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See a sample rate comparisonCPT 92370 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.
Repair/Refit Spectacles; Except Aphakia
| 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 | RA RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92370 |
| Medicaid Fee Schedule | $20.05 median of the 8 states in the free preview · View Medicaid rates for 92370 |
National average reimbursement for CPT 92370 by major payers:
$39.52
$37.67
$34.61
$28.16
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CPT 92370
5 of 25 sample ratesHigher to lower in this preview
John Millichap
Warren Clinic Inc
$77.48Published rateJoseph Divincenzo
Loyola University Medical Center
$53.72Published rateAndrei Pankov
$44.86Published rateMark Alter
$32.70Published rateMeliza Barillo
Town Center Orthopaedic Associates, P.C.
$15.12Published rate
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See a sample payer proposalCPT 92370 vs. Other Ophthalmology Services and Procedures Codes
The CPT 92370 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 92370 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 |
|---|---|---|
| 92285-CPT | Low | External Ocular Photography, External Ocular Photography With Interpretation And Report For Documentation Of Medical Progress Eg Close Up Photography Slit Lamp Photography Goniophotography Stereo Photography |
| 92286-CPT | Low | Special Anterior Segment Photo, Special Anterior Segment Photography With Interpretation Andreport With Specular Endothelial Microscopy And Cell Count Special Anterior Segment Photography With Interpretation And |
| 92370-CPT | Low | Repair/Refit Spectacles; Except Aphakia |
| 92371-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 92370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92370 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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