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CMS RVU26D · Effective 2026-10-01

92584 in Beaumont

Office / nonfacility

$98.71

Base rate per service

Facility setting

Not available in this setting

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.

Audiology

About 92584: Electrocochleography response testing

Electrocochleography records sound-evoked electrical responses from the cochlea and auditory nerve, often during evaluation of suspected endolymphatic hydrops.

Electrocochleography records electrical responses generated by the cochlea and auditory nerve after sound stimulation. An audiologist or otolaryngologist may perform it in an audiology clinic or hospital setting, commonly as part of evaluating suspected endolymphatic hydrops in a patient with symptoms such as episodic vertigo and fluctuating hearing. Electrodes may be placed in the ear canal or against the tympanic membrane, depending on the technique used.

Report 92584 for the electrocochleographic study, rather than for routine air- and bone-conduction audiometry, tympanometry, or otoacoustic emissions testing. Documentation should identify the clinical indication, ears tested, method or electrode placement, recorded responses, and interpretation. The CMS fee schedule prices this code as bilateral, so modifier 50 does not increase payment. When other audiologic tests are performed during the same encounter, document each test separately.

CMS billing rules for 92584

Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.98 · 31%
  • Practice expense (office) RVU2.14 · 68%
  • Malpractice RVU0.03 · 1%

11.8K

Medicare services in 2024 · #1386 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.

92584 compared with similar codes

Office rates for Beaumont, from the same CMS release.

92557

Comprehensive hearing test

Air, bone, and speech testing

$34.33

92557 assesses air- and bone-conduction thresholds and speech recognition. Choose 92584 when the performed test records sound-evoked cochlear and auditory nerve potentials.

92587

Otoacoustic emissions

Limited frequency assessment

$21.13

92587 is limited otoacoustic-emission testing, assessing cochlear outer hair cell responses. It is not electrocochleography.

92588

Otoacoustic emissions

Comprehensive evaluation

$32.36

92588 is comprehensive otoacoustic-emission testing. It evaluates emissions rather than the electrical potentials recorded in electrocochleography.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 92584 is $109.31—$10.60 higher than the $98.71 rate in Beaumont. Both use the same code, release and participation basis.

92584 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $98.71

  2. Austin

    $109.31

    $10.60 higher than Beaumont

  3. Brazoria

    $104.61

    $5.90 higher than Beaumont

  4. Dallas

    $105.08

    $6.37 higher than Beaumont

  5. Fort Worth

    $104.38

    $5.67 higher than Beaumont

  6. Galveston

    $104.80

    $6.09 higher than Beaumont

  7. Houston

    $105.35

    $6.64 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, 92584 ranges from $94.65 in Arkansas to $139.94 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 · 92584

    Office

    $101.47

    Facility

    Unavailable

    $2.76 higher than Beaumont for the office setting.

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

    California · 92584

    Office

    $119.30

    Facility

    Unavailable

    $20.59 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92584

    Office

    $119.82

    Facility

    Unavailable

    $21.11 higher than Beaumont for the office setting.

  • Miami

    Florida · 92584

    Office

    $109.68

    Facility

    Unavailable

    $10.97 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 92584

    Office

    $107.10

    Facility

    Unavailable

    $8.39 higher than Beaumont for the office setting.

  • Manhattan

    New York · 92584

    Office

    $119.47

    Facility

    Unavailable

    $20.76 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 92584

    Office

    $125.78

    Facility

    Unavailable

    $27.07 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 92584

    Office

    $95.84

    Facility

    Unavailable

    $2.87 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 92584

    Office

    $94.65

    Facility

    Unavailable

    $4.06 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 92584

    Office

    $102.85

    Facility

    Unavailable

    $4.14 higher than Beaumont for the office setting.

  • Bakersfield

    California · 92584

    Office

    $112.30

    Facility

    Unavailable

    $13.59 higher than Beaumont for the office setting.

  • Chico

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • El Centro

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Fresno

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Madera

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Merced

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Modesto

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Napa

    California · 92584

    Office

    $129.51

    Facility

    Unavailable

    $30.80 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92584

    Office

    $118.76

    Facility

    Unavailable

    $20.05 higher than Beaumont for the office setting.

  • Redding

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Rest Of California

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92584

    Office

    $112.52

    Facility

    Unavailable

    $13.81 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92584

    Office

    $117.58

    Facility

    Unavailable

    $18.87 higher than Beaumont for the office setting.

  • Salinas

    California · 92584

    Office

    $117.13

    Facility

    Unavailable

    $18.42 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92584

    Office

    $119.75

    Facility

    Unavailable

    $21.04 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92584

    Office

    $137.09

    Facility

    Unavailable

    $38.38 higher than Beaumont for the office setting.

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

    California · 92584

    Office

    $137.05

    Facility

    Unavailable

    $38.34 higher than Beaumont for the office setting.

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

    California · 92584

    Office

    $139.94

    Facility

    Unavailable

    $41.23 higher than Beaumont for the office setting.

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

    California · 92584

    Office

    $139.80

    Facility

    Unavailable

    $41.09 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92584

    Office

    $115.24

    Facility

    Unavailable

    $16.53 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 92584

    Office

    $120.80

    Facility

    Unavailable

    $22.09 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 92584

    Office

    $117.53

    Facility

    Unavailable

    $18.82 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 92584

    Office

    $122.03

    Facility

    Unavailable

    $23.32 higher than Beaumont for the office setting.

  • Stockton

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Vallejo

    California · 92584

    Office

    $129.46

    Facility

    Unavailable

    $30.75 higher than Beaumont for the office setting.

  • Visalia

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Yuba City

    California · 92584

    Office

    $112.17

    Facility

    Unavailable

    $13.46 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 92584

    Office

    $109.96

    Facility

    Unavailable

    $11.25 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 92584

    Office

    $111.58

    Facility

    Unavailable

    $12.87 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 92584

    Office

    $104.42

    Facility

    Unavailable

    $5.71 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 92584

    Office

    $106.95

    Facility

    Unavailable

    $8.24 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 92584

    Office

    $102.57

    Facility

    Unavailable

    $3.86 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 92584

    Office

    $106.66

    Facility

    Unavailable

    $7.95 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 92584

    Office

    $97.69

    Facility

    Unavailable

    $1.02 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 92584

    Office

    $114.58

    Facility

    Unavailable

    $15.87 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 92584

    Office

    $98.53

    Facility

    Unavailable

    $0.18 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 92584

    Office

    $98.97

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 92584

    Office

    $100.51

    Facility

    Unavailable

    $1.80 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 92584

    Office

    $99.56

    Facility

    Unavailable

    $0.85 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 92584

    Office

    $108.15

    Facility

    Unavailable

    $9.44 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 92584

    Office

    $99.48

    Facility

    Unavailable

    $0.77 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 92584

    Office

    $97.85

    Facility

    Unavailable

    $0.86 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 92584

    Office

    $97.19

    Facility

    Unavailable

    $1.52 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 92584

    Office

    $101.13

    Facility

    Unavailable

    $2.42 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 92584

    Office

    $96.95

    Facility

    Unavailable

    $1.76 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 92584

    Office

    $120.31

    Facility

    Unavailable

    $21.60 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92584

    Office

    $109.32

    Facility

    Unavailable

    $10.61 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92584

    Office

    $111.19

    Facility

    Unavailable

    $12.48 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 92584

    Office

    $106.32

    Facility

    Unavailable

    $7.61 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 92584

    Office

    $99.12

    Facility

    Unavailable

    $0.41 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 92584

    Office

    $104.20

    Facility

    Unavailable

    $5.49 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 92584

    Office

    $103.40

    Facility

    Unavailable

    $4.69 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 92584

    Office

    $99.12

    Facility

    Unavailable

    $0.41 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 92584

    Office

    $106.58

    Facility

    Unavailable

    $7.87 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 92584

    Office

    $100.83

    Facility

    Unavailable

    $2.12 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 92584

    Office

    $101.78

    Facility

    Unavailable

    $3.07 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 92584

    Office

    $95.32

    Facility

    Unavailable

    $3.39 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 92584

    Office

    $95.02

    Facility

    Unavailable

    $3.69 lower than Beaumont for the office setting.

  • Montana**

    Montana · 92584

    Office

    $105.21

    Facility

    Unavailable

    $6.50 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 92584

    Office

    $100.06

    Facility

    Unavailable

    $1.35 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 92584

    Office

    $104.62

    Facility

    Unavailable

    $5.91 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 92584

    Office

    $99.09

    Facility

    Unavailable

    $0.38 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 92584

    Office

    $108.02

    Facility

    Unavailable

    $9.31 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 92584

    Office

    $118.78

    Facility

    Unavailable

    $20.07 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 92584

    Office

    $113.20

    Facility

    Unavailable

    $14.49 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 92584

    Office

    $99.48

    Facility

    Unavailable

    $0.77 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 92584

    Office

    $105.12

    Facility

    Unavailable

    $6.41 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92584

    Office

    $121.68

    Facility

    Unavailable

    $22.97 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92584

    Office

    $113.69

    Facility

    Unavailable

    $14.98 higher than Beaumont for the office setting.

  • Queens

    New York · 92584

    Office

    $120.76

    Facility

    Unavailable

    $22.05 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 92584

    Office

    $101.34

    Facility

    Unavailable

    $2.63 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 92584

    Office

    $99.00

    Facility

    Unavailable

    $0.29 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 92584

    Office

    $97.34

    Facility

    Unavailable

    $1.37 lower than Beaumont for the office setting.

  • Portland

    Oregon · 92584

    Office

    $113.41

    Facility

    Unavailable

    $14.70 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 92584

    Office

    $104.63

    Facility

    Unavailable

    $5.92 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92584

    Office

    $108.93

    Facility

    Unavailable

    $10.22 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92584

    Office

    $99.30

    Facility

    Unavailable

    $0.59 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 92584

    Office

    $105.98

    Facility

    Unavailable

    $7.27 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 92584

    Office

    $108.09

    Facility

    Unavailable

    $9.38 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 92584

    Office

    $99.63

    Facility

    Unavailable

    $0.92 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 92584

    Office

    $104.55

    Facility

    Unavailable

    $5.84 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 92584

    Office

    $98.24

    Facility

    Unavailable

    $0.47 lower than Beaumont for the office setting.

  • Utah

    Utah · 92584

    Office

    $100.82

    Facility

    Unavailable

    $2.11 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 92584

    Office

    $103.70

    Facility

    Unavailable

    $4.99 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92584

    Office

    $105.98

    Facility

    Unavailable

    $7.27 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 92584

    Office

    $104.00

    Facility

    Unavailable

    $5.29 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 92584

    Office

    $109.19

    Facility

    Unavailable

    $10.48 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 92584

    Office

    $122.89

    Facility

    Unavailable

    $24.18 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 92584

    Office

    $101.52

    Facility

    Unavailable

    $2.81 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 92584

    Office

    $96.28

    Facility

    Unavailable

    $2.43 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 92584

    Office

    $104.95

    Facility

    Unavailable

    $6.24 higher than Beaumont for the office setting.

See how rates vary across the country

92584 · 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.

$94.65

$126.06

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$125.781
AL$95.841
AR$94.651
AZ$102.851
CA$112.17–$139.9429
CO$109.961
CT$111.581
DC$119.821
DE$104.421
FL$102.57–$109.683
GA$97.69–$106.662
GU$114.581
HI$114.581
IA$98.531
ID$98.971
IL$99.56–$108.154
IN$99.481
KS$97.851
KY$97.191
LA$96.95–$101.132
MA$109.32–$120.312
MD$106.32–$119.823
ME$99.12–$104.202
MI$99.12–$103.402
MN$106.581
MO$95.32–$101.783
MS$95.021
MT$105.211
NC$100.061
ND$104.621
NE$99.091
NH$108.021
NJ$113.20–$118.782
NM$99.481
NV$105.121
NY$101.34–$121.685
OH$99.001
OK$97.341
OR$104.63–$113.412
PA$99.30–$108.932
PR$105.981
RI$108.091
SC$99.631
SD$104.551
TN$98.241
TX$98.71–$109.318
UT$100.821
VA$103.70–$119.822
VI$105.981
VT$104.001
WA$109.19–$122.892
WI$101.521
WV$96.281
WY$104.951

Explore 92584 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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92584 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$108.58

$98.71 × 110% = $108.58

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.

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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 92584 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

11,850

Code
92584
Physician work
0.98
Practice expense
2.14
Malpractice
0.03

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 92584 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense2.14× 0.9101.9474
Malpractice0.03× 0.9290.0279
Total RVUs2.9553
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$98.71

Open 92584 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.981
Practice expense2.140.91
Malpractice0.030.929

(0.98 × 1 + 2.14 × 0.91 + 0.03 × 0.929) × $33.4009 = $98.71

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

92584 · Office / nonfacility

$98.71

Effective 2026-10-01

The base rate is $0.88 higher than on 2025-10-01, moving from $97.83 to $98.71 (0.9%).

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

    $97.83changed to$98.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.00 changed to 0.98
    • Practice expense RVU 2.20 changed to 2.14
    • Malpractice RVU 0.04 changed to 0.03
    • 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: $97.83

    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$98.71Not available in this settingRVU26D
2026-07-01$98.71Not available in this settingRVU26C
2026-04-01$98.71Not available in this settingRVU26B
2026-01-01$98.71Not available in this settingRVU26A
2025-10-01$97.83Not available in this settingRVU25D
2025-07-01$97.83Not available in this settingRVU25C
2025-04-01$97.83Not available in this settingRVU25B
2025-01-01$97.83Not available in this settingRVU25A

92584 billing questions

When is 92584 appropriate instead of a standard hearing test?

Use 92584 for recording sound-evoked cochlear and auditory nerve potentials, such as during evaluation for suspected endolymphatic hydrops. Pure-tone or speech audiometry measures hearing thresholds or speech recognition instead.

Should modifier 50 be appended when both ears are tested?

No. CMS prices 92584 as a bilateral service, and modifier 50 does not increase payment.

Can audiometry or tympanometry be reported at the same visit?

They may be reported when those tests are separately performed and documented. The record should distinguish their results from the electrocochleographic responses.

How does 92584 differ from evoked auditory testing?

Electrocochleography records electrical potentials from the cochlea and auditory nerve. Evoked auditory testing codes such as 92587 and 92588 describe otoacoustic-emission testing, which evaluates cochlear outer hair cell responses.

What documentation supports reporting 92584?

Document the indication, ears tested, electrode method or placement, responses obtained, and clinical interpretation. The findings should support that electrocochleography—not only routine audiometry—was performed.

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 92584PPRRVU2026_Oct_nonQPP.csv, line 11,850 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet