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CMS RVU26D · Effective 2026-10-01

92568 in Delaware

Office / nonfacility

$15.31

Base rate per service

Facility setting

$12.67

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 92568: Acoustic reflex threshold assessment

Reports measurement of the sound level that triggers an acoustic reflex, typically during diagnostic evaluation of hearing or middle-ear function.

An audiologist typically uses immittance equipment to measure the sound level that elicits an involuntary middle-ear muscle response. The test may be included in an outpatient diagnostic hearing evaluation when reflex thresholds help interpret auditory or middle-ear findings. Results are recorded by ear and can be considered alongside tympanometry and audiometry.

Report 92568 for the reflex-threshold measurement itself, rather than tympanometry alone or a broader immittance service that includes this measurement. Documentation should identify the ears tested, test conditions, measured thresholds or absent responses, and relevant interpretation. CMS prices the service on a bilateral basis, so modifier 50 does not increase payment. CMS identifies this as a therapy service; the professional component modifier does not apply.

CMS billing rules for 92568

Professional and technical components
Therapy service: the professional component modifier does not apply.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.29 · 63%
  • Practice expense (office) RVU0.16 · 35%
  • Malpractice RVU0.01 · 2%

2.4K

Medicare services in 2024 · #2313 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.

92568 compared with similar codes

Office rates for Delaware, from the same CMS release.

92567

Tympanometry

Middle ear pressure and mobility

$15.92

92567 reports tympanometry, which evaluates middle-ear pressure and mobility. Use 92568 for measuring the sound level that triggers an acoustic reflex.

92550

Middle-ear testing

Tympanometry and reflex thresholds

$21.62

92550 combines tympanometry with reflex-threshold measurements. 92568 represents the reflex-threshold test rather than that combined service.

92570

Immittance testing

Tympanometry and reflex measures

$31.30

92570 covers a broader acoustic immittance service that includes reflex thresholds. 92568 is specific to the threshold measurement.

The same code, a different location

How does Delaware compare?

92568 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $15.31

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $16.63

    $1.32 higher than Delaware

  3. Dc + Md/Va Suburbs

    $16.88

    $1.57 higher than Delaware

  4. Miami

    $16.09

    $0.78 higher than Delaware

  5. Chicago

    $15.89

    $0.58 higher than Delaware

  6. Manhattan

    $17.05

    $1.74 higher than Delaware

  7. Alaska*

    $20.40

    $5.09 higher than Delaware

Other payment areas listed in Delaware 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, 92568 ranges from $14.45 in Arkansas to $20.40 in Alaska*. 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

  • Alabama

    Alabama · 92568

    Office

    $14.55

    Facility

    $12.21

    $0.76 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 92568

    Office

    $14.45

    Facility

    $12.15

    $0.86 lower than Delaware for the office setting.

  • Arizona

    Arizona · 92568

    Office

    $15.15

    Facility

    $12.56

    $0.16 lower than Delaware for the office setting.

  • Bakersfield

    California · 92568

    Office

    $15.93

    Facility

    $13.00

    $0.62 higher than Delaware for the office setting.

  • Chico

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • El Centro

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Fresno

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Madera

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Merced

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Modesto

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Napa

    California · 92568

    Office

    $17.51

    Facility

    $13.99

    $2.20 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92568

    Office

    $16.48

    Facility

    $13.32

    $1.17 higher than Delaware for the office setting.

  • Redding

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Rest Of California

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92568

    Office

    $16.00

    Facility

    $13.07

    $0.69 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92568

    Office

    $16.43

    Facility

    $13.32

    $1.12 higher than Delaware for the office setting.

  • Salinas

    California · 92568

    Office

    $16.36

    Facility

    $13.26

    $1.05 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92568

    Office

    $16.55

    Facility

    $13.35

    $1.24 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92568

    Office

    $18.30

    Facility

    $14.53

    $2.99 higher than Delaware for the office setting.

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

    California · 92568

    Office

    $18.28

    Facility

    $14.52

    $2.97 higher than Delaware for the office setting.

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

    California · 92568

    Office

    $18.64

    Facility

    $14.78

    $3.33 higher than Delaware for the office setting.

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

    California · 92568

    Office

    $18.59

    Facility

    $14.74

    $3.28 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92568

    Office

    $16.12

    Facility

    $13.07

    $0.81 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 92568

    Office

    $16.56

    Facility

    $13.32

    $1.25 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 92568

    Office

    $16.37

    Facility

    $13.25

    $1.06 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 92568

    Office

    $16.72

    Facility

    $13.44

    $1.41 higher than Delaware for the office setting.

  • Stockton

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Vallejo

    California · 92568

    Office

    $17.49

    Facility

    $13.97

    $2.18 higher than Delaware for the office setting.

  • Visalia

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Yuba City

    California · 92568

    Office

    $15.89

    Facility

    $12.96

    $0.58 higher than Delaware for the office setting.

  • Colorado

    Colorado · 92568

    Office

    $15.75

    Facility

    $12.91

    $0.44 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 92568

    Office

    $16.04

    Facility

    $13.16

    $0.73 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 92568

    Office

    $15.70

    Facility

    $13.00

    $0.39 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 92568

    Office

    $15.30

    Facility

    $12.74

    $0.01 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 92568

    Office

    $15.55

    Facility

    $12.83

    $0.24 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 92568

    Office

    $14.85

    Facility

    $12.47

    $0.46 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 92568

    Office

    $15.96

    Facility

    $12.92

    $0.65 higher than Delaware for the office setting.

  • Iowa

    Iowa · 92568

    Office

    $14.71

    Facility

    $12.26

    $0.60 lower than Delaware for the office setting.

  • Idaho

    Idaho · 92568

    Office

    $14.76

    Facility

    $12.30

    $0.55 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 92568

    Office

    $15.28

    Facility

    $12.82

    $0.03 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 92568

    Office

    $15.09

    Facility

    $12.65

    $0.22 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 92568

    Office

    $15.83

    Facility

    $13.09

    $0.52 higher than Delaware for the office setting.

  • Indiana

    Indiana · 92568

    Office

    $14.80

    Facility

    $12.33

    $0.51 lower than Delaware for the office setting.

  • Kansas

    Kansas · 92568

    Office

    $14.69

    Facility

    $12.27

    $0.62 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 92568

    Office

    $14.74

    Facility

    $12.37

    $0.57 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 92568

    Office

    $15.09

    Facility

    $12.58

    $0.22 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 92568

    Office

    $14.74

    Facility

    $12.37

    $0.57 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 92568

    Office

    $16.76

    Facility

    $13.57

    $1.45 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92568

    Office

    $15.73

    Facility

    $12.92

    $0.42 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92568

    Office

    $15.99

    Facility

    $13.12

    $0.68 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 92568

    Office

    $15.50

    Facility

    $12.79

    $0.19 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 92568

    Office

    $14.81

    Facility

    $12.35

    $0.50 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 92568

    Office

    $15.19

    Facility

    $12.55

    $0.12 lower than Delaware for the office setting.

  • Detroit

    Michigan · 92568

    Office

    $15.41

    Facility

    $12.83

    $0.10 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 92568

    Office

    $14.94

    Facility

    $12.50

    $0.37 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 92568

    Office

    $15.28

    Facility

    $12.53

    $0.03 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 92568

    Office

    $15.03

    Facility

    $12.52

    $0.28 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 92568

    Office

    $15.11

    Facility

    $12.56

    $0.20 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 92568

    Office

    $14.62

    Facility

    $12.31

    $0.69 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 92568

    Office

    $14.53

    Facility

    $12.23

    $0.78 lower than Delaware for the office setting.

  • Montana**

    Montana · 92568

    Office

    $15.36

    Facility

    $12.69

    $0.05 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 92568

    Office

    $14.89

    Facility

    $12.39

    $0.42 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 92568

    Office

    $15.17

    Facility

    $12.49

    $0.14 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 92568

    Office

    $14.75

    Facility

    $12.28

    $0.56 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 92568

    Office

    $15.54

    Facility

    $12.76

    $0.23 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 92568

    Office

    $16.85

    Facility

    $13.75

    $1.54 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 92568

    Office

    $16.28

    Facility

    $13.36

    $0.97 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 92568

    Office

    $14.99

    Facility

    $12.54

    $0.32 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 92568

    Office

    $15.31

    Facility

    $12.64

    The same base rate than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92568

    Office

    $17.28

    Facility

    $14.10

    $1.97 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92568

    Office

    $16.38

    Facility

    $13.45

    $1.07 higher than Delaware for the office setting.

  • Queens

    New York · 92568

    Office

    $17.10

    Facility

    $13.95

    $1.79 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 92568

    Office

    $15.00

    Facility

    $12.46

    $0.31 lower than Delaware for the office setting.

  • Ohio

    Ohio · 92568

    Office

    $14.90

    Facility

    $12.46

    $0.41 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 92568

    Office

    $14.72

    Facility

    $12.33

    $0.59 lower than Delaware for the office setting.

  • Portland

    Oregon · 92568

    Office

    $16.03

    Facility

    $13.06

    $0.72 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 92568

    Office

    $15.24

    Facility

    $12.58

    $0.07 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92568

    Office

    $15.82

    Facility

    $13.04

    $0.51 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92568

    Office

    $14.91

    Facility

    $12.45

    $0.40 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 92568

    Office

    $15.42

    Facility

    $12.72

    $0.11 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 92568

    Office

    $15.69

    Facility

    $12.93

    $0.38 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 92568

    Office

    $14.91

    Facility

    $12.44

    $0.40 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 92568

    Office

    $15.14

    Facility

    $12.47

    $0.17 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 92568

    Office

    $14.72

    Facility

    $12.29

    $0.59 lower than Delaware for the office setting.

  • Austin

    Texas · 92568

    Office

    $15.66

    Facility

    $12.83

    $0.35 higher than Delaware for the office setting.

  • Beaumont

    Texas · 92568

    Office

    $14.86

    Facility

    $12.43

    $0.45 lower than Delaware for the office setting.

  • Brazoria

    Texas · 92568

    Office

    $15.32

    Facility

    $12.67

    $0.01 higher than Delaware for the office setting.

  • Dallas

    Texas · 92568

    Office

    $15.38

    Facility

    $12.72

    $0.07 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 92568

    Office

    $15.33

    Facility

    $12.70

    $0.02 higher than Delaware for the office setting.

  • Galveston

    Texas · 92568

    Office

    $15.35

    Facility

    $12.69

    $0.04 higher than Delaware for the office setting.

  • Houston

    Texas · 92568

    Office

    $15.53

    Facility

    $12.88

    $0.22 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 92568

    Office

    $15.06

    Facility

    $12.52

    $0.25 lower than Delaware for the office setting.

  • Utah

    Utah · 92568

    Office

    $15.01

    Facility

    $12.50

    $0.30 lower than Delaware for the office setting.

  • Virginia

    Virginia · 92568

    Office

    $15.18

    Facility

    $12.55

    $0.13 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92568

    Office

    $15.42

    Facility

    $12.72

    $0.11 higher than Delaware for the office setting.

  • Vermont

    Vermont · 92568

    Office

    $15.15

    Facility

    $12.50

    $0.16 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 92568

    Office

    $15.69

    Facility

    $12.88

    $0.38 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 92568

    Office

    $17.00

    Facility

    $13.72

    $1.69 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 92568

    Office

    $14.91

    Facility

    $12.35

    $0.40 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 92568

    Office

    $14.81

    Facility

    $12.49

    $0.50 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 92568

    Office

    $15.28

    Facility

    $12.61

    $0.03 lower than Delaware for the office setting.

See how rates vary across the country

92568 · 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.

$14.45

$20.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$20.401
AL$14.551
AR$14.451
AZ$15.151
CA$15.89–$18.6429
CO$15.751
CT$16.041
DC$16.881
DE$15.311
FL$15.30–$16.093
GA$14.85–$15.552
GU$15.961
HI$15.961
IA$14.711
ID$14.761
IL$15.09–$15.894
IN$14.801
KS$14.691
KY$14.741
LA$14.74–$15.092
MA$15.73–$16.762
MD$15.50–$16.883
ME$14.81–$15.192
MI$14.94–$15.412
MN$15.281
MO$14.62–$15.113
MS$14.531
MT$15.361
NC$14.891
ND$15.171
NE$14.751
NH$15.541
NJ$16.28–$16.852
NM$14.991
NV$15.311
NY$15.00–$17.285
OH$14.901
OK$14.721
OR$15.24–$16.032
PA$14.91–$15.822
PR$15.421
RI$15.691
SC$14.911
SD$15.141
TN$14.721
TX$14.86–$15.668
UT$15.011
VA$15.18–$16.882
VI$15.421
VT$15.151
WA$15.69–$17.002
WI$14.911
WV$14.811
WY$15.281

Explore 92568 on the national rate map →

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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 92568 in Delaware, the physician’s office rate is $15.31 and the facility-setting rate is $12.67: a difference of $2.64.

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 92568 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$16.84

$15.31 × 110% = $16.84

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 92568 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

11,840

Code
92568
Physician work
0.29
Practice expense
0.16
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 92568 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0050.2914
Practice expense0.16× 0.9880.1581
Malpractice0.01× 0.8990.0090
Total RVUs0.4585
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$15.31

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92568 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.291.005
Practice expense0.160.988
Malpractice0.010.899

(0.29 × 1.005 + 0.16 × 0.988 + 0.01 × 0.899) × $33.4009 = $15.31

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.291.005
Practice expense0.080.988
Malpractice0.010.899

(0.29 × 1.005 + 0.08 × 0.988 + 0.01 × 0.899) × $33.4009 = $12.67

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

92568 · Office / nonfacility

$15.31

Effective 2026-10-01

The base rate is $0.72 higher than on 2025-10-01, moving from $14.59 to $15.31 (4.9%).

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

    $14.59changed to$15.31

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.15 changed to 0.16
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $14.59

    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$15.31$12.67RVU26D
2026-07-01$15.31$12.67RVU26C
2026-04-01$15.31$12.67RVU26B
2026-01-01$15.31$12.67RVU26A
2025-10-01$14.59$14.59RVU25D
2025-07-01$14.59$14.59RVU25C
2025-04-01$14.59$14.59RVU25B
2025-01-01$14.59$14.59RVU25A

92568 billing questions

How is 92568 different from tympanometry?

92568 measures the sound level that elicits an acoustic reflex. Tympanometry, reported with 92567, assesses middle-ear pressure and mobility.

Should 92568 be reported with 92550?

92550 represents tympanometry together with reflex-threshold measurements. When both services are performed as that combined service, compare 92550 with reporting the individual tests.

How does 92568 differ from 92570?

92570 describes a broader acoustic immittance service that includes reflex-threshold measurement. Use 92568 when reporting the threshold test itself, rather than the broader service.

Should modifier 50 be appended?

CMS prices 92568 as bilateral. Modifier 50 does not increase payment.

Can modifier 26 be used for the professional work?

No. CMS identifies this as a therapy service for which the professional component modifier does not apply.

What should the record include?

Document the ears tested, test conditions, measured thresholds or absent responses, and the interpretation of the findings.

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 92568PPRRVU2026_Oct_nonQPP.csv, line 11,840 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet