Billing code 92565: Stenger testMedicare rate & RVUs
Reports bilateral pure-tone Stenger testing used to assess suspected nonorganic hearing loss when reported hearing differs from audiometric findings.
Medicare pays $22.38 for 92565 nationally in the office. Local office rates run $19.11–$31.97.
Medicare rate · 92565
Stenger test
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 0.67
- Global days
- XXX
National rate · 2026
$22.38
Office setting, before claim adjustments.
See every locality for 92565 → · Billed by an NP, PA or therapist? →
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 10 sections
What 92565 covers
A pure-tone Stenger test uses simultaneous tones of the same frequency presented to both ears at different levels. The response pattern helps assess suspected nonorganic hearing loss, often when a patient reports substantially poorer hearing in one ear than the audiometric findings support. An audiologist or other qualified hearing-care professional typically performs the test with audiometric equipment in an office or audiology setting.
Report this code for the technical testing, not for the interpretation, which is covered by a separate code. Documentation should identify the indication, test conditions, and responses that support the findings. CMS prices the code as bilateral, so modifier 50 does not increase payment. The test is reported for both ears as one bilateral service rather than as separate unilateral services.
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 92565 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$19.11 to $31.97
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $19.48 | Unavailable |
| Alaska* | $23.66 | Unavailable |
| Arizona | $21.65 | Unavailable |
| Arkansas | $19.11 | Unavailable |
| Atlanta | $22.80 | Unavailable |
| Austin | $23.62 | Unavailable |
| Bakersfield | $24.36 | Unavailable |
| Baltimore/Surr. Cntys | $24.07 | Unavailable |
| Beaumont | $20.37 | Unavailable |
| Brazoria | $22.11 | Unavailable |
| Chicago | $22.92 | Unavailable |
| Chico | $24.34 | Unavailable |
| Colorado | $23.72 | Unavailable |
| Connecticut | $24.15 | Unavailable |
| Dallas | $22.24 | Unavailable |
| Dc + Md/Va Suburbs | $26.34 | Unavailable |
| Delaware | $22.08 | Unavailable |
| Detroit | $21.84 | Unavailable |
| East St. Louis | $20.95 | Unavailable |
| El Centro | $24.34 | Unavailable |
| Fort Lauderdale | $22.94 | Unavailable |
| Fort Worth | $22.03 | Unavailable |
| Fresno | $24.34 | Unavailable |
| Galveston | $22.17 | Unavailable |
| Hanford-Corcoran | $24.34 | Unavailable |
| Hawaii, Guam | $25.26 | Unavailable |
| Houston | $22.35 | Unavailable |
| Idaho | $20.44 | Unavailable |
| Indiana | $20.60 | Unavailable |
| Iowa | $20.30 | Unavailable |
| Kansas | $20.10 | Unavailable |
| Kentucky | $19.90 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $26.30 | Unavailable |
| Madera | $24.34 | Unavailable |
| Manhattan | $26.15 | Unavailable |
| Merced | $24.34 | Unavailable |
| Metropolitan Boston | $26.62 | Unavailable |
| Metropolitan Kansas City | $21.03 | Unavailable |
| Metropolitan Philadelphia | $23.35 | Unavailable |
| Metropolitan St. Louis | $21.32 | Unavailable |
| Miami | $23.79 | Unavailable |
| Minnesota | $22.78 | Unavailable |
| Mississippi | $19.23 | Unavailable |
| Modesto | $24.34 | Unavailable |
| Montana** | $22.38 | Unavailable |
| Napa | $29.22 | Unavailable |
| Nebraska | $20.47 | Unavailable |
| Nevada** | $22.34 | Unavailable |
| New Hampshire | $23.24 | Unavailable |
| New Mexico | $20.62 | Unavailable |
| New Orleans | $21.12 | Unavailable |
| North Carolina | $20.78 | Unavailable |
| North Dakota** | $22.18 | Unavailable |
| Northern Nj | $25.93 | Unavailable |
| Nyc Suburbs/Long Island | $26.83 | Unavailable |
| Ohio | $20.46 | Unavailable |
| Oklahoma | $19.95 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $26.26 | Unavailable |
| Portland | $24.74 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $24.54 | Unavailable |
| Puerto Rico | $22.62 | Unavailable |
| Queens | $26.54 | Unavailable |
| Redding | $24.34 | Unavailable |
| Rest Of California | $24.34 | Unavailable |
| Rest Of Florida | $21.58 | Unavailable |
| Rest Of Georgia | $20.06 | Unavailable |
| Rest Of Illinois | $20.65 | Unavailable |
| Rest Of Louisiana | $19.83 | Unavailable |
| Rest Of Maine | $20.49 | Unavailable |
| Rest Of Maryland | $22.62 | Unavailable |
| Rest Of Massachusetts | $23.48 | Unavailable |
| Rest Of Michigan | $20.50 | Unavailable |
| Rest Of Missouri | $19.33 | Unavailable |
| Rest Of New Jersey | $24.44 | Unavailable |
| Rest Of New York | $21.18 | Unavailable |
| Rest Of Oregon | $22.19 | Unavailable |
| Rest Of Pennsylvania | $20.55 | Unavailable |
| Rest Of Texas | $21.22 | Unavailable |
| Rest Of Washington | $23.47 | Unavailable |
| Rhode Island | $23.07 | Unavailable |
| Riverside-San Bernardino-Ontario | $24.45 | Unavailable |
| Sacramento-Roseville-Folsom | $25.82 | Unavailable |
| Salinas | $25.73 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $26.55 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $31.24 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $31.22 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $31.97 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $31.92 | Unavailable |
| San Luis Obispo-Paso Robles | $25.29 | Unavailable |
| Santa Cruz-Watsonville | $26.96 | Unavailable |
| Santa Maria-Santa Barbara | $25.88 | Unavailable |
| Santa Rosa-Petaluma | $27.25 | Unavailable |
| Seattle (King Cnty) | $27.32 | Unavailable |
| South Carolina | $20.65 | Unavailable |
| South Dakota** | $22.16 | Unavailable |
| Southern Maine | $22.06 | Unavailable |
| Stockton | $24.34 | Unavailable |
| Suburban Chicago | $23.23 | Unavailable |
| Tennessee | $20.22 | Unavailable |
| Utah | $21.02 | Unavailable |
| Vallejo | $29.21 | Unavailable |
| Vermont | $21.99 | Unavailable |
| Virgin Islands | $22.62 | Unavailable |
| Virginia | $21.91 | Unavailable |
| Visalia | $24.34 | Unavailable |
| West Virginia | $19.63 | Unavailable |
| Wisconsin | $21.22 | Unavailable |
| Wyoming** | $22.29 | Unavailable |
| Yuba City | $24.34 | Unavailable |
92565 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.
$19.11
$28.16
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 | $23.66 | 1 |
| AL | $19.48 | 1 |
| AR | $19.11 | 1 |
| AZ | $21.65 | 1 |
| CA | $24.34–$31.97 | 29 |
| CO | $23.72 | 1 |
| CT | $24.15 | 1 |
| DC | $26.34 | 1 |
| DE | $22.08 | 1 |
| FL | $21.58–$23.79 | 3 |
| GA | $20.06–$22.80 | 2 |
| GU | $25.26 | 1 |
| HI | $25.26 | 1 |
| IA | $20.30 | 1 |
| ID | $20.44 | 1 |
| IL | $20.65–$23.23 | 4 |
| IN | $20.60 | 1 |
| KS | $20.10 | 1 |
| KY | $19.90 | 1 |
| LA | $19.83–$21.12 | 2 |
| MA | $23.48–$26.62 | 2 |
| MD | $22.62–$26.34 | 3 |
| ME | $20.49–$22.06 | 2 |
| MI | $20.50–$21.84 | 2 |
| MN | $22.78 | 1 |
| MO | $19.33–$21.32 | 3 |
| MS | $19.23 | 1 |
| MT | $22.38 | 1 |
| NC | $20.78 | 1 |
| ND | $22.18 | 1 |
| NE | $20.47 | 1 |
| NH | $23.24 | 1 |
| NJ | $24.44–$25.93 | 2 |
| NM | $20.62 | 1 |
| NV | $22.34 | 1 |
| NY | $21.18–$26.83 | 5 |
| OH | $20.46 | 1 |
| OK | $19.95 | 1 |
| OR | $22.19–$24.74 | 2 |
| PA | $20.55–$23.35 | 2 |
| PR | $22.62 | 1 |
| RI | $23.07 | 1 |
| SC | $20.65 | 1 |
| SD | $22.16 | 1 |
| TN | $20.22 | 1 |
| TX | $20.37–$23.62 | 8 |
| UT | $21.02 | 1 |
| VA | $21.91–$26.34 | 2 |
| VI | $22.62 | 1 |
| VT | $21.99 | 1 |
| WA | $23.47–$27.32 | 2 |
| WI | $21.22 | 1 |
| WV | $19.63 | 1 |
| WY | $22.29 | 1 |
How the 92565 rate is calculated
Each of 92565’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 · 92565
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 0.66Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92565
The CMS indicators that decide how 92565 is paid alongside other services.
CMS payment indicators · 92565
Stenger test
| 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 | 3 | Technical component only. |
92565 compared with similar codes
Compare codes
92565 vs 92577 vs 92552 vs 92553 vs 92557: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92577Stenger test
- Use 92565 for a pure-tone Stenger assessment and 92577 when the Stenger assessment uses speech stimuli.
- 92552Pure-tone audiometry
- 92552 measures pure-tone air-conduction hearing thresholds; 92565 uses a Stenger presentation to assess suspected nonorganic hearing loss.
- 92553Audiometry
- 92553 tests air- and bone-conduction thresholds. It is threshold audiometry, not the pure-tone Stenger assessment reported with 92565.
- 92557Comprehensive hearing test
- 92557 reports comprehensive audiometry, including pure-tone and speech testing. 92565 identifies the distinct pure-tone Stenger procedure.
92565 billing questions
When is the pure-tone Stenger test appropriate?
It is used to assess suspected nonorganic hearing loss, particularly when reported unilateral hearing loss is inconsistent with audiometric findings.
How does this differ from the speech Stenger test?
Code 92565 covers Stenger testing with pure tones. Code 92577 is for the speech version.
Does this code include interpretation?
No. This code covers the technical testing; a separate code covers interpretation.
Should modifier 50 be added?
CMS prices the service as bilateral, and modifier 50 does not increase payment.
Can pure-tone audiometry be reported with this test?
Pure-tone threshold testing may be performed in the same evaluation. Document the distinct testing performed and its results.
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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