CPT code 92502: ENT examination, under general anesthesia2026 Medicare rate & RVUs in Vermont
A broad ear, nose, and throat examination performed under general anesthesia when a complete diagnostic assessment cannot be completed while the patient is awake.
In Vermont, Medicare pays $84.36 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.
On this page 11 sections
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 Vermont 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. Vermont pays $84.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$84.36
- Los Angeles, CA · California$93.46+$9.10
- Washington, DC area · District of Columbia$95.58+$11.22
- Miami, FL · Florida$93.51+$9.15
- Chicago, IL · Illinois$91.78+$7.42
- Manhattan, NY · New York$97.27+$12.91
- Alaska · Alaska$111.60+$27.24
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $80.70 |
| ArkansasArkansas | — | $79.97 |
| ArizonaArizona | — | $84.93 |
| Bakersfield, CACalifornia | — | $89.24 |
| Chico, CACalifornia | — | $88.88 |
| El Centro, CACalifornia | — | $88.90 |
| Fresno, CACalifornia | — | $88.88 |
| Hanford, CACalifornia | — | $88.88 |
| Madera, CACalifornia | — | $88.88 |
| Merced, CACalifornia | — | $88.88 |
| Modesto, CACalifornia | — | $88.88 |
| Napa, CACalifornia | — | $98.52 |
| Oxnard, CACalifornia | — | $92.64 |
| Redding, CACalifornia | — | $88.88 |
| Rest of CaliforniaCalifornia | — | $88.88 |
| Riverside, CACalifornia | — | $90.09 |
| Sacramento, CACalifornia | — | $92.07 |
| Salinas, CACalifornia | — | $91.69 |
| San Diego, CACalifornia | — | $92.91 |
| Marin County, CACalifornia | — | $103.02 |
| San Francisco, CACalifornia | — | $102.89 |
| San Benito County, CACalifornia | — | $105.12 |
| Santa Clara County, CACalifornia | — | $104.60 |
| San Luis Obispo, CACalifornia | — | $90.33 |
| Santa Cruz, CACalifornia | — | $93.09 |
| Santa Maria, CACalifornia | — | $91.78 |
| Santa Rosa, CACalifornia | — | $93.97 |
| Stockton, CACalifornia | — | $88.88 |
| Vallejo, CACalifornia | — | $98.34 |
| Visalia, CACalifornia | — | $88.88 |
| Yuba City, CACalifornia | — | $88.88 |
| ColoradoColorado | — | $88.45 |
| ConnecticutConnecticut | — | $90.86 |
| DelawareDelaware | — | $85.98 |
| Fort Lauderdale, FLFlorida | — | $89.92 |
| Rest of FloridaFlorida | — | $86.87 |
| Atlanta, GAGeorgia | — | $87.93 |
| Rest of GeorgiaGeorgia | — | $83.57 |
| Hawaii, Guam, HIHawaii | — | $89.58 |
| IowaIowa | — | $81.43 |
| IdahoIdaho | — | $81.87 |
| East St. Louis, ILIllinois | — | $87.54 |
| Rest of IllinoisIllinois | — | $85.64 |
| Suburban Chicago, ILIllinois | — | $90.60 |
| IndianaIndiana | — | $82.16 |
| KansasKansas | — | $81.45 |
| KentuckyKentucky | — | $82.45 |
| New Orleans, LALouisiana | — | $85.02 |
| Rest of LouisianaLouisiana | — | $82.47 |
| Metropolitan Boston, MAMassachusetts | — | $94.66 |
| Rest of MassachusettsMassachusetts | — | $88.34 |
| Baltimore area, MDMaryland | — | $90.63 |
| Rest of MarylandMaryland | — | $87.10 |
| Rest of MaineMaine | — | $82.42 |
| Southern Maine, MEMaine | — | $84.85 |
| Detroit, MIMichigan | — | $87.85 |
| Rest of MichiganMichigan | — | $84.05 |
| MinnesotaMinnesota | — | $84.90 |
| Metropolitan Kansas City, MOMissouri | — | $84.37 |
| Metropolitan St. Louis, MOMissouri | — | $84.90 |
| Rest of MissouriMissouri | — | $81.76 |
| MississippiMississippi | — | $80.86 |
| MontanaMontana | — | $86.50 |
| North CarolinaNorth Carolina | — | $82.92 |
| North DakotaNorth Dakota | — | $84.33 |
| NebraskaNebraska | — | $81.63 |
| New HampshireNew Hampshire | — | $87.43 |
| Northern New JerseyNew Jersey | — | $95.25 |
| Rest of New JerseyNew Jersey | — | $91.93 |
| New MexicoNew Mexico | — | $84.45 |
| NevadaNevada | — | $85.93 |
| NYC suburbs and Long Island, NYNew York | — | $99.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $92.69 |
| Queens, NYNew York | — | $97.41 |
| Rest of New YorkNew York | — | $83.73 |
| OhioOhio | — | $83.60 |
| OklahomaOklahoma | — | $82.08 |
| Portland, OROregon | — | $90.10 |
| Rest of OregonOregon | — | $85.28 |
| Metropolitan Philadelphia, PAPennsylvania | — | $89.48 |
| Rest of PennsylvaniaPennsylvania | — | $83.54 |
| Puerto RicoPuerto Rico | — | $86.82 |
| Rhode IslandRhode Island | — | $88.16 |
| South CarolinaSouth Carolina | — | $83.39 |
| South DakotaSouth Dakota | — | $84.07 |
| TennesseeTennessee | — | $81.74 |
| Austin, TXTexas | — | $88.14 |
| Beaumont, TXTexas | — | $83.21 |
| Brazoria, TXTexas | — | $85.79 |
| Dallas, TXTexas | — | $86.29 |
| Fort Worth, TXTexas | — | $86.00 |
| Galveston, TXTexas | — | $86.03 |
| Houston, TXTexas | — | $88.05 |
| Rest of TexasTexas | — | $84.43 |
| UtahUtah | — | $84.11 |
| VirginiaVirginia | — | $84.85 |
| Virgin Islands, VIUnited States Virgin Islands | — | $86.82 |
| Rest of WashingtonWashington | — | $88.06 |
| King County, WAWashington | — | $95.95 |
| WisconsinWisconsin | — | $82.55 |
| West VirginiaWest Virginia | — | $83.67 |
| WyomingWyoming | — | $85.55 |
92502 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 92502
RVUs × geographic indexes × conversion factor
Work1.47
1.47 RVUs× 1.000 GPCI
Practice expense1.01
1.01 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
2.5900
Conversion factor
$33.4009
Medicare rate
$86.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,777
- Code
- 92502
- Physician work
- 1.47
- Practice expense
- 1.01
- Malpractice
- 0.11
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.47 | × 1.000 | 1.4700 |
| Practice expense | 1.01 | × 0.990 | 0.9999 |
| Malpractice | 0.11 | × 0.506 | 0.0557 |
| Total RVUs | 2.5256 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$84.36
Facility: (1.47 × 1 + 1.01 × 0.99 + 0.11 × 0.506) × $33.4009 = $84.36
Payment rules and modifiers for 92502
The CMS indicators that decide how 92502 is paid alongside other services.
CMS payment indicators · 92502
ENT examination, under general anesthesia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 92502 has changed in Vermont
92502 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $84.36 | RVU26D |
| 2026-07-01 | Not available in this setting | $84.36 | RVU26C |
| 2026-04-01 | Not available in this setting | $84.36 | RVU26B |
| 2026-01-01 | Not available in this setting | $84.36 | RVU26A |
| 2025-10-01 | Not available in this setting | $90.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $90.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $90.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $90.67 | RVU25A |
| 2024-10-01 | Not available in this setting | $92.98 | RVU24D |
| 2024-07-01 | Not available in this setting | $92.98 | RVU24C |
| 2024-04-01 | Not available in this setting | $92.98 | RVU24B |
| 2024-03-09 | Not available in this setting | $92.98 | RVU24AR |
| 2024-01-01 | Not available in this setting | $91.46 | RVU24A |
| 2023-10-01 | Not available in this setting | $93.55 | RVU23D |
| 2023-07-01 | Not available in this setting | $93.55 | RVU23C |
| 2023-04-01 | Not available in this setting | $93.55 | RVU23B |
| 2023-01-01 | Not available in this setting | $93.55 | RVU23A |
| 2022-10-01 | Not available in this setting | $94.75 | RVU22D |
| 2022-07-01 | Not available in this setting | $94.75 | RVU22C |
| 2022-04-01 | Not available in this setting | $94.75 | RVU22B |
| 2022-01-01 | Not available in this setting | $94.75 | RVU22A |
| 2021-10-01 | Not available in this setting | $93.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $93.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $93.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $93.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $96.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $96.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $96.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $96.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $97.38 | RVU19D |
| 2019-07-01 | Not available in this setting | $97.38 | RVU19C |
| 2019-04-01 | Not available in this setting | $97.38 | RVU19B |
| 2019-01-01 | Not available in this setting | $97.38 | RVU19A |
| 2018-10-01 | Not available in this setting | $97.64 | RVU18D |
| 2018-07-01 | Not available in this setting | $97.64 | RVU18C |
| 2018-04-01 | Not available in this setting | $97.64 | RVU18B |
| 2018-01-01 | Not available in this setting | $97.64 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $97.44 | RVU17D |
| 2017-07-01 | Not available in this setting | $97.44 | RVU17C |
| 2017-04-01 | Not available in this setting | $97.44 | RVU17B |
| 2017-01-01 | Not available in this setting | $97.44 | RVU17A |
| 2016-10-01 | Not available in this setting | $98.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $98.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $98.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $98.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $97.84 | RVU15D |
| 2015-07-01 | Not available in this setting | $97.84 | RVU15C |
| 2015-04-01 | Not available in this setting | $97.35 | RVU15B |
| 2015-01-01 | Not available in this setting | $97.35 | RVU15A |
| 2014-10-01 | Not available in this setting | $97.81 | RVU14D |
| 2014-07-01 | Not available in this setting | $97.81 | RVU14C |
| 2014-04-01 | Not available in this setting | $97.81 | RVU14B |
| 2014-01-01 | Not available in this setting | $97.81 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
92502 billing questions
When should 92502 be selected instead of 92504?
Use 92502 for a broad otolaryngologic examination performed under general anesthesia. Code 92504 describes examination of the ear using a binocular microscope.
Can 92502 be reported with a focused scope examination?
A focused nasopharyngoscopy or laryngoscopy is a distinct service from the broad examination represented by 92502. Report another procedure only when it was separately performed and the documentation supports it.
Is modifier 50 appropriate for examining both ears?
No. CMS identifies bilateral adjustment as inappropriate for 92502.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted.
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
Show the CMS file lines behind this rate
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