Billing code 92575: Audiology testMedicare rate & RVUs

Report this specialized audiology test when sensorineural hearing sensitivity needs assessment, particularly when a conductive component complicates interpretation of hearing thresholds.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.2K Medicare services in 2024

Medicare pays $73.82 for 92575 nationally in the office. Local office rates run $63.18–$105.84.

Medicare rate · 92575

Audiology test

Swap in your local Medicare rate.

Work RVUs
0
Total RVUs
2.21
Global days
XXX

National rate · 2026

$73.82

Office setting, before claim adjustments.

See every locality for 92575 → · 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
  1. Medicare rate
  2. What 92575 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92575 covers

An audiologist performs the sensorineural acuity level test to estimate inner-ear hearing sensitivity, including when a conductive component makes ordinary air-conduction thresholds difficult to interpret. The test uses masking noise with bone-conduction testing to help assess the sensorineural portion of hearing loss. It may be part of a diagnostic evaluation for a patient with suspected mixed hearing loss or middle-ear disease.

Report the test for the specific sensorineural acuity assessment, not as a substitute for routine pure-tone thresholds or speech testing. The record should identify the clinical question, test performed, and results. CMS treats this as a technical-component-only service; interpretation is covered by a separate code. The code is priced as bilateral, so report it without modifier 50 to seek increased payment for testing both ears.

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 92575 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

$63.18 to $105.84

$63.18$84.51$105.84
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92575 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$64.38Unavailable
Alaska*$78.27Unavailable
Arizona$71.45Unavailable
Arkansas$63.18Unavailable
Atlanta$75.12Unavailable
Austin$77.98Unavailable
Bakersfield$80.58Unavailable
Baltimore/Surr. Cntys$79.31Unavailable
Beaumont$67.19Unavailable
Brazoria$73.01Unavailable

92575 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.

$63.18

$93.19

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

View every state and territory as a table
92575 office rate range by state
State / territoryOffice rate rangeLocalities
AK$78.271
AL$64.381
AR$63.181
AZ$71.451
CA$80.53–$105.8429
CO$78.351
CT$79.591
DC$86.911
DE$72.871
FL$70.93–$77.843
GA$66.04–$75.122
GU$83.561
HI$83.561
IA$67.201
ID$67.611
IL$67.83–$76.314
IN$68.131
KS$66.461
KY$65.641
LA$65.38–$69.592
MA$77.56–$87.932
MD$74.64–$86.913
ME$67.71–$72.912
MI$67.54–$71.712
MN$75.471
MO$63.70–$70.313
MS$63.471
MT$73.811
NC$68.671
ND$73.421
NE$67.771
NH$76.731
NJ$80.61–$85.572
NM$67.881
NV$73.781
NY$69.96–$88.215
OH$67.461
OK$65.841
OR$73.32–$81.762
PA$67.78–$76.942
PR$74.611
RI$76.161
SC$68.161
SD$73.371
TN$66.851
TX$67.19–$77.988
UT$69.361
VA$72.38–$86.912
VI$74.611
VT$72.751
WA$77.53–$90.302
WI$70.281
WV$64.521
WY$73.641

How the 92575 rate is calculated

Each of 92575’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 · 92575

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 2.19Malpractice 0.02

2.2100 adjusted RVUs×$33.4009 conversion factor=$73.82

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 92575

The CMS indicators that decide how 92575 is paid alongside other services.

CMS payment indicators · 92575

Audiology test

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

92575 compared with similar codes

Compare codes

92575 vs 92553 vs 92557 vs 92567: national Medicare rates

Swap in your local Medicare rate.

  • 92575
    Audiology test · 0 wRVU
    $73.82
  • 92553
    Audiometry · 0 wRVU
    $49.10−$24.72
  • 92557
    Comprehensive hearing test · 0.6 wRVU
    $35.74−$38.08
  • 92567
    Tympanometry · 0.2 wRVU
    $16.03−$57.79

How to choose

92553Audiometry
Use 92553 for pure-tone air- and bone-conduction thresholds. Use 92575 for the specialized masking-noise assessment of sensorineural acuity.
92557Comprehensive hearing test
92557 reports comprehensive threshold and speech-recognition testing. It does not describe the sensorineural acuity level assessment reported with 92575.
92567Tympanometry
92567 measures middle-ear function by tympanometry; 92575 assesses sensorineural hearing sensitivity using a different test method.

92575 billing questions

Does this code include the interpretation?

No. CMS identifies 92575 as technical-component-only; a separate code covers interpretation. Keep documentation of the test performance distinct from the interpretation.

Should modifier 50 be appended when both ears are tested?

No. The code is already priced as bilateral, and modifier 50 does not increase payment.

Can this be reported with standard audiometry?

It can be reported with standard audiometry when both services are performed and documented. The standard test measures hearing thresholds; 92575 addresses sensorineural acuity.

What documentation supports reporting 92575?

Document the reason for the sensorineural acuity assessment, the test performed, and the results. The record should support that this specialized test was performed rather than only routine threshold testing.

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 92575PPRRVU2026_Oct_nonQPP.csv, line 11,844 (RVU26D)

Open CMS sourceHow we calculate rates

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