CPT code 92502: ENT examination, under general anesthesia2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $84.85 for 92502 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 92502 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92502 covers

92502 captures a broad otolaryngologic assessment performed while the patient is under general anesthesia, allowing the clinician to examine relevant ear, nasal, oral, pharyngeal, and laryngeal structures when an awake examination is inadequate or cannot be completed. Otolaryngologists commonly perform it in an operating room or procedure setting, often for young children or patients unable to cooperate with a complete awake exam.

Report 92502 for the examination itself, not simply because general anesthesia is used for another procedure. The record should explain why an awake examination was insufficient and document the findings or anatomic areas examined. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not allowed.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 92502

Across 109 of 109 payment localities, the facility rate for 92502 runs from $79.97 in Arkansas to $111.60 in Alaska. Virginia pays $84.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92502 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 92502 in every payment locality

How the 92502 rate is calculated

Each of 92502’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 92502

The CMS indicators that decide how 92502 is paid alongside other services.

Codes related to 92502

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 92502 has changed in Virginia

Price 92502 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates