

11 - Office

None

99 - Other POS

Common Modifiers

None

NU

RA

Complexity LevelLow

National average reimbursement for CPT 92341 by major payers:

bcbs

$49.13

uhc

$49.64

aetna

$45.16

cigna

$64.10

Preview provider-level rates for...
For billing codeCPT 92341
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 92341

United
92341$73.691700131182 - MATTHEW ATIENZA362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONILPsychiatry Physician (2084P0800X)
United
92341$33.491205917176 - RANDY JUNG371305510 - TOUCHETTE REGIONAL HOSPITAL INCILPsychiatry Physician (2084P0800X)
United
92341$37.911972530996 - PATRICIA WRIGHT541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.VAOccupational Therapist (225X00000X)
United
92341$81.941629335260 - DIVYA DESAI363279680 - (IL) PEDIATRIC FACULTY FOUNDATION INILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
92341$49.341760412621 - RHONDA LAMPEN811324691WIPsychiatry Physician (2084P0800X)
United
92341$81.941386755486 - DOUGLAS NORDLI363279680 - (IL) PEDIATRIC FACULTY FOUNDATION INILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
92341$76.401508922964 - COLLEEN BUHRFIEND911780120 - (IL) RUSH UNIVERSITY MEDICAL CENTERILNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
92341$59.401174859284 - MATTHEW NIEDZWIECKI364015560 - LOYOLA UNIVERSITY MEDICAL CENTERWIPsychiatry Physician (2084P0800X)
United
92341$73.691497080584 - ELIZABETH HOMAN362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONIAPsychiatry Physician (2084P0800X)
United
92341$81.941386800662 - NICHOLAS HATZIS205734385ILPsychiatry Physician (2084P0800X)
United
92341$73.691255892808 - ASHLEY SHI362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONILPsychiatry Physician (2084P0800X)
United
92341$88.441558867523 - SULAIMAN FAROOQUI362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONILPsychiatry Physician (2084P0800X)
United
92341$54.541568705622 - IUNIA DADARLAT352030653 - ARNETT CLINIC LLCINPsychiatry Physician (2084P0800X)
United
92341$75.181225211600 - JOHN MILLICHAP362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATIONNCNeurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United
92341$80.021962664789 - JAMIE EVANS910844563WIPsychiatry Physician (2084P0800X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 92341 vs. Other Ophthalmology Services and Procedures Codes

The CPT 92341 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 92341 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.

CodeComplexityDescription
92340-CPTLowFit Spectacle,Not Aphakia;Monofocal
92341-CPTLowFit Spectacles,Not Aphakia; Bifocal
92342-CPTLowFit Spectacles,Not Aphak;Multifocal
92352-CPTLowFit Spect.Prosth-Aphakia;Monofocal

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92341. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 92341 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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