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See a sample rate comparisonCPT 92352 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.
Fitting For Eyeglasses, Fitting Of An Eyeglass Worn To Correct A Condition Where The Natural Lens Of A Persons Eye Is Missing (Aphakia).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Ophthalmology Services and Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | RA GY - Notice of Liability Not Issued, Not Required Under Payer Policy. |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92352 |
| Medicaid Fee Schedule | $25.735 median of the 8 states in the free preview · View Medicaid rates for 92352 |
National average reimbursement for CPT 92352 by major payers:
$49.18
$50.54
$50.36
$66.15
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CPT 92352
5 of 25 sample ratesHigher to lower in this preview
John Millichap
Mercy Specialty Clinic
$109.05Published rateAlyssa Stram
$81.36Published rateGregg Bean
South Texas Radiology Group, P.A.
$63.56Published ratePerry Tsai
The Board Of Trustees Of The University Of Illinois
$56.43Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$16.06Published rate
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See a sample payer proposalCPT 92352 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92352 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 92352 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 |
|---|---|---|
| 92340-CPT | Low | Fit Spectacle,Not Aphakia;Monofocal |
| 92341-CPT | Low | Fit Spectacles,Not Aphakia; Bifocal |
| 92342-CPT | Low | Fit Of Spectacl Excpt For Aphakia; Multifoca Other Than Bifo, Fitting Of Spectacles Except For Aphakia; Multifocal Other Than Bifo |
| 92352-CPT | Low | Fitting For Eyeglasses, Fitting Of An Eyeglass Worn To Correct A Condition Where The Natural Lens Of A Persons Eye Is Missing (Aphakia). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92352. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92352 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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