CPT code 92504: Ear microscopy, binocular diagnostic examination2026 Medicare rate & RVUs in Mississippi

Reports a binocular-microscope examination of the ear canal and eardrum when magnified inspection provides a distinct diagnostic assessment beyond routine otoscopy.

CMS RVU26DEffective Oct 1, 2026One payment locality257.8K Medicare services in 2024

In Mississippi, Medicare pays $25.53 for 92504 in the office and $7.41 when it’s performed in a hospital or facility.

$25.53Office (non-facility)
$7.41Hospital or facility
−11.1%vs the national office rate ($28.72)

Check a contract rate as a % of Medicare · 92504 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 92504 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 92504 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 92504 covers

An otolaryngologist typically uses a binocular microscope to inspect the external ear canal and tympanic membrane in an office or other clinical setting. Magnification can help assess findings such as canal inflammation, debris, a suspected perforation, or the position of a tympanostomy tube. The service is a diagnostic examination, not simply the use of a microscope as a visual aid during another procedure.

Select this code when the clinician performs and documents a distinct microscopic ear assessment. Record the ear or ears examined, the relevant findings, and how the examination informs the clinical assessment or plan. Routine otoscopy alone does not support this service, and microscope use solely to perform cerumen removal or another procedure should not be treated as a separate diagnostic examination. CMS physician fee schedule valuation accounts for work, practice expense, and malpractice inputs, with practice expense values differing between office and facility settings.

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 Mississippi compares for 92504

Across 109 of 109 payment localities, the office rate for 92504 runs from $25.41 in Arkansas to $39.12 in San Benito County, CA. Mississippi pays $25.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

92504 in Mississippi vs other payment areas
  1. Mississippi · this page$25.53
  2. Los Angeles, CA · California$32.95+$7.42
  3. Washington, DC area · District of Columbia$33.07+$7.54
  4. Miami, FL · Florida$30.15+$4.62
  5. Chicago, IL · Illinois$29.31+$3.78
  6. Manhattan, NY · New York$32.93+$7.40
  7. Alaska · Alaska$33.04+$7.51

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

Every other payment area

92504 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$25.78$7.37
ArkansasArkansas$25.41$7.33
ArizonaArizona$27.98$7.59
Bakersfield, CACalifornia$30.86$7.79
Chico, CACalifornia$30.82$7.76
El Centro, CACalifornia$30.82$7.76
Fresno, CACalifornia$30.82$7.76
Hanford, CACalifornia$30.82$7.76

92504 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.

$25.41

$34.97

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92504 office rate range by state
State / territoryOffice rate rangeLocalities
AK$33.041
AL$25.781
AR$25.411
AZ$27.981
CA$30.82–$39.1229
CO$30.161
CT$30.641
DC$33.071
DE$28.451
FL$27.91–$30.153
GA$26.37–$29.172
GU$31.651
HI$31.651
IA$26.621
ID$26.761
IL$26.97–$29.634
IN$26.921
KS$26.411
KY$26.211
LA$26.14–$27.452
MA$29.94–$33.282
MD$29.03–$33.073
ME$26.81–$28.402
MI$26.82–$28.172
MN$29.141
MO$25.63–$27.653
MS$25.531
MT$28.721
NC$27.101
ND$28.531
NE$26.791
NH$29.601
NJ$31.06–$32.712
NM$26.931
NV$28.691
NY$27.51–$33.635
OH$26.781
OK$26.261
OR$28.54–$31.222
PA$26.87–$29.812
PR$28.971
RI$29.541
SC$26.971
SD$28.501
TN$26.531
TX$26.69–$30.008
UT$27.351
VA$28.25–$33.072
VI$28.971
VT$28.341
WA$29.91–$34.042
WI$27.551
WV$25.941
WY$28.641

See 92504 in every payment locality

How the 92504 rate is calculated

Each of 92504’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 · 92504

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense0.67

0.67 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.8600

Conversion factor

$33.4009

Medicare rate

$28.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,778

Code
92504
Physician work
0.18
Practice expense
0.67
Malpractice
0.01

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 92504 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense0.67× 0.8610.5769
Malpractice0.01× 0.7390.0074
Total RVUs0.7643
Conversion factor× 33.4009

Office rate, Mississippi$25.53

Office: (0.18 × 1 + 0.67 × 0.861 + 0.01 × 0.739) × $33.4009 = $25.53

Facility: (0.18 × 1 + 0.04 × 0.861 + 0.01 × 0.739) × $33.4009 = $7.41

Open 92504 in the RVU calculator

Payment rules and modifiers for 92504

92504 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 92504

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$28.72

Non-facility (office)
$28.72
Facility
$7.68

Higher because the practice carries its own overhead.

How 92504 has changed in Mississippi

92504 · Office / nonfacility

$25.53

Effective 2026-10-01

The base rate is $0.99 higher than on 2025-10-01, moving from $24.54 to $25.53 (4.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $24.54changed to$25.53

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $25.53changed to$24.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.68 changed to 0.67

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $25.12changed to$25.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.86changed to$25.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $25.98changed to$25.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.67 changed to 0.68
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $26.20changed to$25.98

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $26.15changed to$26.20

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.63 changed to 0.67
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.69changed to$26.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.64 changed to 0.63
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $26.66changed to$26.69

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $26.86changed to$26.66

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.65 changed to 0.64
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $27.08changed to$26.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.66 changed to 0.65
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $27.18changed to$27.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $27.04changed to$27.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $27.15changed to$27.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $28.19changed to$27.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.74 changed to 0.66
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $28.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$25.53$7.41RVU26D
2026-07-01$25.53$7.41RVU26C
2026-04-01$25.53$7.41RVU26B
2026-01-01$25.53$7.41RVU26A
2025-10-01$24.54$8.55RVU25D
2025-07-01$24.54$8.55RVU25C
2025-04-01$24.54$8.55RVU25B
2025-01-01$24.54$8.55RVU25A
2024-10-01$25.53$8.52RVU24D
2024-07-01$25.53$8.52RVU24C
2024-04-01$25.53$8.52RVU24B
2024-03-09$25.53$8.52RVU24AR
2024-01-01$25.12$8.38RVU24A
2023-10-01$25.86$8.93RVU23D
2023-07-01$25.86$8.93RVU23C
2023-04-01$25.86$8.93RVU23B
2023-01-01$25.86$8.93RVU23A
2022-10-01$25.98$8.79RVU22D
2022-07-01$25.98$8.79RVU22C
2022-04-01$25.98$8.79RVU22B
2022-01-01$25.98$8.79RVU22A
2021-10-01$26.20$8.87RVU21D
2021-07-01$26.20$8.87RVU21C
2021-04-01$26.20$8.87RVU21B
2021-01-01$26.20$8.87RVU21A
2020-10-01$26.15$9.16RVU20D
2020-07-01$26.15$9.16RVU20C
2020-04-01$26.15$9.16RVU20B
2020-01-01$26.15$9.16RVU20A
2019-10-01$26.69$9.13RVU19D
2019-07-01$26.69$9.13RVU19C
2019-04-01$26.69$9.13RVU19B
2019-01-01$26.69$9.13RVU19A
2018-10-01$26.66$9.12RVU18D
2018-07-01$26.66$9.12RVU18C
2018-04-01$26.66$9.12RVU18B
2018-01-01$26.66$9.12RVU18AR1
2017-10-01$26.86$9.13RVU17D
2017-07-01$26.86$9.13RVU17C
2017-04-01$26.86$9.13RVU17B
2017-01-01$26.86$9.13RVU17A
2016-10-01$27.08$9.14RVU16D
2016-07-01$27.08$9.14RVU16C
2016-04-01$27.08$9.14RVU16B
2016-01-01$27.08$9.14RVU16A
2015-10-01$27.18$9.17RVU15D
2015-07-01$27.18$9.17RVU15C
2015-04-01$27.04$9.13RVU15B
2015-01-01$27.04$9.13RVU15A
2014-10-01$27.15$9.17RVU14D
2014-07-01$27.15$9.17RVU14C
2014-04-01$27.15$9.17RVU14B
2014-01-01$27.15$9.17RVU14A
2013-10-01$28.19$9.03RVU13D
2013-07-01$28.19$9.03RVU13C
2013-04-01$28.19$9.03RVU13B
2013-01-01$28.19$9.03RVU13AR

Price 92504 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

92504 billing questions

When is microscopic examination distinct from routine otoscopy?

Report 92504 when the clinician performs a diagnostic examination using binocular magnification and documents the findings. A routine look with an otoscope during an E/M visit is not the same service.

Can 92504 be reported with an office E/M service?

It may be reported with an E/M service when both are performed and the record supports a distinct microscopic examination as well as the separately documented E/M work.

Should 92504 be used when impacted cerumen is removed?

Choose the cerumen-removal code when removal is the service performed. Do not report 92504 merely because the microscope helps visualize that removal.

How does 92504 differ from 92502?

92504 describes diagnostic microscopic examination of the ear. 92502 is for an otolaryngologic examination performed under general anesthesia.

What documentation supports 92504?

Document use of binocular microscopy, the ear findings, and the diagnostic purpose of the examination. Identify the side or sides examined in the note.

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 92504PPRRVU2026_Oct_nonQPP.csv, line 11,778 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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