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.

CMS RVU26DEffective Oct 1, 2026One payment locality657 Medicare services in 2024

In Vermont, Medicare pays $84.36 for 92502 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$84.36Hospital or facility

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.

We’ll open 92502 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 92502 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

92502 in Vermont vs other payment areas
  1. Vermont · this page$84.36
  2. Los Angeles, CA · California$93.46+$9.10
  3. Washington, DC area · District of Columbia$95.58+$11.22
  4. Miami, FL · Florida$93.51+$9.15
  5. Chicago, IL · Illinois$91.78+$7.42
  6. Manhattan, NY · New York$97.27+$12.91
  7. Alaska · Alaska$111.60+$27.24

Other areas in Vermont first, then benchmark localities. Bars start at $0.

Every other payment area

92502 in every other Medicare payment locality
Payment localityOfficeFacility
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

92502 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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92502 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 92502

RVUs × geographic indexes × conversion factor

Office or facility?

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
Facility calculation for 92502 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.47× 1.0001.4700
Practice expense1.01× 0.9900.9999
Malpractice0.11× 0.5060.0557
Total RVUs2.5256
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

Open 92502 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$84.36RVU26D
2026-07-01Not available in this setting$84.36RVU26C
2026-04-01Not available in this setting$84.36RVU26B
2026-01-01Not available in this setting$84.36RVU26A
2025-10-01Not available in this setting$90.67RVU25D
2025-07-01Not available in this setting$90.67RVU25C
2025-04-01Not available in this setting$90.67RVU25B
2025-01-01Not available in this setting$90.67RVU25A
2024-10-01Not available in this setting$92.98RVU24D
2024-07-01Not available in this setting$92.98RVU24C
2024-04-01Not available in this setting$92.98RVU24B
2024-03-09Not available in this setting$92.98RVU24AR
2024-01-01Not available in this setting$91.46RVU24A
2023-10-01Not available in this setting$93.55RVU23D
2023-07-01Not available in this setting$93.55RVU23C
2023-04-01Not available in this setting$93.55RVU23B
2023-01-01Not available in this setting$93.55RVU23A
2022-10-01Not available in this setting$94.75RVU22D
2022-07-01Not available in this setting$94.75RVU22C
2022-04-01Not available in this setting$94.75RVU22B
2022-01-01Not available in this setting$94.75RVU22A
2021-10-01Not available in this setting$93.79RVU21D
2021-07-01Not available in this setting$93.79RVU21C
2021-04-01Not available in this setting$93.79RVU21B
2021-01-01Not available in this setting$93.79RVU21A
2020-10-01Not available in this setting$96.04RVU20D
2020-07-01Not available in this setting$96.04RVU20C
2020-04-01Not available in this setting$96.04RVU20B
2020-01-01Not available in this setting$96.04RVU20A
2019-10-01Not available in this setting$97.38RVU19D
2019-07-01Not available in this setting$97.38RVU19C
2019-04-01Not available in this setting$97.38RVU19B
2019-01-01Not available in this setting$97.38RVU19A
2018-10-01Not available in this setting$97.64RVU18D
2018-07-01Not available in this setting$97.64RVU18C
2018-04-01Not available in this setting$97.64RVU18B
2018-01-01Not available in this setting$97.64RVU18AR1
2017-10-01Not available in this setting$97.44RVU17D
2017-07-01Not available in this setting$97.44RVU17C
2017-04-01Not available in this setting$97.44RVU17B
2017-01-01Not available in this setting$97.44RVU17A
2016-10-01Not available in this setting$98.09RVU16D
2016-07-01Not available in this setting$98.09RVU16C
2016-04-01Not available in this setting$98.09RVU16B
2016-01-01Not available in this setting$98.09RVU16A
2015-10-01Not available in this setting$97.84RVU15D
2015-07-01Not available in this setting$97.84RVU15C
2015-04-01Not available in this setting$97.35RVU15B
2015-01-01Not available in this setting$97.35RVU15A
2014-10-01Not available in this setting$97.81RVU14D
2014-07-01Not available in this setting$97.81RVU14C
2014-04-01Not available in this setting$97.81RVU14B
2014-01-01Not available in this setting$97.81RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 92502 for an earlier date of service

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

Browse all communities in Vermont

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
RVUs for 92502PPRRVU2026_Oct_nonQPP.csv, line 11,777 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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