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CPT code 92552: Pure-tone audiometry, air conduction only2026 Medicare rate & RVUs in Puerto Rico

Reports air-conduction hearing threshold testing across frequencies, commonly used to assess suspected hearing loss without bone-conduction or speech testing.

CMS RVU26DEffective Oct 1, 2026One payment locality96.2K Medicare services in 2024

In Puerto Rico, Medicare pays $40.85 for 92552 in the office.

$40.85Office (non-facility)
Not available in this settingHospital or facility
+1.1%vs the national office rate ($40.42)

Check a contract rate as a % of Medicare · 92552 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 92552 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 92552 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 92552 covers

Pure-tone air-conduction audiometry measures hearing thresholds across test frequencies by presenting tones through earphones and recording the softest levels detected. Audiologists commonly perform it in audiology clinics, ENT offices, and hearing centers to assess suspected hearing loss, document asymmetry, or monitor a known hearing condition. The audiogram records the thresholds for each ear; this code represents neither bone-conduction nor speech-recognition testing.

Report 92552 for the air-conduction threshold service rather than a screening test or a broader audiologic battery, and retain the test findings and clinical reason in the record. CMS treats it as technical-component-only; interpretation is represented by a separate code, so this line covers the testing work. The code is priced bilaterally, covering both ears under one code; modifier 50 does not increase payment.

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 Puerto Rico compares for 92552

Across 109 of 109 payment localities, the office rate for 92552 runs from $34.60 in Arkansas to $57.98 in San Benito County, CA. Puerto Rico pays $40.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

92552 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$40.85
  2. Los Angeles, CA · California$47.64+$6.79
  3. Washington, DC area · District of Columbia$47.59+$6.74
  4. Miami, FL · Florida$42.57+$1.72
  5. Chicago, IL · Illinois$41.05+$0.20
  6. Manhattan, NY · New York$47.10+$6.25
  7. Alaska · Alaska$42.87+$2.02

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

Every other payment area

92552 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$35.26—
ArkansasArkansas$34.60—
ArizonaArizona$39.12—
Bakersfield, CACalifornia$44.13—
Chico, CACalifornia$44.11—
El Centro, CACalifornia$44.11—
Fresno, CACalifornia$44.11—
Hanford, CACalifornia$44.11—

92552 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$34.60

$51.05

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

View every state and territory as a table
92552 office rate range by state
State / territoryOffice rate rangeLocalities
AK$42.871
AL$35.261
AR$34.601
AZ$39.121
CA$44.11–$57.9829
CO$42.911
CT$43.571
DC$47.591
DE$39.901
FL$38.82–$42.573
GA$36.15–$41.122
GU$45.771
HI$45.771
IA$36.811
ID$37.031
IL$37.12–$41.764
IN$37.321
KS$36.401
KY$35.941
LA$35.79–$38.102
MA$42.47–$48.152
MD$40.87–$47.593
ME$37.08–$39.932
MI$36.97–$39.242
MN$41.341
MO$34.88–$38.493
MS$34.761
MT$40.411
NC$37.611
ND$40.221
NE$37.121
NH$42.021
NJ$44.13–$46.852
NM$37.161
NV$40.401
NY$38.31–$48.285
OH$36.931
OK$36.051
OR$40.16–$44.782
PA$37.11–$42.122
PR$40.851
RI$41.701
SC$37.321
SD$40.191
TN$36.611
TX$36.78–$42.708
UT$37.981
VA$39.64–$47.592
VI$40.851
VT$39.851
WA$42.46–$49.452
WI$38.501
WV$35.311
WY$40.331

See 92552 in every payment locality

How the 92552 rate is calculated

Each of 92552’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 · 92552

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.20

1.20 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.2100

Conversion factor

$33.4009

Medicare rate

$40.42

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,830

Code
92552
Physician work
0.00
Practice expense
1.20
Malpractice
0.01

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 92552 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense1.20× 1.0111.2132
Malpractice0.01× 0.9850.0098
Total RVUs1.2230
Conversion factor× 33.4009

Office rate, Puerto Rico$40.85

Office: (0 × 1 + 1.2 × 1.011 + 0.01 × 0.985) × $33.4009 = $40.85

Open 92552 in the RVU calculator

Payment rules and modifiers for 92552

The CMS indicators that decide how 92552 is paid alongside other services.

CMS payment indicators · 92552

Pure-tone audiometry, air conduction only

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Codes related to 92552

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

Codes related to 92552
CodeHow it relatesOffice range, Puerto Rico
Used instead
92551Hearing screening, pure tone, air onlyAir-conduction screening rather than threshold audiometry.No office rate
92557Comprehensive hearing test, air, bone, and speech testingComprehensive threshold evaluation with speech recognition.$35.90
Same family
92553Audiometry, air and bone thresholdsAdds bone-conduction thresholds to air-conduction audiometry.$49.63
Often billed with
92567Tympanometry, middle ear pressure and mobilityTympanometry may accompany audiometry when middle-ear testing is performed.$16.13

How 92552 has changed in Puerto Rico

92552 · Office / nonfacility

$40.85

Effective 2026-10-01

The base rate is $1.77 higher than on 2025-10-01, moving from $39.08 to $40.85 (4.5%).

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

    $39.08changed to$40.85

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.19 changed to 1.20
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $38.21changed to$39.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.13 changed to 1.19

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $37.58changed to$38.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $36.20changed to$37.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.05 changed to 1.13
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $35.92changed to$36.20

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $34.53changed to$35.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.98 changed to 1.05
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $33.05changed to$34.53

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.93 changed to 0.98

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $32.37changed to$33.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.88 changed to 0.93
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $32.29changed to$32.37

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $32.62changed to$32.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.89 changed to 0.88

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $27.26changed to$32.62

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.88 changed to 0.89
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $22.07changed to$27.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.87 changed to 0.88
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $22.15changed to$22.07

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $22.03changed to$22.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $21.17changed to$22.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.85 changed to 0.87
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $21.77changed to$21.17

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.94 changed to 0.85
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $21.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$40.85Not available in this settingRVU26D
2026-07-01$40.85Not available in this settingRVU26C
2026-04-01$40.85Not available in this settingRVU26B
2026-01-01$40.85Not available in this settingRVU26A
2025-10-01$39.08Not available in this settingRVU25D
2025-07-01$39.08Not available in this settingRVU25C
2025-04-01$39.08Not available in this settingRVU25B
2025-01-01$39.08Not available in this settingRVU25A
2024-10-01$38.21Not available in this settingRVU24D
2024-07-01$38.21Not available in this settingRVU24C
2024-04-01$38.21Not available in this settingRVU24B
2024-03-09$38.21Not available in this settingRVU24AR
2024-01-01$37.58Not available in this settingRVU24A
2023-10-01$36.20Not available in this settingRVU23D
2023-07-01$35.92Not available in this settingRVU23C
2023-04-01$35.92Not available in this settingRVU23B
2023-01-01$35.92Not available in this settingRVU23A
2022-10-01$34.53Not available in this settingRVU22D
2022-07-01$34.53Not available in this settingRVU22C
2022-04-01$34.53Not available in this settingRVU22B
2022-01-01$34.53Not available in this settingRVU22A
2021-10-01$33.05Not available in this settingRVU21D
2021-07-01$33.05Not available in this settingRVU21C
2021-04-01$33.05Not available in this settingRVU21B
2021-01-01$33.05Not available in this settingRVU21A
2020-10-01$32.37Not available in this settingRVU20D
2020-07-01$32.37Not available in this settingRVU20C
2020-04-01$32.37Not available in this settingRVU20B
2020-01-01$32.37Not available in this settingRVU20A
2019-10-01$32.29Not available in this settingRVU19D
2019-07-01$32.29Not available in this settingRVU19C
2019-04-01$32.29Not available in this settingRVU19B
2019-01-01$32.29Not available in this settingRVU19A
2018-10-01$32.62Not available in this settingRVU18D
2018-07-01$32.62Not available in this settingRVU18C
2018-04-01$32.62Not available in this settingRVU18B
2018-01-01$32.62Not available in this settingRVU18AR1
2017-10-01$27.26Not available in this settingRVU17D
2017-07-01$27.26Not available in this settingRVU17C
2017-04-01$27.26Not available in this settingRVU17B
2017-01-01$27.26Not available in this settingRVU17A
2016-10-01$22.07Not available in this settingRVU16D
2016-07-01$22.07Not available in this settingRVU16C
2016-04-01$22.07Not available in this settingRVU16B
2016-01-01$22.07Not available in this settingRVU16A
2015-10-01$22.15Not available in this settingRVU15D
2015-07-01$22.15Not available in this settingRVU15C
2015-04-01$22.03Not available in this settingRVU15B
2015-01-01$22.03Not available in this settingRVU15A
2014-10-01$21.17Not available in this settingRVU14D
2014-07-01$21.17Not available in this settingRVU14C
2014-04-01$21.17Not available in this settingRVU14B
2014-01-01$21.17Not available in this settingRVU14A
2013-10-01$21.77Not available in this settingRVU13D
2013-07-01$21.77Not available in this settingRVU13C
2013-04-01$21.77Not available in this settingRVU13B
2013-01-01$21.77Not available in this settingRVU13AR

Price 92552 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

92552 billing questions

When should 92552 be used instead of 92551?

Use 92552 for threshold audiometry that measures hearing levels across test frequencies. Code 92551 describes pure-tone air-conduction screening, not threshold testing.

How does 92552 differ from 92553?

92552 covers air-conduction thresholds only. Use 92553 when the audiometry includes both air- and bone-conduction thresholds.

Is 92552 reported once for both ears?

The CMS fee schedule prices 92552 as bilateral. Modifier 50 does not increase payment.

Can the interpretation be billed under 92552?

No. CMS identifies 92552 as technical-component-only, with interpretation covered by a separate code.

When is 92557 a better fit than 92552?

Use 92557 when the service is comprehensive audiometry that includes threshold evaluation and speech recognition. 92552 represents air-conduction threshold testing alone.

Can tympanometry be reported with 92552?

92567 may be reported for separately performed tympanometry during the same encounter; it evaluates middle-ear function rather than air-conduction hearing thresholds.

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 92552PPRRVU2026_Oct_nonQPP.csv, line 11,830 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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