CPT code 92567: Tympanometry, middle ear pressure and mobility2026 Medicare rate & RVUs in Missouri
Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss.
Medicare pays $14.78–$15.60 for 92567 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 92567 covers
Tympanometry uses a sealed ear canal probe to vary air pressure and record how the tympanic membrane and middle ear system respond. The tympanogram helps assess middle ear fluid, negative pressure from eustachian tube dysfunction, and possible perforation or a patent ventilation tube when ear canal volume is unusually large. Audiologists, otolaryngologists, pediatricians, and primary care practices perform the test, usually in an office, sometimes alongside pure tone audiometry or after obstructing cerumen is removed.
Report one unit for testing both ears. CMS already prices 92567 as bilateral, so modifier 50 adds no payment; use modifier 52 to identify a reduced service when only one ear is tested. CMS classifies the code as a therapy service for its component indicator, so do not split the test into claims with modifiers 26 and TC. Document findings for each ear, including ear canal volume and measurable peak pressure and compliance, or a flat tracing if no peak is present. Use 92550 for a combined tympanometry and acoustic reflex threshold battery; 92570 includes reflex decay testing as well.
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.
Where 92567 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$14.78 to $15.60
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $15.47 | $8.57 |
| Metropolitan St. Louis, MO | $15.60 | $8.60 |
| Rest of Missouri | $14.78 | $8.45 |
How the 92567 rate is calculated
Each of 92567’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 · 92567
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.27
0.27 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4800
Conversion factor
$33.4009
Medicare rate
$16.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92567
The CMS indicators that decide how 92567 is paid alongside other services.
CMS payment indicators · 92567
Tympanometry, middle ear pressure and mobility
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92567 without CQ · national office
$16.03
Tympanometry, middle ear pressure and mobility
92567-CQ · Allowed amount unchanged
$16.03
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
92567 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92550Middle-ear testingTympanometry and reflex thresholds
- 92567 is tympanometry alone. For a combined tympanometry and acoustic reflex threshold battery, report 92550 rather than separate 92567 and 92568 codes.
- 92570Immittance testingTympanometry and reflex measures
- 92570 includes tympanometry, acoustic reflex thresholds, and reflex decay. Choose it when all three are performed; use 92567 for tympanometry alone or 92550 when thresholds are added without decay.
- 92568Acoustic reflexThreshold measurement
- 92568 measures acoustic reflex thresholds rather than eardrum mobility. For a combined tympanometry and reflex threshold battery, use 92550 instead of reporting the tests separately.
92567 billing questions
Can 92567 and 92568 be billed together for a combined test?
Report 92550 rather than separate 92567 and 92568 codes when tympanometry and acoustic reflex thresholds are performed as one battery.
How is a test on only one ear reported?
Report one unit with modifier 52 for a unilateral test. Do not append modifier 50: CMS already prices 92567 as bilateral.
Can a physician bill 92567-26 for interpreting a tympanogram performed elsewhere?
No. CMS does not recognize a professional component modifier for 92567, so an interpretation alone does not support a 92567-26 claim.
Is tympanometry separately billable with comprehensive audiometry 92557?
Yes. Comprehensive audiometry does not include tympanometry, so 92567 may be reported with 92557 when both tests are performed and documented.
What documentation supports 92567?
Keep the tympanogram or recorded findings for each tested ear, including ear canal volume and any measurable peak pressure and compliance. Document a flat tracing when no peak is present and include an interpretation.
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
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