Billing code 92651: Auditory evoked potentialsMedicare rate & RVUs
Reports a limited auditory evoked potential assessment with interpretation to determine hearing status, typically when behavioral testing is not feasible or reliable.
Medicare pays $80.16 for 92651 nationally in the office. Local office rates run $73.02–$103.52.
Medicare rate · 92651
Auditory evoked potentials
Swap in your local Medicare rate.
- Work RVUs
- 0.98
- Total RVUs
- 2.40
- Global days
- XXX
National rate · 2026
$80.16
Office setting, before claim adjustments.
See every locality for 92651 → · 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 92651 covers
This service records electrical responses to sound to assess hearing status using a limited stimulus approach, such as a single click level. Audiologists and other qualified professionals may perform it when a patient, often an infant or someone unable to complete reliable behavioral testing, needs an objective assessment. The service includes interpretation and a report of the findings; it is distinct from a screening-only test and from more extensive frequency-specific threshold estimation or neurodiagnostic testing.
Report the code for the limited hearing-status assessment, not for a multi-frequency threshold study or an auditory neurodiagnostic evaluation. Documentation should identify the test approach and stimulus level, the responses obtained, the interpretation, and the resulting assessment. CMS prices this code as bilateral, so modifier 50 does not increase payment when both ears are assessed.
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 92651 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
$73.02 to $103.52
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $73.82 | Unavailable |
| Alaska* | $98.92 | Unavailable |
| Arizona | $78.54 | Unavailable |
| Arkansas | $73.02 | Unavailable |
| Atlanta | $81.27 | Unavailable |
| Austin | $82.75 | Unavailable |
| Bakersfield | $84.69 | Unavailable |
| Baltimore/Surr. Cntys | $84.37 | Unavailable |
| Beaumont | $75.92 | Unavailable |
| Brazoria | $79.72 | Unavailable |
| Chicago | $82.35 | Unavailable |
| Chico | $84.52 | Unavailable |
| Colorado | $83.21 | Unavailable |
| Connecticut | $84.65 | Unavailable |
| Dallas | $80.08 | Unavailable |
| Dc + Md/Va Suburbs | $90.29 | Unavailable |
| Delaware | $79.64 | Unavailable |
| Detroit | $79.47 | Unavailable |
| East St. Louis | $77.83 | Unavailable |
| El Centro | $84.53 | Unavailable |
| Fort Lauderdale | $81.84 | Unavailable |
| Fort Worth | $79.64 | Unavailable |
| Fresno | $84.52 | Unavailable |
| Galveston | $79.87 | Unavailable |
| Hanford-Corcoran | $84.52 | Unavailable |
| Hawaii, Guam | $85.91 | Unavailable |
| Houston | $80.60 | Unavailable |
| Idaho | $75.77 | Unavailable |
| Indiana | $76.11 | Unavailable |
| Iowa | $75.44 | Unavailable |
| Kansas | $75.07 | Unavailable |
| Kentucky | $74.93 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $89.49 | Unavailable |
| Madera | $84.52 | Unavailable |
| Manhattan | $90.51 | Unavailable |
| Merced | $84.52 | Unavailable |
| Metropolitan Boston | $90.30 | Unavailable |
| Metropolitan Kansas City | $77.32 | Unavailable |
| Metropolitan Philadelphia | $82.90 | Unavailable |
| Metropolitan St. Louis | $77.95 | Unavailable |
| Miami | $84.09 | Unavailable |
| Minnesota | $80.56 | Unavailable |
| Mississippi | $73.41 | Unavailable |
| Modesto | $84.52 | Unavailable |
| Montana** | $80.16 | Unavailable |
| Napa | $96.22 | Unavailable |
| Nebraska | $75.78 | Unavailable |
| Nevada** | $79.99 | Unavailable |
| New Hampshire | $81.88 | Unavailable |
| New Mexico | $76.60 | Unavailable |
| New Orleans | $77.62 | Unavailable |
| North Carolina | $76.59 | Unavailable |
| North Dakota** | $79.37 | Unavailable |
| Northern Nj | $89.69 | Unavailable |
| Nyc Suburbs/Long Island | $92.11 | Unavailable |
| Ohio | $76.16 | Unavailable |
| Oklahoma | $74.93 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $88.96 | Unavailable |
| Portland | $85.46 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $86.29 | Unavailable |
| Puerto Rico | $80.65 | Unavailable |
| Queens | $91.24 | Unavailable |
| Redding | $84.52 | Unavailable |
| Rest Of California | $84.52 | Unavailable |
| Rest Of Florida | $78.81 | Unavailable |
| Rest Of Georgia | $75.44 | Unavailable |
| Rest Of Illinois | $76.90 | Unavailable |
| Rest Of Louisiana | $74.81 | Unavailable |
| Rest Of Maine | $75.97 | Unavailable |
| Rest Of Maryland | $80.93 | Unavailable |
| Rest Of Massachusetts | $82.86 | Unavailable |
| Rest Of Michigan | $76.32 | Unavailable |
| Rest Of Missouri | $73.77 | Unavailable |
| Rest Of New Jersey | $85.84 | Unavailable |
| Rest Of New York | $77.46 | Unavailable |
| Rest Of Oregon | $79.58 | Unavailable |
| Rest Of Pennsylvania | $76.31 | Unavailable |
| Rest Of Texas | $77.68 | Unavailable |
| Rest Of Washington | $82.71 | Unavailable |
| Rhode Island | $82.16 | Unavailable |
| Riverside-San Bernardino-Ontario | $84.98 | Unavailable |
| Sacramento-Roseville-Folsom | $88.23 | Unavailable |
| Salinas | $87.89 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $89.57 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $101.45 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $101.40 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $103.52 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $103.33 | Unavailable |
| San Luis Obispo-Paso Robles | $86.51 | Unavailable |
| Santa Cruz-Watsonville | $90.14 | Unavailable |
| Santa Maria-Santa Barbara | $88.11 | Unavailable |
| Santa Rosa-Petaluma | $91.03 | Unavailable |
| Seattle (King Cnty) | $92.02 | Unavailable |
| South Carolina | $76.46 | Unavailable |
| South Dakota** | $79.28 | Unavailable |
| Southern Maine | $79.25 | Unavailable |
| Stockton | $84.52 | Unavailable |
| Suburban Chicago | $82.67 | Unavailable |
| Tennessee | $75.35 | Unavailable |
| Utah | $77.26 | Unavailable |
| Vallejo | $96.16 | Unavailable |
| Vermont | $79.04 | Unavailable |
| Virgin Islands | $80.65 | Unavailable |
| Virginia | $78.99 | Unavailable |
| Visalia | $84.52 | Unavailable |
| West Virginia | $74.70 | Unavailable |
| Wisconsin | $77.30 | Unavailable |
| Wyoming** | $79.81 | Unavailable |
| Yuba City | $84.52 | Unavailable |
92651 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.
$73.02
$98.92
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 | $98.92 | 1 |
| AL | $73.82 | 1 |
| AR | $73.02 | 1 |
| AZ | $78.54 | 1 |
| CA | $84.52–$103.52 | 29 |
| CO | $83.21 | 1 |
| CT | $84.65 | 1 |
| DC | $90.29 | 1 |
| DE | $79.64 | 1 |
| FL | $78.81–$84.09 | 3 |
| GA | $75.44–$81.27 | 2 |
| GU | $85.91 | 1 |
| HI | $85.91 | 1 |
| IA | $75.44 | 1 |
| ID | $75.77 | 1 |
| IL | $76.90–$82.67 | 4 |
| IN | $76.11 | 1 |
| KS | $75.07 | 1 |
| KY | $74.93 | 1 |
| LA | $74.81–$77.62 | 2 |
| MA | $82.86–$90.30 | 2 |
| MD | $80.93–$90.29 | 3 |
| ME | $75.97–$79.25 | 2 |
| MI | $76.32–$79.47 | 2 |
| MN | $80.56 | 1 |
| MO | $73.77–$77.95 | 3 |
| MS | $73.41 | 1 |
| MT | $80.16 | 1 |
| NC | $76.59 | 1 |
| ND | $79.37 | 1 |
| NE | $75.78 | 1 |
| NH | $81.88 | 1 |
| NJ | $85.84–$89.69 | 2 |
| NM | $76.60 | 1 |
| NV | $79.99 | 1 |
| NY | $77.46–$92.11 | 5 |
| OH | $76.16 | 1 |
| OK | $74.93 | 1 |
| OR | $79.58–$85.46 | 2 |
| PA | $76.31–$82.90 | 2 |
| PR | $80.65 | 1 |
| RI | $82.16 | 1 |
| SC | $76.46 | 1 |
| SD | $79.28 | 1 |
| TN | $75.35 | 1 |
| TX | $75.92–$82.75 | 8 |
| UT | $77.26 | 1 |
| VA | $78.99–$90.29 | 2 |
| VI | $80.65 | 1 |
| VT | $79.04 | 1 |
| WA | $82.71–$92.02 | 2 |
| WI | $77.30 | 1 |
| WV | $74.70 | 1 |
| WY | $79.81 | 1 |
How the 92651 rate is calculated
Each of 92651’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 · 92651
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.98Practice expense 1.38Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92651
The CMS indicators that decide how 92651 is paid alongside other services.
CMS payment indicators · 92651
Auditory evoked potentials
| 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 | 0 | Physician service: no professional/technical split. |
92651 compared with similar codes
Compare codes
92651 vs 92650 vs 92652 vs 92653: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92650Aep scr auditory potential
- 92650 is for auditory evoked potential screening. Choose 92651 for a limited assessment with interpretation to determine hearing status.
- 92652Auditory evoked potentials
- 92652 is used for threshold estimation across multiple frequencies; 92651 is the limited approach, such as testing at a single click stimulus level.
- 92653AEP testing
- 92653 covers auditory evoked potential neurodiagnostic testing. Use 92651 when the purpose is limited hearing-status assessment rather than neurodiagnosis.
92651 billing questions
How does this code differ from 92652?
This code represents a limited hearing-status assessment using a single stimulus level, such as a click. Use 92652 for auditory evoked potential testing that estimates thresholds across multiple frequencies.
Is this the same as an auditory evoked potential screening?
No. This code describes a limited assessment with interpretation to determine hearing status; 92650 is the screening code.
Should modifier 50 be added when both ears are tested?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What should the report document?
Record the stimulus approach and level, responses obtained, interpretation, and the hearing-status conclusion. The documentation should support a limited assessment rather than multi-frequency threshold estimation or neurodiagnostic testing.
When is 92653 more appropriate?
Use 92653 when the service is a neurodiagnostic auditory evoked potential evaluation rather than a limited test to determine hearing status.
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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