$28.45
92502 is a broad otolaryngologic examination under general anesthesia; 92504 is a separate diagnostic ear examination using binocular microscopy.
On this page
CMS RVU26D · Effective 2026-10-01
92502 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$85.98
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 examination
About 92502: Otolaryngologic examination under general anesthesia
A broad ear, nose, and throat examination performed under general anesthesia when a complete diagnostic assessment cannot be completed while the patient is awake.
92502 captures a broad otolaryngologic assessment performed while the patient is under general anesthesia, allowing the clinician to examine relevant ear, nasal, oral, pharyngeal, and laryngeal structures when an awake examination is inadequate or cannot be completed. Otolaryngologists commonly perform it in an operating room or procedure setting, often for young children or patients unable to cooperate with a complete awake exam.
Report 92502 for the examination itself, not simply because general anesthesia is used for another procedure. The record should explain why an awake examination was insufficient and document the findings or anatomic areas examined. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not allowed.
CMS billing rules for 92502
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.47 · 57%
- Practice expense (office) RVU1.01 · 39%
- Malpractice RVU0.11 · 4%
657
Medicare services in 2024 · #3322 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.
92502 compared with similar codes
Office rates for Delaware, from the same CMS release.
$114.73
92511 is a focused endoscopic examination of the nasopharynx, not a broad examination of the ear, nose, and throat under general anesthesia.
$125.87
31575 describes flexible diagnostic laryngoscopy focused on the larynx. Choose 92502 when the service is a broader otolaryngologic examination under general anesthesia.
The same code, a different location
How does Delaware compare?
92502 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Alabama
Alabama · 92502
Office
Unavailable
Facility
$80.70
No comparable office rate is available.
Arkansas
Arkansas · 92502
Office
Unavailable
Facility
$79.97
No comparable office rate is available.
Arizona
Arizona · 92502
Office
Unavailable
Facility
$84.93
No comparable office rate is available.
Bakersfield
California · 92502
Office
Unavailable
Facility
$89.24
No comparable office rate is available.
Chico
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
El Centro
California · 92502
Office
Unavailable
Facility
$88.90
No comparable office rate is available.
Fresno
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Hanford-Corcoran
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Madera
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Merced
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Modesto
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Napa
California · 92502
Office
Unavailable
Facility
$98.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 92502
Office
Unavailable
Facility
$92.64
No comparable office rate is available.
Redding
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Rest Of California
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 92502
Office
Unavailable
Facility
$90.09
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 92502
Office
Unavailable
Facility
$92.07
No comparable office rate is available.
Salinas
California · 92502
Office
Unavailable
Facility
$91.69
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 92502
Office
Unavailable
Facility
$92.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92502
Office
Unavailable
Facility
$103.02
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92502
Office
Unavailable
Facility
$102.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92502
Office
Unavailable
Facility
$105.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92502
Office
Unavailable
Facility
$104.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 92502
Office
Unavailable
Facility
$90.33
No comparable office rate is available.
Santa Cruz-Watsonville
California · 92502
Office
Unavailable
Facility
$93.09
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 92502
Office
Unavailable
Facility
$91.78
No comparable office rate is available.
Santa Rosa-Petaluma
California · 92502
Office
Unavailable
Facility
$93.97
No comparable office rate is available.
Stockton
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Vallejo
California · 92502
Office
Unavailable
Facility
$98.34
No comparable office rate is available.
Visalia
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Yuba City
California · 92502
Office
Unavailable
Facility
$88.88
No comparable office rate is available.
Colorado
Colorado · 92502
Office
Unavailable
Facility
$88.45
No comparable office rate is available.
Connecticut
Connecticut · 92502
Office
Unavailable
Facility
$90.86
No comparable office rate is available.
Fort Lauderdale
Florida · 92502
Office
Unavailable
Facility
$89.92
No comparable office rate is available.
Rest Of Florida
Florida · 92502
Office
Unavailable
Facility
$86.87
No comparable office rate is available.
Atlanta
Georgia · 92502
Office
Unavailable
Facility
$87.93
No comparable office rate is available.
Rest Of Georgia
Georgia · 92502
Office
Unavailable
Facility
$83.57
No comparable office rate is available.
Hawaii, Guam
Hawaii · 92502
Office
Unavailable
Facility
$89.58
No comparable office rate is available.
Iowa
Iowa · 92502
Office
Unavailable
Facility
$81.43
No comparable office rate is available.
Idaho
Idaho · 92502
Office
Unavailable
Facility
$81.87
No comparable office rate is available.
East St. Louis
Illinois · 92502
Office
Unavailable
Facility
$87.54
No comparable office rate is available.
Rest Of Illinois
Illinois · 92502
Office
Unavailable
Facility
$85.64
No comparable office rate is available.
Suburban Chicago
Illinois · 92502
Office
Unavailable
Facility
$90.60
No comparable office rate is available.
Indiana
Indiana · 92502
Office
Unavailable
Facility
$82.16
No comparable office rate is available.
Kansas
Kansas · 92502
Office
Unavailable
Facility
$81.45
No comparable office rate is available.
Kentucky
Kentucky · 92502
Office
Unavailable
Facility
$82.45
No comparable office rate is available.
New Orleans
Louisiana · 92502
Office
Unavailable
Facility
$85.02
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 92502
Office
Unavailable
Facility
$82.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 92502
Office
Unavailable
Facility
$94.66
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 92502
Office
Unavailable
Facility
$88.34
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 92502
Office
Unavailable
Facility
$90.63
No comparable office rate is available.
Rest Of Maryland
Maryland · 92502
Office
Unavailable
Facility
$87.10
No comparable office rate is available.
Rest Of Maine
Maine · 92502
Office
Unavailable
Facility
$82.42
No comparable office rate is available.
Southern Maine
Maine · 92502
Office
Unavailable
Facility
$84.85
No comparable office rate is available.
Detroit
Michigan · 92502
Office
Unavailable
Facility
$87.85
No comparable office rate is available.
Rest Of Michigan
Michigan · 92502
Office
Unavailable
Facility
$84.05
No comparable office rate is available.
Minnesota
Minnesota · 92502
Office
Unavailable
Facility
$84.90
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 92502
Office
Unavailable
Facility
$84.37
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 92502
Office
Unavailable
Facility
$84.90
No comparable office rate is available.
Rest Of Missouri
Missouri · 92502
Office
Unavailable
Facility
$81.76
No comparable office rate is available.
Mississippi
Mississippi · 92502
Office
Unavailable
Facility
$80.86
No comparable office rate is available.
Montana**
Montana · 92502
Office
Unavailable
Facility
$86.50
No comparable office rate is available.
North Carolina
North Carolina · 92502
Office
Unavailable
Facility
$82.92
No comparable office rate is available.
North Dakota**
North Dakota · 92502
Office
Unavailable
Facility
$84.33
No comparable office rate is available.
Nebraska
Nebraska · 92502
Office
Unavailable
Facility
$81.63
No comparable office rate is available.
New Hampshire
New Hampshire · 92502
Office
Unavailable
Facility
$87.43
No comparable office rate is available.
Northern Nj
New Jersey · 92502
Office
Unavailable
Facility
$95.25
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 92502
Office
Unavailable
Facility
$91.93
No comparable office rate is available.
New Mexico
New Mexico · 92502
Office
Unavailable
Facility
$84.45
No comparable office rate is available.
Nevada**
Nevada · 92502
Office
Unavailable
Facility
$85.93
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 92502
Office
Unavailable
Facility
$99.18
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 92502
Office
Unavailable
Facility
$92.69
No comparable office rate is available.
Queens
New York · 92502
Office
Unavailable
Facility
$97.41
No comparable office rate is available.
Rest Of New York
New York · 92502
Office
Unavailable
Facility
$83.73
No comparable office rate is available.
Ohio
Ohio · 92502
Office
Unavailable
Facility
$83.60
No comparable office rate is available.
Oklahoma
Oklahoma · 92502
Office
Unavailable
Facility
$82.08
No comparable office rate is available.
Portland
Oregon · 92502
Office
Unavailable
Facility
$90.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 92502
Office
Unavailable
Facility
$85.28
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 92502
Office
Unavailable
Facility
$89.48
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 92502
Office
Unavailable
Facility
$83.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 92502
Office
Unavailable
Facility
$86.82
No comparable office rate is available.
Rhode Island
Rhode Island · 92502
Office
Unavailable
Facility
$88.16
No comparable office rate is available.
South Carolina
South Carolina · 92502
Office
Unavailable
Facility
$83.39
No comparable office rate is available.
South Dakota**
South Dakota · 92502
Office
Unavailable
Facility
$84.07
No comparable office rate is available.
Tennessee
Tennessee · 92502
Office
Unavailable
Facility
$81.74
No comparable office rate is available.
Austin
Texas · 92502
Office
Unavailable
Facility
$88.14
No comparable office rate is available.
Beaumont
Texas · 92502
Office
Unavailable
Facility
$83.21
No comparable office rate is available.
Brazoria
Texas · 92502
Office
Unavailable
Facility
$85.79
No comparable office rate is available.
Dallas
Texas · 92502
Office
Unavailable
Facility
$86.29
No comparable office rate is available.
Fort Worth
Texas · 92502
Office
Unavailable
Facility
$86.00
No comparable office rate is available.
Galveston
Texas · 92502
Office
Unavailable
Facility
$86.03
No comparable office rate is available.
Houston
Texas · 92502
Office
Unavailable
Facility
$88.05
No comparable office rate is available.
Rest Of Texas
Texas · 92502
Office
Unavailable
Facility
$84.43
No comparable office rate is available.
Utah
Utah · 92502
Office
Unavailable
Facility
$84.11
No comparable office rate is available.
Virginia
Virginia · 92502
Office
Unavailable
Facility
$84.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 92502
Office
Unavailable
Facility
$86.82
No comparable office rate is available.
Vermont
Vermont · 92502
Office
Unavailable
Facility
$84.36
No comparable office rate is available.
Rest Of Washington
Washington · 92502
Office
Unavailable
Facility
$88.06
No comparable office rate is available.
Seattle (King Cnty)
Washington · 92502
Office
Unavailable
Facility
$95.95
No comparable office rate is available.
Wisconsin
Wisconsin · 92502
Office
Unavailable
Facility
$82.55
No comparable office rate is available.
West Virginia
West Virginia · 92502
Office
Unavailable
Facility
$83.67
No comparable office rate is available.
Wyoming**
Wyoming · 92502
Office
Unavailable
Facility
$85.55
No comparable office rate is available.
See how rates vary across the country
92502 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 92502 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$94.58
$85.98 × 110% = $94.58
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.
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 92502 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
11,777
- Code
- 92502
- Physician work
- 1.47
- Practice expense
- 1.01
- Malpractice
- 0.11
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.47 | × 1.005 | 1.4773 |
| Practice expense | 1.01 | × 0.988 | 0.9979 |
| Malpractice | 0.11 | × 0.899 | 0.0989 |
| Total RVUs | 2.5741 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$85.98
Open 92502 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.47 | 1.005 |
| Practice expense | 1.01 | 0.988 |
| Malpractice | 0.11 | 0.899 |
(1.47 × 1.005 + 1.01 × 0.988 + 0.11 × 0.899) × $33.4009 = $85.98
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
92502 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $85.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $85.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $85.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $85.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $92.46 | RVU25D |
| 2025-07-01 | Not available in this setting | $92.46 | RVU25C |
| 2025-04-01 | Not available in this setting | $92.46 | RVU25B |
| 2025-01-01 | Not available in this setting | $92.46 | RVU25A |
92502 billing questions
When should 92502 be selected instead of 92504?
Use 92502 for a broad otolaryngologic examination performed under general anesthesia. Code 92504 describes examination of the ear using a binocular microscope.
Can 92502 be reported with a focused scope examination?
A focused nasopharyngoscopy or laryngoscopy is a distinct service from the broad examination represented by 92502. Report another procedure only when it was separately performed and the documentation supports it.
Is modifier 50 appropriate for examining both ears?
No. CMS identifies bilateral adjustment as inappropriate for 92502.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted.
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.
11,77492499,,Unlisted oph svc/procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77592499,26,Unlisted oph svc/procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77692499,TC,Unlisted oph svc/procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77792502,,Ear and throat examination,A,,1.47,1.01,NA,1.01,,0.11,2.59,2.59,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77892504,,Ear microscopy examination,A,,0.18,0.67,,0.04,,0.01,0.86,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77992507,,Tx sp lang voice comm indiv,A,,1.30,0.97,,0.97,NA,0.01,2.28,2.28,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78092508,,Tx sp lang voice comm group,A,,0.33,0.38,,0.38,NA,0.01,0.72,0.72,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503