FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

92504 in Beaumont

Office / nonfacility

$26.69

Base rate per service

Facility setting

$7.54

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Otolaryngology

About 92504: Binocular microscopic ear examination

Reports a binocular-microscope examination of the ear canal and eardrum when magnified inspection provides a distinct diagnostic assessment beyond routine otoscopy.

An otolaryngologist typically uses a binocular microscope to inspect the external ear canal and tympanic membrane in an office or other clinical setting. Magnification can help assess findings such as canal inflammation, debris, a suspected perforation, or the position of a tympanostomy tube. The service is a diagnostic examination, not simply the use of a microscope as a visual aid during another procedure.

Select this code when the clinician performs and documents a distinct microscopic ear assessment. Record the ear or ears examined, the relevant findings, and how the examination informs the clinical assessment or plan. Routine otoscopy alone does not support this service, and microscope use solely to perform cerumen removal or another procedure should not be treated as a separate diagnostic examination. CMS physician fee schedule valuation accounts for work, practice expense, and malpractice inputs, with practice expense values differing between office and facility settings.

Where the value comes from

  • Work RVU0.18 · 21%
  • Practice expense (office) RVU0.67 · 78%
  • Malpractice RVU0.01 · 1%

257.8K

Medicare services in 2024 · #337 by national volume

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.

92504 compared with similar codes

Office rates for Beaumont, from the same CMS release.

92502

ENT examination

Under general anesthesia

No office rate

92504 is a diagnostic microscopic examination of the ear. 92502 is an otolaryngologic examination performed under general anesthesia.

69210

Impacted ear wax removal

Instrumentation, unilateral

$45.28

Use 69210 for removal of impacted cerumen with instrumentation. Use 92504 for a distinct diagnostic microscopic examination, not merely visualization during removal.

69209

Earwax removal

Irrigation or lavage

$15.51

69209 describes impacted cerumen removal by irrigation or lavage. 92504 describes microscopic examination, not wax removal.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 92504 is $30.00—$3.31 higher than the $26.69 rate in Beaumont. Both use the same code, release and participation basis.

92504 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $26.69

  2. Austin

    $30.00

    $3.31 higher than Beaumont

  3. Brazoria

    $28.50

    $1.81 higher than Beaumont

  4. Dallas

    $28.64

    $1.95 higher than Beaumont

  5. Fort Worth

    $28.42

    $1.73 higher than Beaumont

  6. Galveston

    $28.56

    $1.87 higher than Beaumont

  7. Houston

    $28.74

    $2.05 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92504 ranges from $25.41 in Arkansas to $39.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 92504

    Office

    $27.55

    Facility

    $7.58

    $0.86 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 92504

    Office

    $32.95

    Facility

    $8.06

    $6.26 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92504

    Office

    $33.07

    Facility

    $8.28

    $6.38 higher than Beaumont for the office setting.

  • Miami

    Florida · 92504

    Office

    $30.15

    Facility

    $8.25

    $3.46 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 92504

    Office

    $29.31

    Facility

    $8.16

    $2.62 higher than Beaumont for the office setting.

  • Manhattan

    New York · 92504

    Office

    $32.93

    Facility

    $8.48

    $6.24 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 92504

    Office

    $33.04

    Facility

    $10.63

    $6.35 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 92504

    Office

    $25.78

    Facility

    $7.37

    $0.91 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 92504

    Office

    $25.41

    Facility

    $7.33

    $1.28 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 92504

    Office

    $27.98

    Facility

    $7.59

    $1.29 higher than Beaumont for the office setting.

  • Bakersfield

    California · 92504

    Office

    $30.86

    Facility

    $7.79

    $4.17 higher than Beaumont for the office setting.

  • Chico

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • El Centro

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Fresno

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Madera

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Merced

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Modesto

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Napa

    California · 92504

    Office

    $36.06

    Facility

    $8.32

    $9.37 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92504

    Office

    $32.84

    Facility

    $7.97

    $6.15 higher than Beaumont for the office setting.

  • Redding

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Rest Of California

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92504

    Office

    $30.93

    Facility

    $7.87

    $4.24 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92504

    Office

    $32.43

    Facility

    $7.96

    $5.74 higher than Beaumont for the office setting.

  • Salinas

    California · 92504

    Office

    $32.31

    Facility

    $7.93

    $5.62 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92504

    Office

    $33.14

    Facility

    $7.97

    $6.45 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92504

    Office

    $38.29

    Facility

    $8.62

    $11.60 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92504

    Office

    $38.28

    Facility

    $8.61

    $11.59 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92504

    Office

    $39.12

    Facility

    $8.78

    $12.43 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92504

    Office

    $39.08

    Facility

    $8.73

    $12.39 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92504

    Office

    $31.78

    Facility

    $7.82

    $5.09 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 92504

    Office

    $33.51

    Facility

    $7.94

    $6.82 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 92504

    Office

    $32.45

    Facility

    $7.92

    $5.76 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 92504

    Office

    $33.85

    Facility

    $8.01

    $7.16 higher than Beaumont for the office setting.

  • Stockton

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Vallejo

    California · 92504

    Office

    $36.04

    Facility

    $8.31

    $9.35 higher than Beaumont for the office setting.

  • Visalia

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Yuba City

    California · 92504

    Office

    $30.82

    Facility

    $7.76

    $4.13 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 92504

    Office

    $30.16

    Facility

    $7.77

    $3.47 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 92504

    Office

    $30.64

    Facility

    $7.98

    $3.95 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 92504

    Office

    $28.45

    Facility

    $7.66

    $1.76 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 92504

    Office

    $29.29

    Facility

    $7.97

    $2.60 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 92504

    Office

    $27.91

    Facility

    $7.79

    $1.22 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 92504

    Office

    $29.17

    Facility

    $7.79

    $2.48 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 92504

    Office

    $26.37

    Facility

    $7.60

    $0.32 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 92504

    Office

    $31.65

    Facility

    $7.72

    $4.96 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 92504

    Office

    $26.62

    Facility

    $7.37

    $0.07 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 92504

    Office

    $26.76

    Facility

    $7.40

    $0.07 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 92504

    Office

    $27.27

    Facility

    $7.91

    $0.58 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 92504

    Office

    $26.97

    Facility

    $7.75

    $0.28 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 92504

    Office

    $29.63

    Facility

    $8.02

    $2.94 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 92504

    Office

    $26.92

    Facility

    $7.41

    $0.23 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 92504

    Office

    $26.41

    Facility

    $7.39

    $0.28 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 92504

    Office

    $26.21

    Facility

    $7.51

    $0.48 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 92504

    Office

    $27.45

    Facility

    $7.65

    $0.76 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 92504

    Office

    $26.14

    Facility

    $7.51

    $0.55 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 92504

    Office

    $33.28

    Facility

    $8.15

    $6.59 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92504

    Office

    $29.94

    Facility

    $7.78

    $3.25 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92504

    Office

    $30.53

    Facility

    $7.96

    $3.84 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 92504

    Office

    $29.03

    Facility

    $7.73

    $2.34 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 92504

    Office

    $26.81

    Facility

    $7.45

    $0.12 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 92504

    Office

    $28.40

    Facility

    $7.55

    $1.71 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 92504

    Office

    $28.17

    Facility

    $7.86

    $1.48 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 92504

    Office

    $26.82

    Facility

    $7.61

    $0.13 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 92504

    Office

    $29.14

    Facility

    $7.49

    $2.45 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 92504

    Office

    $27.35

    Facility

    $7.59

    $0.66 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 92504

    Office

    $27.65

    Facility

    $7.62

    $0.96 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 92504

    Office

    $25.63

    Facility

    $7.49

    $1.06 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 92504

    Office

    $25.53

    Facility

    $7.41

    $1.16 lower than Beaumont for the office setting.

  • Montana**

    Montana · 92504

    Office

    $28.72

    Facility

    $7.68

    $2.03 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 92504

    Office

    $27.10

    Facility

    $7.47

    $0.41 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 92504

    Office

    $28.53

    Facility

    $7.48

    $1.84 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 92504

    Office

    $26.79

    Facility

    $7.37

    $0.10 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 92504

    Office

    $29.60

    Facility

    $7.70

    $2.91 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 92504

    Office

    $32.71

    Facility

    $8.30

    $6.02 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 92504

    Office

    $31.06

    Facility

    $8.08

    $4.37 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 92504

    Office

    $26.93

    Facility

    $7.64

    $0.24 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 92504

    Office

    $28.69

    Facility

    $7.63

    $2.00 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92504

    Office

    $33.63

    Facility

    $8.61

    $6.94 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92504

    Office

    $31.19

    Facility

    $8.15

    $4.50 higher than Beaumont for the office setting.

  • Queens

    New York · 92504

    Office

    $33.33

    Facility

    $8.46

    $6.64 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 92504

    Office

    $27.51

    Facility

    $7.52

    $0.82 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 92504

    Office

    $26.78

    Facility

    $7.57

    $0.09 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 92504

    Office

    $26.26

    Facility

    $7.46

    $0.43 lower than Beaumont for the office setting.

  • Portland

    Oregon · 92504

    Office

    $31.22

    Facility

    $7.84

    $4.53 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 92504

    Office

    $28.54

    Facility

    $7.58

    $1.85 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92504

    Office

    $29.81

    Facility

    $7.91

    $3.12 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92504

    Office

    $26.87

    Facility

    $7.55

    $0.18 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 92504

    Office

    $28.97

    Facility

    $7.69

    $2.28 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 92504

    Office

    $29.54

    Facility

    $7.80

    $2.85 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 92504

    Office

    $26.97

    Facility

    $7.53

    $0.28 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 92504

    Office

    $28.50

    Facility

    $7.46

    $1.81 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 92504

    Office

    $26.53

    Facility

    $7.41

    $0.16 lower than Beaumont for the office setting.

  • Utah

    Utah · 92504

    Office

    $27.35

    Facility

    $7.57

    $0.66 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 92504

    Office

    $28.25

    Facility

    $7.56

    $1.56 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92504

    Office

    $28.97

    Facility

    $7.69

    $2.28 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 92504

    Office

    $28.34

    Facility

    $7.50

    $1.65 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 92504

    Office

    $29.91

    Facility

    $7.75

    $3.22 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 92504

    Office

    $34.04

    Facility

    $8.22

    $7.35 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 92504

    Office

    $27.55

    Facility

    $7.39

    $0.86 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 92504

    Office

    $25.94

    Facility

    $7.65

    $0.75 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 92504

    Office

    $28.64

    Facility

    $7.60

    $1.95 higher than Beaumont for the office setting.

See how rates vary across the country

92504 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$25.41

$34.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$33.041
AL$25.781
AR$25.411
AZ$27.981
CA$30.82–$39.1229
CO$30.161
CT$30.641
DC$33.071
DE$28.451
FL$27.91–$30.153
GA$26.37–$29.172
GU$31.651
HI$31.651
IA$26.621
ID$26.761
IL$26.97–$29.634
IN$26.921
KS$26.411
KY$26.211
LA$26.14–$27.452
MA$29.94–$33.282
MD$29.03–$33.073
ME$26.81–$28.402
MI$26.82–$28.172
MN$29.141
MO$25.63–$27.653
MS$25.531
MT$28.721
NC$27.101
ND$28.531
NE$26.791
NH$29.601
NJ$31.06–$32.712
NM$26.931
NV$28.691
NY$27.51–$33.635
OH$26.781
OK$26.261
OR$28.54–$31.222
PA$26.87–$29.812
PR$28.971
RI$29.541
SC$26.971
SD$28.501
TN$26.531
TX$26.69–$30.008
UT$27.351
VA$28.25–$33.072
VI$28.971
VT$28.341
WA$29.91–$34.042
WI$27.551
WV$25.941
WY$28.641

Explore 92504 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 92504 in Beaumont, the physician’s office rate is $26.69 and the facility-setting rate is $7.54: a difference of $19.15.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92504 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$29.36

$26.69 × 110% = $29.36

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92504 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

11,778

Code
92504
Physician work
0.18
Practice expense
0.67
Malpractice
0.01

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 92504 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense0.67× 0.9100.6097
Malpractice0.01× 0.9290.0093
Total RVUs0.7990
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$26.69

Open 92504 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181
Practice expense0.670.91
Malpractice0.010.929

(0.18 × 1 + 0.67 × 0.91 + 0.01 × 0.929) × $33.4009 = $26.69

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.181
Practice expense0.040.91
Malpractice0.010.929

(0.18 × 1 + 0.04 × 0.91 + 0.01 × 0.929) × $33.4009 = $7.54

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92504 · Office / nonfacility

$26.69

Effective 2026-10-01

The base rate is $0.99 higher than on 2025-10-01, moving from $25.70 to $26.69 (3.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $25.70changed to$26.69

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $25.70

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$26.69$7.54RVU26D
2026-07-01$26.69$7.54RVU26C
2026-04-01$26.69$7.54RVU26B
2026-01-01$26.69$7.54RVU26A
2025-10-01$25.70$8.76RVU25D
2025-07-01$25.70$8.76RVU25C
2025-04-01$25.70$8.76RVU25B
2025-01-01$25.70$8.76RVU25A

92504 billing questions

When is microscopic examination distinct from routine otoscopy?

Report 92504 when the clinician performs a diagnostic examination using binocular magnification and documents the findings. A routine look with an otoscope during an E/M visit is not the same service.

Can 92504 be reported with an office E/M service?

It may be reported with an E/M service when both are performed and the record supports a distinct microscopic examination as well as the separately documented E/M work.

Should 92504 be used when impacted cerumen is removed?

Choose the cerumen-removal code when removal is the service performed. Do not report 92504 merely because the microscope helps visualize that removal.

How does 92504 differ from 92502?

92504 describes diagnostic microscopic examination of the ear. 92502 is for an otolaryngologic examination performed under general anesthesia.

What documentation supports 92504?

Document use of binocular microscopy, the ear findings, and the diagnostic purpose of the examination. Identify the side or sides examined in the note.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92504PPRRVU2026_Oct_nonQPP.csv, line 11,778 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet