CPT code 92603: Implant analysis, age seven or older2026 Medicare rate & RVUs in Utah
Follow-up diagnostic analysis and programming of a cochlear implant in a patient aged seven or older, including assessment of device function and auditory response.
In Utah, Medicare pays $141.39 for 92603 in the office and $94.60 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92603 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 92603 covers
An audiologist typically performs this follow-up analysis in an audiology clinic or hospital setting for a cochlear implant user aged seven or older. The visit assesses the implant system and the patient’s response, and may include checking or adjusting processor settings as part of the diagnostic analysis. It applies to adults and children who have reached age seven.
Select this code for the age-seven-or-older diagnostic analysis with programming, rather than a subsequent reprogramming service. The record should support the patient’s age, cochlear implant status, device and auditory findings, work performed, and any programming changes. CMS classifies the service as therapy: the professional component modifier does not apply, so do not append modifier 26.
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 Utah compares for 92603
Across 109 of 109 payment localities, the office rate for 92603 runs from $135.58 in Arkansas to $187.61 in Alaska. Utah pays $141.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$141.39
- Los Angeles, CA · California$161.43+$20.04
- Washington, DC area · District of Columbia$162.21+$20.82
- Miami, FL · Florida$149.01+$7.62
- Chicago, IL · Illinois$146.94+$5.55
- Manhattan, NY · New York$162.00+$20.61
- Alaska · Alaska$187.61+$46.22
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $136.72 | $93.17 |
| ArkansasArkansas | $135.58 | $92.83 |
| ArizonaArizona | $143.41 | $95.18 |
| Bakersfield, CACalifornia | $153.66 | $99.11 |
| Chico, CACalifornia | $153.48 | $98.94 |
| El Centro, CACalifornia | $153.49 | $98.94 |
| Fresno, CACalifornia | $153.48 | $98.94 |
| Hanford, CACalifornia | $153.48 | $98.94 |
| Madera, CACalifornia | $153.48 | $98.94 |
| Merced, CACalifornia | $153.48 | $98.94 |
| Modesto, CACalifornia | $153.48 | $98.94 |
| Napa, CACalifornia | $172.50 | $106.91 |
| Oxnard, CACalifornia | $160.37 | $101.55 |
| Redding, CACalifornia | $153.48 | $98.94 |
| Rest of CaliforniaCalifornia | $153.48 | $98.94 |
| Riverside, CACalifornia | $153.67 | $99.12 |
| Sacramento, CACalifornia | $159.61 | $101.73 |
| Salinas, CACalifornia | $158.96 | $101.27 |
| San Diego, CACalifornia | $161.48 | $101.96 |
| Marin County, CACalifornia | $181.34 | $111.17 |
| San Francisco, CACalifornia | $181.33 | $111.16 |
| San Benito County, CACalifornia | $184.74 | $112.98 |
| Santa Clara County, CACalifornia | $184.70 | $112.93 |
| San Luis Obispo, CACalifornia | $156.50 | $99.82 |
| Santa Cruz, CACalifornia | $162.13 | $101.66 |
| Santa Maria, CACalifornia | $159.22 | $101.19 |
| Santa Rosa, CACalifornia | $163.72 | $102.61 |
| Stockton, CACalifornia | $153.48 | $98.94 |
| Vallejo, CACalifornia | $172.49 | $106.89 |
| Visalia, CACalifornia | $153.48 | $98.94 |
| Yuba City, CACalifornia | $153.48 | $98.94 |
| ColoradoColorado | $150.95 | $97.99 |
| ConnecticutConnecticut | $152.60 | $99.00 |
| DelawareDelaware | $145.13 | $95.96 |
| Fort Lauderdale, FLFlorida | $146.81 | $96.40 |
| Rest of FloridaFlorida | $142.71 | $95.13 |
| Atlanta, GAGeorgia | $147.04 | $96.48 |
| Rest of GeorgiaGeorgia | $138.12 | $93.72 |
| Hawaii, Guam, HIHawaii | $155.10 | $98.51 |
| IowaIowa | $139.46 | $93.93 |
| IdahoIdaho | $139.84 | $94.05 |
| East St. Louis, ILIllinois | $140.36 | $94.57 |
| Rest of IllinoisIllinois | $139.71 | $94.28 |
| Suburban Chicago, ILIllinois | $148.31 | $97.19 |
| IndianaIndiana | $140.34 | $94.20 |
| KansasKansas | $138.73 | $93.74 |
| KentuckyKentucky | $137.81 | $93.57 |
| New Orleans, LALouisiana | $141.53 | $94.70 |
| Rest of LouisianaLouisiana | $137.55 | $93.50 |
| Metropolitan Boston, MAMassachusetts | $162.28 | $102.86 |
| Rest of MassachusettsMassachusetts | $150.48 | $98.08 |
| Baltimore area, MDMaryland | $152.03 | $98.63 |
| Rest of MarylandMaryland | $147.19 | $96.83 |
| Rest of MaineMaine | $139.89 | $94.10 |
| Southern Maine, MEMaine | $144.87 | $95.55 |
| Detroit, MIMichigan | $143.40 | $95.38 |
| Rest of MichiganMichigan | $139.57 | $94.13 |
| MinnesotaMinnesota | $147.43 | $96.22 |
| Metropolitan Kansas City, MOMissouri | $141.34 | $94.61 |
| Metropolitan St. Louis, MOMissouri | $142.26 | $94.88 |
| Rest of MissouriMissouri | $135.94 | $93.04 |
| MississippiMississippi | $135.79 | $92.94 |
| MontanaMontana | $145.63 | $95.86 |
| North CarolinaNorth Carolina | $140.81 | $94.37 |
| North DakotaNorth Dakota | $145.43 | $95.66 |
| NebraskaNebraska | $140.02 | $94.08 |
| New HampshireNew Hampshire | $148.46 | $96.65 |
| Northern New JerseyNew Jersey | $161.61 | $103.88 |
| Rest of New JerseyNew Jersey | $155.12 | $100.77 |
| New MexicoNew Mexico | $139.87 | $94.24 |
| NevadaNevada | $145.64 | $95.83 |
| NYC suburbs and Long Island, NYNew York | $163.98 | $104.81 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $155.74 | $101.25 |
| Queens, NYNew York | $163.35 | $104.53 |
| Rest of New YorkNew York | $142.02 | $94.74 |
| OhioOhio | $139.53 | $94.09 |
| OklahomaOklahoma | $138.05 | $93.61 |
| Portland, OROregon | $154.53 | $99.24 |
| Rest of OregonOregon | $145.25 | $95.68 |
| Metropolitan Philadelphia, PAPennsylvania | $149.92 | $98.11 |
| Rest of PennsylvaniaPennsylvania | $139.86 | $94.17 |
| Puerto RicoPuerto Rico | $146.39 | $96.08 |
| Rhode IslandRhode Island | $149.33 | $97.92 |
| South CarolinaSouth Carolina | $140.25 | $94.26 |
| South DakotaSouth Dakota | $145.41 | $95.64 |
| TennesseeTennessee | $139.09 | $93.85 |
| Austin, TXTexas | $149.81 | $97.15 |
| Beaumont, TXTexas | $139.29 | $94.00 |
| Brazoria, TXTexas | $145.52 | $96.20 |
| Dallas, TXTexas | $145.98 | $96.41 |
| Fort Worth, TXTexas | $145.28 | $96.21 |
| Galveston, TXTexas | $145.68 | $96.26 |
| Houston, TXTexas | $145.86 | $96.44 |
| Rest of TexasTexas | $142.02 | $94.79 |
| VirginiaVirginia | $144.34 | $95.42 |
| Virgin Islands, VIUnited States Virgin Islands | $146.39 | $96.08 |
| VermontVermont | $144.76 | $95.49 |
| Rest of WashingtonWashington | $150.24 | $97.84 |
| King County, WAWashington | $165.25 | $104.18 |
| WisconsinWisconsin | $142.45 | $94.77 |
| West VirginiaWest Virginia | $136.58 | $93.34 |
| WyomingWyoming | $145.54 | $95.77 |
92603 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.
$135.58
$187.61
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 | $187.61 | 1 |
| AL | $136.72 | 1 |
| AR | $135.58 | 1 |
| AZ | $143.41 | 1 |
| CA | $153.48–$184.74 | 29 |
| CO | $150.95 | 1 |
| CT | $152.60 | 1 |
| DC | $162.21 | 1 |
| DE | $145.13 | 1 |
| FL | $142.71–$149.01 | 3 |
| GA | $138.12–$147.04 | 2 |
| GU | $155.10 | 1 |
| HI | $155.10 | 1 |
| IA | $139.46 | 1 |
| ID | $139.84 | 1 |
| IL | $139.71–$148.31 | 4 |
| IN | $140.34 | 1 |
| KS | $138.73 | 1 |
| KY | $137.81 | 1 |
| LA | $137.55–$141.53 | 2 |
| MA | $150.48–$162.28 | 2 |
| MD | $147.19–$162.21 | 3 |
| ME | $139.89–$144.87 | 2 |
| MI | $139.57–$143.40 | 2 |
| MN | $147.43 | 1 |
| MO | $135.94–$142.26 | 3 |
| MS | $135.79 | 1 |
| MT | $145.63 | 1 |
| NC | $140.81 | 1 |
| ND | $145.43 | 1 |
| NE | $140.02 | 1 |
| NH | $148.46 | 1 |
| NJ | $155.12–$161.61 | 2 |
| NM | $139.87 | 1 |
| NV | $145.64 | 1 |
| NY | $142.02–$163.98 | 5 |
| OH | $139.53 | 1 |
| OK | $138.05 | 1 |
| OR | $145.25–$154.53 | 2 |
| PA | $139.86–$149.92 | 2 |
| PR | $146.39 | 1 |
| RI | $149.33 | 1 |
| SC | $140.25 | 1 |
| SD | $145.41 | 1 |
| TN | $139.09 | 1 |
| TX | $139.29–$149.81 | 8 |
| UT | $141.39 | 1 |
| VA | $144.34–$162.21 | 2 |
| VI | $146.39 | 1 |
| VT | $144.76 | 1 |
| WA | $150.24–$165.25 | 2 |
| WI | $142.45 | 1 |
| WV | $136.58 | 1 |
| WY | $145.54 | 1 |
How the 92603 rate is calculated
Each of 92603’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 · 92603
RVUs × geographic indexes × conversion factor
Work2.25
2.25 RVUs× 1.000 GPCI
Practice expense2.10
2.10 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
4.3600
Conversion factor
$33.4009
Medicare rate
$145.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,861
- Code
- 92603
- Physician work
- 2.25
- Practice expense
- 2.10
- Malpractice
- 0.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.25 | × 1.000 | 2.2500 |
| Practice expense | 2.10 | × 0.940 | 1.9740 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 4.2330 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$141.39
Office: (2.25 × 1 + 2.1 × 0.94 + 0.01 × 0.898) × $33.4009 = $141.39
Facility: (2.25 × 1 + 0.61 × 0.94 + 0.01 × 0.898) × $33.4009 = $94.60
Payment rules and modifiers for 92603
The CMS indicators that decide how 92603 is paid alongside other services.
CMS payment indicators · 92603
Implant analysis, age seven or older
| 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
92603 without CQ · national office
$145.63
Implant analysis, age seven or older
92603-CQ · Allowed amount unchanged
$145.63
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 92603 has changed in Utah
92603 · Office / nonfacility
$141.39
Effective 2026-10-01
The base rate is $2.82 higher than on 2025-10-01, moving from $138.57 to $141.39 (2.0%).
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
$138.57changed to$141.39
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 2.13 changed to 2.10
- Malpractice RVU 0.05 changed to 0.01
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$143.22changed to$138.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.14 changed to 2.13
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$140.88changed to$143.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$146.73changed to$140.88
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.19 changed to 2.14
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$149.37changed to$146.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.17 changed to 2.19
- Malpractice RVU 0.09 changed to 0.06
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$151.57changed to$149.37
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.20 changed to 2.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$153.34changed to$151.57
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.07 changed to 2.20
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$152.69changed to$153.34
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.03 changed to 2.07
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$151.52changed to$152.69
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.00 changed to 2.03
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$149.59changed to$151.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.96 changed to 2.00
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$148.46changed to$149.59
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.93 changed to 1.96
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$146.59changed to$148.46
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.87 changed to 1.93
- Malpractice RVU 0.09 changed to 0.10
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$145.86changed to$146.59
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$144.01changed to$145.86
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.79 changed to 1.87
- Malpractice RVU 0.11 changed to 0.09
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$141.76changed to$144.01
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.96 changed to 1.79
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $141.76
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $141.39 | $94.60 | RVU26D |
| 2026-07-01 | $141.39 | $94.60 | RVU26C |
| 2026-04-01 | $141.39 | $94.60 | RVU26B |
| 2026-01-01 | $141.39 | $94.60 | RVU26A |
| 2025-10-01 | $138.57 | $111.71 | RVU25D |
| 2025-07-01 | $138.57 | $111.71 | RVU25C |
| 2025-04-01 | $138.57 | $111.71 | RVU25B |
| 2025-01-01 | $138.57 | $111.71 | RVU25A |
| 2024-10-01 | $143.22 | $114.33 | RVU24D |
| 2024-07-01 | $143.22 | $114.33 | RVU24C |
| 2024-04-01 | $143.22 | $114.33 | RVU24B |
| 2024-03-09 | $143.22 | $114.33 | RVU24AR |
| 2024-01-01 | $140.88 | $112.47 | RVU24A |
| 2023-10-01 | $146.73 | $116.29 | RVU23D |
| 2023-07-01 | $146.73 | $116.29 | RVU23C |
| 2023-04-01 | $146.73 | $116.29 | RVU23B |
| 2023-01-01 | $146.73 | $116.29 | RVU23A |
| 2022-10-01 | $149.37 | $118.20 | RVU22D |
| 2022-07-01 | $149.37 | $118.20 | RVU22C |
| 2022-04-01 | $149.37 | $118.20 | RVU22B |
| 2022-01-01 | $149.37 | $118.20 | RVU22A |
| 2021-10-01 | $151.57 | $119.18 | RVU21D |
| 2021-07-01 | $151.57 | $119.18 | RVU21C |
| 2021-04-01 | $151.57 | $119.18 | RVU21B |
| 2021-01-01 | $151.57 | $119.18 | RVU21A |
| 2020-10-01 | $153.34 | $122.37 | RVU20D |
| 2020-07-01 | $153.34 | $122.37 | RVU20C |
| 2020-04-01 | $153.34 | $122.37 | RVU20B |
| 2020-01-01 | $153.34 | $122.37 | RVU20A |
| 2019-10-01 | $152.69 | $122.62 | RVU19D |
| 2019-07-01 | $152.69 | $122.62 | RVU19C |
| 2019-04-01 | $152.69 | $122.62 | RVU19B |
| 2019-01-01 | $152.69 | $122.62 | RVU19A |
| 2018-10-01 | $151.52 | $122.48 | RVU18D |
| 2018-07-01 | $151.52 | $122.48 | RVU18C |
| 2018-04-01 | $151.52 | $122.48 | RVU18B |
| 2018-01-01 | $151.52 | $122.48 | RVU18AR1 |
| 2017-10-01 | $149.59 | $122.03 | RVU17D |
| 2017-07-01 | $149.59 | $122.03 | RVU17C |
| 2017-04-01 | $149.59 | $122.03 | RVU17B |
| 2017-01-01 | $149.59 | $122.03 | RVU17A |
| 2016-10-01 | $148.46 | $121.72 | RVU16D |
| 2016-07-01 | $148.46 | $121.72 | RVU16C |
| 2016-04-01 | $148.46 | $121.72 | RVU16B |
| 2016-01-01 | $148.46 | $121.72 | RVU16A |
| 2015-10-01 | $146.59 | $121.41 | RVU15D |
| 2015-07-01 | $146.59 | $121.41 | RVU15C |
| 2015-04-01 | $145.86 | $120.80 | RVU15B |
| 2015-01-01 | $145.86 | $120.80 | RVU15A |
| 2014-10-01 | $144.01 | $121.62 | RVU14D |
| 2014-07-01 | $144.01 | $121.62 | RVU14C |
| 2014-04-01 | $144.01 | $121.62 | RVU14B |
| 2014-01-01 | $144.01 | $121.62 | RVU14A |
| 2013-10-01 | $141.76 | $117.76 | RVU13D |
| 2013-07-01 | $141.76 | $117.76 | RVU13C |
| 2013-04-01 | $141.76 | $117.76 | RVU13B |
| 2013-01-01 | $141.76 | $117.76 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
92603 billing questions
How does this differ from 92604?
92603 represents diagnostic analysis with programming for a patient aged seven or older. Use 92604 for subsequent reprogramming.
Which code applies to a patient younger than seven?
Use 92601 for diagnostic analysis with programming in a patient younger than seven. Code 92602 represents subsequent reprogramming for that age group.
Can modifier 26 be appended?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
What documentation supports reporting 92603?
Document the patient’s age and implant status, the diagnostic assessment of the device and auditory response, and any programming performed.
Is 92603 the code for every cochlear implant follow-up?
No. The patient must be at least seven, and the service must be diagnostic analysis with programming rather than subsequent reprogramming.
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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