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CPT code 92602: Implant reprogramming, subsequent, under age 72026 Medicare rate & RVUs in Virginia

Reports a follow-up session to adjust a cochlear implant’s programming for a patient younger than 7 after initial diagnostic analysis and programming.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Virginia, Medicare pays $96.19 for 92602 in the office and $55.48 when it’s performed in a hospital or facility.

$96.19Office (non-facility)
$55.48Hospital or facility
−1.0%vs the national office rate ($97.20)

Check a contract rate as a % of Medicare · 92602 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 92602 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 92602 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 92602 covers

An audiologist typically reports this service when making subsequent programming adjustments to a cochlear implant for a child younger than 7. The visit may involve reviewing the child’s responses and changing processor map settings, such as stimulation levels, to support device use. It is for follow-up reprogramming, not the initial diagnostic analysis and programming session. The service may be furnished in an audiology office or another appropriate clinical setting.

Documentation should identify the patient’s age, cochlear implant, reason for the follow-up, programming changes made, and the child’s response or relevant findings. Select this code for a subsequent reprogramming session in a patient younger than 7; use the age-appropriate initial analysis code when the encounter is for initial diagnostic analysis and programming. CMS classifies the service as therapy, so the professional component modifier does not apply.

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 Virginia compares for 92602

Across 109 of 109 payment localities, the office rate for 92602 runs from $89.50 in Arkansas to $125.44 in San Benito County, CA. Virginia pays $96.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

92602 in Virginia vs other payment areas
  1. Virginia · this page$96.19
  2. Los Angeles, CA · California$108.64+$12.45
  3. Washington, DC area · District of Columbia$109.09+$12.90
  4. Miami, FL · Florida$99.90+$3.71
  5. Chicago, IL · Illinois$98.20+$2.01
  6. Manhattan, NY · New York$108.83+$12.64
  7. Alaska · Alaska$122.23+$26.04

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

Every other payment area

92602 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$90.37$54.13
ArkansasArkansas$89.50$53.92
ArizonaArizona$95.49$55.36
Bakersfield, CACalifornia$103.02$57.63
Chico, CACalifornia$102.91$57.52
El Centro, CACalifornia$102.91$57.52
Fresno, CACalifornia$102.91$57.52
Hanford, CACalifornia$102.91$57.52

92602 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.

$89.50

$122.23

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

View every state and territory as a table
92602 office rate range by state
State / territoryOffice rate rangeLocalities
AK$122.231
AL$90.371
AR$89.501
AZ$95.491
CA$102.91–$125.4429
CO$101.061
CT$102.251
DC$109.091
DE$96.741
FL$95.01–$99.903
GA$91.49–$98.252
GU$104.381
HI$104.381
IA$92.451
ID$92.751
IL$92.74–$99.204
IN$93.121
KS$91.901
KY$91.241
LA$91.04–$94.092
MA$100.66–$109.312
MD$98.24–$109.093
ME$92.80–$96.592
MI$92.59–$95.562
MN$98.511
MO$89.81–$94.633
MS$89.681
MT$97.201
NC$93.501
ND$97.001
NE$92.871
NH$99.351
NJ$103.88–$108.512
NM$92.831
NV$97.191
NY$94.43–$110.365
OH$92.551
OK$91.401
OR$96.88–$103.742
PA$92.80–$100.232
PR$97.781
RI$99.751
SC$93.081
SD$96.971
TN$92.181
TX$92.36–$100.348
UT$93.961
VA$96.19–$109.092
VI$97.781
VT$96.501
WA$100.51–$111.442
WI$94.721
WV$90.341
WY$97.111

See 92602 in every payment locality

How the 92602 rate is calculated

Each of 92602’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 · 92602

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.30

1.30 RVUs× 1.000 GPCI

Practice expense1.60

1.60 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.9100

Conversion factor

$33.4009

Medicare rate

$97.20

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,860

Code
92602
Physician work
1.30
Practice expense
1.60
Malpractice
0.01

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 92602 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.30× 1.0001.3000
Practice expense1.60× 0.9831.5728
Malpractice0.01× 0.7060.0071
Total RVUs2.8799
Conversion factor× 33.4009

Office rate, Virginia$96.19

Office: (1.3 × 1 + 1.6 × 0.983 + 0.01 × 0.706) × $33.4009 = $96.19

Facility: (1.3 × 1 + 0.36 × 0.983 + 0.01 × 0.706) × $33.4009 = $55.48

Open 92602 in the RVU calculator

Payment rules and modifiers for 92602

The CMS indicators that decide how 92602 is paid alongside other services.

CMS payment indicators · 92602

Implant reprogramming, subsequent, under age 7

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

92602 without CQ · national office

$97.20

Implant reprogramming, subsequent, under age 7

92602-CQ · Allowed amount unchanged

$97.20

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.

Codes related to 92602

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

Codes related to 92602
CodeHow it relatesOffice range, Virginia
Used instead
92601Cochlear implant, diagnostic analysis, under age 7Initial diagnostic analysis and programming for a cochlear implant in a patient younger than 7.$152.90
Same family
92603Implant analysis, age seven or olderInitial diagnostic analysis and programming for patients age 7 or older.$144.34
92604Cochlear implant programming, age 7 or olderSubsequent cochlear implant reprogramming for patients age 7 or older.$86.64

How 92602 has changed in Virginia

92602 · Office / nonfacility

$96.19

Effective 2026-10-01

The base rate is $1.44 higher than on 2025-10-01, moving from $94.75 to $96.19 (1.5%).

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

    $94.75changed to$96.19

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.63 changed to 1.60
    • Malpractice RVU 0.03 changed to 0.01
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $98.16changed to$94.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.65 changed to 1.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $96.56changed to$98.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $102.21changed to$96.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.70 changed to 1.65
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $105.08changed to$102.21

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $107.68changed to$105.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.75 changed to 1.70

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $106.13changed to$107.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.61 changed to 1.75
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $104.30changed to$106.13

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.58 changed to 1.61
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $103.48changed to$104.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.56 changed to 1.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $83.08changed to$103.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.96 changed to 1.56
    • Malpractice RVU 0.08 changed to 0.04
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $89.44changed to$83.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.16 changed to 0.96
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $89.58changed to$89.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.18 changed to 1.16
    • Malpractice RVU 0.04 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $89.13changed to$89.58

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $81.87changed to$89.13

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.95 changed to 1.18
    • Malpractice RVU 0.07 changed to 0.04
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $88.19changed to$81.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.27 changed to 0.95
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $88.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$96.19$55.48RVU26D
2026-07-01$96.19$55.48RVU26C
2026-04-01$96.19$55.48RVU26B
2026-01-01$96.19$55.48RVU26A
2025-10-01$94.75$66.10RVU25D
2025-07-01$94.75$66.10RVU25C
2025-04-01$94.75$66.10RVU25B
2025-01-01$94.75$66.10RVU25A
2024-10-01$98.16$67.37RVU24D
2024-07-01$98.16$67.37RVU24C
2024-04-01$98.16$67.37RVU24B
2024-03-09$98.16$67.37RVU24AR
2024-01-01$96.56$66.27RVU24A
2023-10-01$102.21$69.33RVU23D
2023-07-01$102.21$69.33RVU23C
2023-04-01$102.21$69.33RVU23B
2023-01-01$102.21$69.33RVU23A
2022-10-01$105.08$70.64RVU22D
2022-07-01$105.08$70.64RVU22C
2022-04-01$105.08$70.64RVU22B
2022-01-01$105.08$70.64RVU22A
2021-10-01$107.68$71.23RVU21D
2021-07-01$107.68$71.23RVU21C
2021-04-01$107.68$71.23RVU21B
2021-01-01$107.68$71.23RVU21A
2020-10-01$106.13$72.87RVU20D
2020-07-01$106.13$72.87RVU20C
2020-04-01$106.13$72.87RVU20B
2020-01-01$106.13$72.87RVU20A
2019-10-01$104.30$72.32RVU19D
2019-07-01$104.30$72.32RVU19C
2019-04-01$104.30$72.32RVU19B
2019-01-01$104.30$72.32RVU19A
2018-10-01$103.48$72.60RVU18D
2018-07-01$103.48$72.60RVU18C
2018-04-01$103.48$72.60RVU18B
2018-01-01$103.48$72.60RVU18AR1
2017-10-01$83.08$66.82RVU17D
2017-07-01$83.08$66.82RVU17C
2017-04-01$83.08$66.82RVU17B
2017-01-01$83.08$66.82RVU17A
2016-10-01$89.44$69.38RVU16D
2016-07-01$89.44$69.38RVU16C
2016-04-01$89.44$69.38RVU16B
2016-01-01$89.44$69.38RVU16A
2015-10-01$89.58$68.39RVU15D
2015-07-01$89.58$68.39RVU15C
2015-04-01$89.13$68.04RVU15B
2015-01-01$89.13$68.04RVU15A
2014-10-01$81.87$66.07RVU14D
2014-07-01$81.87$66.07RVU14C
2014-04-01$81.87$66.07RVU14B
2014-01-01$81.87$66.07RVU14A
2013-10-01$88.19$66.25RVU13D
2013-07-01$88.19$66.25RVU13C
2013-04-01$88.19$66.25RVU13B
2013-01-01$88.19$66.25RVU13AR

Price 92602 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

92602 billing questions

How does 92602 differ from 92601?

92602 is for subsequent cochlear implant reprogramming in a patient younger than 7. Code 92601 describes the initial diagnostic analysis and programming for that age group.

When is 92604 used instead?

Use 92604 for subsequent cochlear implant reprogramming when the patient is 7 or older. Code 92602 is for patients younger than 7.

Should modifier 26 be appended?

No. CMS identifies this as a therapy service, for which the professional component modifier does not apply.

What documentation supports a subsequent reprogramming service?

Document the patient’s age, the cochlear implant, the reason for the visit, the programming adjustments, and relevant responses or findings.

Is this the code for an initial programming session?

No. For a patient younger than 7 receiving initial diagnostic analysis and programming, the related code is 92601.

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 92602PPRRVU2026_Oct_nonQPP.csv, line 11,860 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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