Billing code 92625: Tinnitus assessmentMedicare rate & RVUs
Report this service for an audiologic assessment that characterizes tinnitus through measures such as pitch and loudness matching.
Medicare pays $65.80 for 92625 nationally in the office and $49.43 in a hospital or facility. Local office rates run $61.71–$86.44.
Medicare rate · 92625
Tinnitus assessment
Swap in your local Medicare rate.
- Work RVUs
- 1.15
- Total RVUs
- 1.97
- Global days
- XXX
National rate · 2026
$65.80
Office setting, before claim adjustments.
See every locality for 92625 → · 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 92625 covers
An audiologist typically performs this assessment for a patient reporting tinnitus, often in an outpatient audiology or otolaryngology setting. The work characterizes the perceived sound using psychoacoustic measures such as pitch or loudness matching and other appropriate tinnitus measurements. It addresses the tinnitus itself, rather than simply measuring hearing thresholds or evaluating an implanted hearing device.
Report the service when the record supports a distinct tinnitus assessment and documents the patient’s reported symptoms, measures performed, results, and clinical purpose. It is not a time-increment code; do not calculate units from elapsed minutes. CMS prices the code as bilateral, so modifier 50 does not increase payment. The assessment may accompany separately performed hearing tests when each service is supported by the encounter documentation.
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 92625 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
$61.71 to $86.44
109 of 109 payment localities
92625 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.
$61.71
$86.44
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 | $86.44 | 1 |
| AL | $62.17 | 1 |
| AR | $61.71 | 1 |
| AZ | $64.88 | 1 |
| CA | $68.71–$81.53 | 29 |
| CO | $67.82 | 1 |
| CT | $68.77 | 1 |
| DC | $72.71 | 1 |
| DE | $65.60 | 1 |
| FL | $64.96–$67.92 | 3 |
| GA | $63.04–$66.48 | 2 |
| GU | $69.18 | 1 |
| HI | $69.18 | 1 |
| IA | $63.13 | 1 |
| ID | $63.31 | 1 |
| IL | $63.85–$67.31 | 4 |
| IN | $63.51 | 1 |
| KS | $62.90 | 1 |
| KY | $62.78 | 1 |
| LA | $62.70–$64.31 | 2 |
| MA | $67.69–$72.48 | 2 |
| MD | $66.45–$72.71 | 3 |
| ME | $63.41–$65.31 | 2 |
| MI | $63.56–$65.32 | 2 |
| MN | $66.10 | 1 |
| MO | $62.09–$64.52 | 3 |
| MS | $61.91 | 1 |
| MT | $65.80 | 1 |
| NC | $63.77 | 1 |
| ND | $65.40 | 1 |
| NE | $63.33 | 1 |
| NH | $66.81 | 1 |
| NJ | $69.86–$72.54 | 2 |
| NM | $63.72 | 1 |
| NV | $65.71 | 1 |
| NY | $64.27–$73.88 | 5 |
| OH | $63.48 | 1 |
| OK | $62.79 | 1 |
| OR | $65.49–$69.21 | 2 |
| PA | $63.57–$67.72 | 2 |
| PR | $66.08 | 1 |
| RI | $67.34 | 1 |
| SC | $63.67 | 1 |
| SD | $65.36 | 1 |
| TN | $63.06 | 1 |
| TX | $63.35–$67.35 | 8 |
| UT | $64.13 | 1 |
| VA | $65.15–$72.71 | 2 |
| VI | $66.08 | 1 |
| VT | $65.20 | 1 |
| WA | $67.56–$73.66 | 2 |
| WI | $64.22 | 1 |
| WV | $62.59 | 1 |
| WY | $65.63 | 1 |
How the 92625 rate is calculated
Each of 92625’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 · 92625
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.15Practice expense 0.80Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92625
The CMS indicators that decide how 92625 is paid alongside other services.
CMS payment indicators · 92625
Tinnitus assessment
| 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 | 9 | The concept doesn’t apply. |
92625 compared with similar codes
Compare codes
92625 vs 92557 vs 92620 vs 92626: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92557Comprehensive hearing test
- Use 92557 for comprehensive threshold and speech audiometry. Use 92625 to characterize tinnitus with tinnitus-focused measures.
- 92620Implant auditory evaluation
- 92620 assesses auditory processing function; 92625 evaluates tinnitus characteristics. Select based on the clinical assessment performed.
- 92626Auditory evaluation
- 92626 evaluates auditory function for candidacy or status related to a surgically implanted device. It is not a tinnitus psychoacoustic assessment.
92625 billing questions
How is this different from a comprehensive hearing test?
92625 characterizes tinnitus with measures such as pitch or loudness matching. A comprehensive audiometric evaluation such as 92557 measures hearing thresholds and speech recognition.
Should modifier 50 be appended when tinnitus affects both ears?
CMS prices 92625 as bilateral. Modifier 50 does not increase payment.
Can a hearing test be reported on the same date?
A separately performed hearing evaluation, such as 92557, may be reported when its work is documented. The tinnitus assessment does not replace threshold or speech testing.
How many units should be reported?
This is not an additional-time code. Base reporting on the completed tinnitus assessment and its documentation, not on elapsed minutes.
What documentation supports 92625?
Document the tinnitus complaint, the assessment measures performed, the results, and the clinical reason for the assessment. Identify any separately performed hearing tests in the record.
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
Fee sheets
Put 92625 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →