# CPT 92065: Orthoptic/pleoptic training

Medicare CPT 92065 pays $38.41 in a non-facility setting and $27.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.13 in Arkansas to $50.76 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92065-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Ophthalmology, Optometrist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $38.41 |
| National facility | $27.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $50.76 | $39.02 |
| District of Columbia | $42.37 | $29.38 |
| California | $41.84 | $28.80 |
| New Jersey | $41.52 | $29.11 |
| New York | $41.36 | $29.07 |
| Washington | $41.17 | $28.61 |
| Massachusetts | $40.88 | $28.49 |
| Hawaii | $40.33 | $27.80 |
| Connecticut | $40.10 | $28.23 |
| Colorado | $39.58 | $27.85 |
| Maryland | $39.38 | $27.89 |
| Oregon | $39.31 | $27.70 |
| Rhode Island | $39.31 | $27.92 |
| New Hampshire | $38.99 | $27.51 |
| Florida | $38.78 | $27.72 |
| Minnesota | $38.61 | $27.27 |
| Puerto Rico | $38.57 | $27.43 |
| Virgin Islands | $38.57 | $27.43 |
| Montana | $38.41 | $27.39 |
| Nevada | $38.37 | $27.34 |
| Pennsylvania | $38.33 | $27.54 |
| Wyoming | $38.32 | $27.30 |
| Delaware | $38.31 | $27.42 |
| Illinois | $38.29 | $27.64 |
| Texas | $38.28 | $27.43 |
| North Dakota | $38.21 | $27.19 |
| South Dakota | $38.19 | $27.17 |
| Vermont | $38.10 | $27.18 |
| Virginia | $38.06 | $27.22 |
| Arizona | $37.90 | $27.22 |
| Georgia | $37.82 | $27.31 |
| Michigan | $37.63 | $27.28 |
| Maine | $37.61 | $27.09 |
| Wisconsin | $37.55 | $26.99 |
| Utah | $37.48 | $27.11 |
| North Carolina | $37.28 | $27.00 |
| New Mexico | $37.23 | $27.12 |
| South Carolina | $37.22 | $27.03 |
| Missouri | $37.17 | $27.06 |
| Indiana | $37.14 | $26.92 |
| Louisiana | $37.12 | $27.06 |
| Ohio | $37.11 | $27.04 |
| Nebraska | $37.05 | $26.87 |
| Idaho | $37.03 | $26.89 |
| Iowa | $36.93 | $26.85 |
| Tennessee | $36.89 | $26.87 |
| Kansas | $36.80 | $26.84 |
| Oklahoma | $36.73 | $26.89 |
| Kentucky | $36.71 | $26.92 |
| West Virginia | $36.59 | $27.01 |
| Alabama | $36.39 | $26.74 |
| Mississippi | $36.23 | $26.74 |
| Arkansas | $36.13 | $26.66 |

## Related codes

- 92060: Sensorimotor examination with multiple measurements of ocular deviation — https://www.med-reveal.com/rates/92060-cpt-fee-schedule
- 92081: Visual field examination, unilateral or bilateral, limited — https://www.med-reveal.com/rates/92081-cpt-fee-schedule
- 92082: Visual field examination, intermediate — https://www.med-reveal.com/rates/92082-cpt-fee-schedule
- 92083: Visual field examination, extended — https://www.med-reveal.com/rates/92083-cpt-fee-schedule
- 92132: Computerized corneal topography — https://www.med-reveal.com/rates/92132-cpt-fee-schedule
- 92133: Computerized ophthalmic diagnostic imaging, optic nerve — https://www.med-reveal.com/rates/92133-cpt-fee-schedule
- 92134: Computerized ophthalmic diagnostic imaging, retina — https://www.med-reveal.com/rates/92134-cpt-fee-schedule
- 92136: Ophthalmic biometry by partial coherence interferometry — https://www.med-reveal.com/rates/92136-cpt-fee-schedule

Commercial negotiated rates for 92065 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules