CPT code 92602: Implant reprogramming, subsequent, under age 72026 Medicare rate & RVUs in Wyoming
Reports a follow-up session to adjust a cochlear implant’s programming for a patient younger than 7 after initial diagnostic analysis and programming.
In Wyoming, Medicare pays $97.11 for 92602 in the office and $55.69 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Wyoming 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. Wyoming pays $97.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wyoming · this page$97.11
- Los Angeles, CA · California$108.64+$11.53
- Washington, DC area · District of Columbia$109.09+$11.98
- Miami, FL · Florida$99.90+$2.79
- Chicago, IL · Illinois$98.20+$1.09
- Manhattan, NY · New York$108.83+$11.72
- Alaska · Alaska$122.23+$25.12
Other areas in Wyoming first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $102.91 | $57.52 |
| Merced, CACalifornia | $102.91 | $57.52 |
| Modesto, CACalifornia | $102.91 | $57.52 |
| Napa, CACalifornia | $116.76 | $62.17 |
| Oxnard, CACalifornia | $108.01 | $59.06 |
| Redding, CACalifornia | $102.91 | $57.52 |
| Rest of CaliforniaCalifornia | $102.91 | $57.52 |
| Riverside, CACalifornia | $103.06 | $57.67 |
| Sacramento, CACalifornia | $107.32 | $59.15 |
| Salinas, CACalifornia | $106.88 | $58.88 |
| San Diego, CACalifornia | $108.82 | $59.29 |
| Marin County, CACalifornia | $123.05 | $64.65 |
| San Francisco, CACalifornia | $123.04 | $64.64 |
| San Benito County, CACalifornia | $125.44 | $65.72 |
| Santa Clara County, CACalifornia | $125.39 | $65.67 |
| San Luis Obispo, CACalifornia | $105.21 | $58.03 |
| Santa Cruz, CACalifornia | $109.44 | $59.12 |
| Santa Maria, CACalifornia | $107.13 | $58.84 |
| Santa Rosa, CACalifornia | $110.53 | $59.67 |
| Stockton, CACalifornia | $102.91 | $57.52 |
| Vallejo, CACalifornia | $116.75 | $62.16 |
| Visalia, CACalifornia | $102.91 | $57.52 |
| Yuba City, CACalifornia | $102.91 | $57.52 |
| ColoradoColorado | $101.06 | $57.00 |
| ConnecticutConnecticut | $102.25 | $57.64 |
| DelawareDelaware | $96.74 | $55.82 |
| Fort Lauderdale, FLFlorida | $98.16 | $56.21 |
| Rest of FloridaFlorida | $95.01 | $55.42 |
| Atlanta, GAGeorgia | $98.25 | $56.17 |
| Rest of GeorgiaGeorgia | $91.49 | $54.55 |
| Hawaii, Guam, HIHawaii | $104.38 | $57.29 |
| IowaIowa | $92.45 | $54.56 |
| IdahoIdaho | $92.75 | $54.64 |
| East St. Louis, ILIllinois | $93.26 | $55.16 |
| Rest of IllinoisIllinois | $92.74 | $54.92 |
| Suburban Chicago, ILIllinois | $99.20 | $56.67 |
| IndianaIndiana | $93.12 | $54.73 |
| KansasKansas | $91.90 | $54.46 |
| KentuckyKentucky | $91.24 | $54.42 |
| New Orleans, LALouisiana | $94.09 | $55.12 |
| Rest of LouisianaLouisiana | $91.04 | $54.38 |
| Metropolitan Boston, MAMassachusetts | $109.31 | $59.86 |
| Rest of MassachusettsMassachusetts | $100.66 | $57.04 |
| Baltimore area, MDMaryland | $101.87 | $57.43 |
| Rest of MarylandMaryland | $98.24 | $56.33 |
| Rest of MaineMaine | $92.80 | $54.69 |
| Southern Maine, MEMaine | $96.59 | $55.55 |
| Detroit, MIMichigan | $95.56 | $55.59 |
| Rest of MichiganMichigan | $92.59 | $54.78 |
| MinnesotaMinnesota | $98.51 | $55.89 |
| Metropolitan Kansas City, MOMissouri | $93.93 | $55.04 |
| Metropolitan St. Louis, MOMissouri | $94.63 | $55.20 |
| Rest of MissouriMissouri | $89.81 | $54.11 |
| MississippiMississippi | $89.68 | $54.02 |
| MontanaMontana | $97.20 | $55.78 |
| North CarolinaNorth Carolina | $93.50 | $54.85 |
| North DakotaNorth Dakota | $97.00 | $55.58 |
| NebraskaNebraska | $92.87 | $54.65 |
| New HampshireNew Hampshire | $99.35 | $56.23 |
| Northern New JerseyNew Jersey | $108.51 | $60.46 |
| Rest of New JerseyNew Jersey | $103.88 | $58.65 |
| New MexicoNew Mexico | $92.83 | $54.85 |
| NevadaNevada | $97.19 | $55.74 |
| NYC suburbs and Long Island, NYNew York | $110.36 | $61.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $104.30 | $58.95 |
| Queens, NYNew York | $109.85 | $60.89 |
| Rest of New YorkNew York | $94.43 | $55.08 |
| OhioOhio | $92.55 | $54.74 |
| OklahomaOklahoma | $91.40 | $54.42 |
| Portland, OROregon | $103.74 | $57.72 |
| Rest of OregonOregon | $96.88 | $55.63 |
| Metropolitan Philadelphia, PAPennsylvania | $100.23 | $57.12 |
| Rest of PennsylvaniaPennsylvania | $92.80 | $54.78 |
| Puerto RicoPuerto Rico | $97.78 | $55.91 |
| Rhode IslandRhode Island | $99.75 | $56.97 |
| South CarolinaSouth Carolina | $93.08 | $54.82 |
| South DakotaSouth Dakota | $96.97 | $55.56 |
| TennesseeTennessee | $92.18 | $54.53 |
| Austin, TXTexas | $100.34 | $56.53 |
| Beaumont, TXTexas | $92.36 | $54.67 |
| Brazoria, TXTexas | $96.99 | $55.95 |
| Dallas, TXTexas | $97.33 | $56.07 |
| Fort Worth, TXTexas | $96.80 | $55.96 |
| Galveston, TXTexas | $97.11 | $55.99 |
| Houston, TXTexas | $97.30 | $56.17 |
| Rest of TexasTexas | $94.44 | $55.13 |
| UtahUtah | $93.96 | $55.02 |
| VirginiaVirginia | $96.19 | $55.48 |
| Virgin Islands, VIUnited States Virgin Islands | $97.78 | $55.91 |
| VermontVermont | $96.50 | $55.49 |
| Rest of WashingtonWashington | $100.51 | $56.90 |
| King County, WAWashington | $111.44 | $60.62 |
| WisconsinWisconsin | $94.72 | $55.04 |
| West VirginiaWest Virginia | $90.34 | $54.35 |
92602 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.
$89.50
$122.23
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $122.23 | 1 |
| AL | $90.37 | 1 |
| AR | $89.50 | 1 |
| AZ | $95.49 | 1 |
| CA | $102.91–$125.44 | 29 |
| CO | $101.06 | 1 |
| CT | $102.25 | 1 |
| DC | $109.09 | 1 |
| DE | $96.74 | 1 |
| FL | $95.01–$99.90 | 3 |
| GA | $91.49–$98.25 | 2 |
| GU | $104.38 | 1 |
| HI | $104.38 | 1 |
| IA | $92.45 | 1 |
| ID | $92.75 | 1 |
| IL | $92.74–$99.20 | 4 |
| IN | $93.12 | 1 |
| KS | $91.90 | 1 |
| KY | $91.24 | 1 |
| LA | $91.04–$94.09 | 2 |
| MA | $100.66–$109.31 | 2 |
| MD | $98.24–$109.09 | 3 |
| ME | $92.80–$96.59 | 2 |
| MI | $92.59–$95.56 | 2 |
| MN | $98.51 | 1 |
| MO | $89.81–$94.63 | 3 |
| MS | $89.68 | 1 |
| MT | $97.20 | 1 |
| NC | $93.50 | 1 |
| ND | $97.00 | 1 |
| NE | $92.87 | 1 |
| NH | $99.35 | 1 |
| NJ | $103.88–$108.51 | 2 |
| NM | $92.83 | 1 |
| NV | $97.19 | 1 |
| NY | $94.43–$110.36 | 5 |
| OH | $92.55 | 1 |
| OK | $91.40 | 1 |
| OR | $96.88–$103.74 | 2 |
| PA | $92.80–$100.23 | 2 |
| PR | $97.78 | 1 |
| RI | $99.75 | 1 |
| SC | $93.08 | 1 |
| SD | $96.97 | 1 |
| TN | $92.18 | 1 |
| TX | $92.36–$100.34 | 8 |
| UT | $93.96 | 1 |
| VA | $96.19–$109.09 | 2 |
| VI | $97.78 | 1 |
| VT | $96.50 | 1 |
| WA | $100.51–$111.44 | 2 |
| WI | $94.72 | 1 |
| WV | $90.34 | 1 |
| WY | $97.11 | 1 |
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
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 Wyoming 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
112
- Locality
- Wyoming
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.30 | × 1.000 | 1.3000 |
| Practice expense | 1.60 | × 1.000 | 1.6000 |
| Malpractice | 0.01 | × 0.740 | 0.0074 |
| Total RVUs | 2.9074 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wyoming$97.11
Office: (1.3 × 1 + 1.6 × 1 + 0.01 × 0.74) × $33.4009 = $97.11
Facility: (1.3 × 1 + 0.36 × 1 + 0.01 × 0.74) × $33.4009 = $55.69
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
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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
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.
How 92602 has changed in Wyoming
92602 · Office / nonfacility
$97.11
Effective 2026-10-01
The base rate is $1.62 higher than on 2025-10-01, moving from $95.49 to $97.11 (1.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$95.49changed to$97.11
- 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
- Malpractice GPCI 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$98.94changed to$95.49
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.65 changed to 1.63
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$97.32changed to$98.94
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$102.73changed to$97.32
- 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
- Malpractice GPCI 0.790 changed to 0.739
January 1, 2023
RVU23A
$105.27changed to$102.73
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 0.841 changed to 0.790
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$107.89changed to$105.27
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.75 changed to 1.70
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$106.57changed to$107.89
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.61 changed to 1.75
- Malpractice GPCI 0.860 changed to 0.841
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$105.06changed to$106.57
- 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
- Malpractice GPCI 0.880 changed to 0.860
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$104.23changed to$105.06
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.56 changed to 1.58
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$84.12changed to$104.23
- 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
- Malpractice GPCI 1.050 changed to 0.880
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$91.13changed to$84.12
- 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
- Malpractice GPCI 1.219 changed to 1.050
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$90.87changed to$91.13
- 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.
July 1, 2015
RVU15C
$90.42changed to$90.87
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$83.68changed to$90.42
- 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
- Malpractice GPCI 1.226 changed to 1.219
Held through RVU15B.
January 1, 2014
RVU14A
$90.38changed to$83.68
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.27 changed to 0.95
- Malpractice GPCI 1.233 changed to 1.226
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $90.38
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $97.11 | $55.69 | RVU26D |
| 2026-07-01 | $97.11 | $55.69 | RVU26C |
| 2026-04-01 | $97.11 | $55.69 | RVU26B |
| 2026-01-01 | $97.11 | $55.69 | RVU26A |
| 2025-10-01 | $95.49 | $66.38 | RVU25D |
| 2025-07-01 | $95.49 | $66.38 | RVU25C |
| 2025-04-01 | $95.49 | $66.38 | RVU25B |
| 2025-01-01 | $95.49 | $66.38 | RVU25A |
| 2024-10-01 | $98.94 | $67.65 | RVU24D |
| 2024-07-01 | $98.94 | $67.65 | RVU24C |
| 2024-04-01 | $98.94 | $67.65 | RVU24B |
| 2024-03-09 | $98.94 | $67.65 | RVU24AR |
| 2024-01-01 | $97.32 | $66.54 | RVU24A |
| 2023-10-01 | $102.73 | $69.52 | RVU23D |
| 2023-07-01 | $102.73 | $69.52 | RVU23C |
| 2023-04-01 | $102.73 | $69.52 | RVU23B |
| 2023-01-01 | $102.73 | $69.52 | RVU23A |
| 2022-10-01 | $105.27 | $70.67 | RVU22D |
| 2022-07-01 | $105.27 | $70.67 | RVU22C |
| 2022-04-01 | $105.27 | $70.67 | RVU22B |
| 2022-01-01 | $105.27 | $70.67 | RVU22A |
| 2021-10-01 | $107.89 | $71.25 | RVU21D |
| 2021-07-01 | $107.89 | $71.25 | RVU21C |
| 2021-04-01 | $107.89 | $71.25 | RVU21B |
| 2021-01-01 | $107.89 | $71.25 | RVU21A |
| 2020-10-01 | $106.57 | $73.01 | RVU20D |
| 2020-07-01 | $106.57 | $73.01 | RVU20C |
| 2020-04-01 | $106.57 | $73.01 | RVU20B |
| 2020-01-01 | $106.57 | $73.01 | RVU20A |
| 2019-10-01 | $105.06 | $72.63 | RVU19D |
| 2019-07-01 | $105.06 | $72.63 | RVU19C |
| 2019-04-01 | $105.06 | $72.63 | RVU19B |
| 2019-01-01 | $105.06 | $72.63 | RVU19A |
| 2018-10-01 | $104.23 | $72.91 | RVU18D |
| 2018-07-01 | $104.23 | $72.91 | RVU18C |
| 2018-04-01 | $104.23 | $72.91 | RVU18B |
| 2018-01-01 | $104.23 | $72.91 | RVU18AR1 |
| 2017-10-01 | $84.12 | $67.61 | RVU17D |
| 2017-07-01 | $84.12 | $67.61 | RVU17C |
| 2017-04-01 | $84.12 | $67.61 | RVU17B |
| 2017-01-01 | $84.12 | $67.61 | RVU17A |
| 2016-10-01 | $91.13 | $70.73 | RVU16D |
| 2016-07-01 | $91.13 | $70.73 | RVU16C |
| 2016-04-01 | $91.13 | $70.73 | RVU16B |
| 2016-01-01 | $91.13 | $70.73 | RVU16A |
| 2015-10-01 | $90.87 | $69.31 | RVU15D |
| 2015-07-01 | $90.87 | $69.31 | RVU15C |
| 2015-04-01 | $90.42 | $68.96 | RVU15B |
| 2015-01-01 | $90.42 | $68.96 | RVU15A |
| 2014-10-01 | $83.68 | $67.56 | RVU14D |
| 2014-07-01 | $83.68 | $67.56 | RVU14C |
| 2014-04-01 | $83.68 | $67.56 | RVU14B |
| 2014-01-01 | $83.68 | $67.56 | RVU14A |
| 2013-10-01 | $90.38 | $67.92 | RVU13D |
| 2013-07-01 | $90.38 | $67.92 | RVU13C |
| 2013-04-01 | $90.38 | $67.92 | RVU13B |
| 2013-01-01 | $90.38 | $67.92 | RVU13AR |
Where the Wyoming rate applies
Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.
- Afton
- Albany
- Albin
- Alcova
- Alpine
- Alpine Northeast
- Alpine Northwest
- Alta
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
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