Choose 92582 for thresholds obtained through a conditioned play task. Choose 92579 when visual reinforcement is used to elicit the patient's response.
On this page
CMS RVU26D · Effective 2026-10-01
92582 in Delaware
Office / nonfacility
$85.77
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 92582: Conditioned-play hearing threshold test
Reports behavioral pure-tone hearing threshold testing in which a patient is conditioned to perform a play task in response to sound.
In conditioning play audiometry, the audiologist teaches the patient to make a simple play response, such as placing an object in a container, when a tone is heard. The response allows the clinician to estimate hearing thresholds through behavioral testing. This approach is commonly used with children who can learn the task but may not reliably complete conventional button-press testing. Audiologists typically perform it in an audiology clinic or other setting equipped for hearing assessment.
Report the service when the conditioning-play method is used to obtain hearing thresholds, and document the test method, responses, and results. The code is priced for testing of both ears; modifier 50 does not increase payment. CMS classifies it as a technical-component-only service, with interpretation covered by a separate code. The record should distinguish this play-response method from visual reinforcement or picture-based testing and support the medical reason for assessing hearing.
CMS billing rules for 92582
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU2.59 · 100%
- Malpractice RVU0.01 · 0%
360
Medicare services in 2024 · #3826 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.
92582 compared with similar codes
Office rates for Delaware, from the same CMS release.
92582 obtains tone responses through a play action; 92583 uses picture selection for audiometry. The response task, not simply the patient's age, distinguishes the methods.
92552 is conventional air-conduction pure-tone audiometry. Use 92582 when thresholds are obtained by conditioning the patient to respond with a play action.
92553 includes conventional air- and bone-conduction testing. 92582 identifies testing performed through a conditioned play response.
The same code, a different location
How does Delaware compare?
92582 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
$85.77
$16.79 higher than Delaware
$102.28
$16.51 higher than Delaware
$90.90
$5.13 higher than Delaware
$87.71
$1.94 higher than Delaware
$101.05
$15.28 higher than Delaware
$92.32
$6.55 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, 92582 ranges from $74.48 in Arkansas to $124.92 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
Alabama
Alabama · 92582
Office
$75.88
Facility
Unavailable
$9.89 lower than Delaware for the office setting.
Arkansas
Arkansas · 92582
Office
$74.48
Facility
Unavailable
$11.29 lower than Delaware for the office setting.
Arizona
Arizona · 92582
Office
$84.11
Facility
Unavailable
$1.66 lower than Delaware for the office setting.
Bakersfield
California · 92582
Office
$95.02
Facility
Unavailable
$9.25 higher than Delaware for the office setting.
Chico
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
El Centro
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Fresno
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Hanford-Corcoran
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Madera
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Merced
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Modesto
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Napa
California · 92582
Office
$114.19
Facility
Unavailable
$28.42 higher than Delaware for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 92582
Office
$102.46
Facility
Unavailable
$16.69 higher than Delaware for the office setting.
Redding
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Rest Of California
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Riverside-San Bernardino-Ontario
California · 92582
Office
$95.10
Facility
Unavailable
$9.33 higher than Delaware for the office setting.
Sacramento-Roseville-Folsom
California · 92582
Office
$100.79
Facility
Unavailable
$15.02 higher than Delaware for the office setting.
Salinas
California · 92582
Office
$100.44
Facility
Unavailable
$14.67 higher than Delaware for the office setting.
San Diego-Chula Vista-Carlsbad
California · 92582
Office
$103.64
Facility
Unavailable
$17.87 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92582
Office
$122.13
Facility
Unavailable
$36.36 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92582
Office
$122.12
Facility
Unavailable
$36.35 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92582
Office
$124.92
Facility
Unavailable
$39.15 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92582
Office
$124.88
Facility
Unavailable
$39.11 higher than Delaware for the office setting.
San Luis Obispo-Paso Robles
California · 92582
Office
$98.71
Facility
Unavailable
$12.94 higher than Delaware for the office setting.
Santa Cruz-Watsonville
California · 92582
Office
$105.29
Facility
Unavailable
$19.52 higher than Delaware for the office setting.
Santa Maria-Santa Barbara
California · 92582
Office
$101.05
Facility
Unavailable
$15.28 higher than Delaware for the office setting.
Santa Rosa-Petaluma
California · 92582
Office
$106.41
Facility
Unavailable
$20.64 higher than Delaware for the office setting.
Stockton
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Vallejo
California · 92582
Office
$114.17
Facility
Unavailable
$28.40 higher than Delaware for the office setting.
Visalia
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Yuba City
California · 92582
Office
$94.99
Facility
Unavailable
$9.22 higher than Delaware for the office setting.
Colorado
Colorado · 92582
Office
$92.31
Facility
Unavailable
$6.54 higher than Delaware for the office setting.
Connecticut
Connecticut · 92582
Office
$93.57
Facility
Unavailable
$7.80 higher than Delaware for the office setting.
Fort Lauderdale
Florida · 92582
Office
$88.24
Facility
Unavailable
$2.47 higher than Delaware for the office setting.
Rest Of Florida
Florida · 92582
Office
$83.20
Facility
Unavailable
$2.57 lower than Delaware for the office setting.
Atlanta
Georgia · 92582
Office
$88.29
Facility
Unavailable
$2.52 higher than Delaware for the office setting.
Rest Of Georgia
Georgia · 92582
Office
$77.56
Facility
Unavailable
$8.21 lower than Delaware for the office setting.
Hawaii, Guam
Hawaii · 92582
Office
$98.55
Facility
Unavailable
$12.78 higher than Delaware for the office setting.
Iowa
Iowa · 92582
Office
$79.29
Facility
Unavailable
$6.48 lower than Delaware for the office setting.
Idaho
Idaho · 92582
Office
$79.75
Facility
Unavailable
$6.02 lower than Delaware for the office setting.
East St. Louis
Illinois · 92582
Office
$80.26
Facility
Unavailable
$5.51 lower than Delaware for the office setting.
Rest Of Illinois
Illinois · 92582
Office
$79.50
Facility
Unavailable
$6.27 lower than Delaware for the office setting.
Suburban Chicago
Illinois · 92582
Office
$89.44
Facility
Unavailable
$3.67 higher than Delaware for the office setting.
Indiana
Indiana · 92582
Office
$80.36
Facility
Unavailable
$5.41 lower than Delaware for the office setting.
Kansas
Kansas · 92582
Office
$78.37
Facility
Unavailable
$7.40 lower than Delaware for the office setting.
Kentucky
Kentucky · 92582
Office
$77.21
Facility
Unavailable
$8.56 lower than Delaware for the office setting.
New Orleans
Louisiana · 92582
Office
$81.78
Facility
Unavailable
$3.99 lower than Delaware for the office setting.
Rest Of Louisiana
Louisiana · 92582
Office
$76.88
Facility
Unavailable
$8.89 lower than Delaware for the office setting.
Metropolitan Boston
Massachusetts · 92582
Office
$103.59
Facility
Unavailable
$17.82 higher than Delaware for the office setting.
Rest Of Massachusetts
Massachusetts · 92582
Office
$91.36
Facility
Unavailable
$5.59 higher than Delaware for the office setting.
Baltimore/Surr. Cntys
Maryland · 92582
Office
$93.24
Facility
Unavailable
$7.47 higher than Delaware for the office setting.
Rest Of Maryland
Maryland · 92582
Office
$87.85
Facility
Unavailable
$2.08 higher than Delaware for the office setting.
Rest Of Maine
Maine · 92582
Office
$79.80
Facility
Unavailable
$5.97 lower than Delaware for the office setting.
Southern Maine
Maine · 92582
Office
$85.94
Facility
Unavailable
$0.17 higher than Delaware for the office setting.
Detroit
Michigan · 92582
Office
$84.04
Facility
Unavailable
$1.73 lower than Delaware for the office setting.
Rest Of Michigan
Michigan · 92582
Office
$79.36
Facility
Unavailable
$6.41 lower than Delaware for the office setting.
Minnesota
Minnesota · 92582
Office
$89.12
Facility
Unavailable
$3.35 higher than Delaware for the office setting.
Metropolitan Kansas City
Missouri · 92582
Office
$81.56
Facility
Unavailable
$4.21 lower than Delaware for the office setting.
Metropolitan St. Louis
Missouri · 92582
Office
$82.69
Facility
Unavailable
$3.08 lower than Delaware for the office setting.
Rest Of Missouri
Missouri · 92582
Office
$74.90
Facility
Unavailable
$10.87 lower than Delaware for the office setting.
Mississippi
Mississippi · 92582
Office
$74.73
Facility
Unavailable
$11.04 lower than Delaware for the office setting.
Montana**
Montana · 92582
Office
$86.84
Facility
Unavailable
$1.07 higher than Delaware for the office setting.
North Carolina
North Carolina · 92582
Office
$80.93
Facility
Unavailable
$4.84 lower than Delaware for the office setting.
North Dakota**
North Dakota · 92582
Office
$86.64
Facility
Unavailable
$0.87 higher than Delaware for the office setting.
Nebraska
Nebraska · 92582
Office
$79.97
Facility
Unavailable
$5.80 lower than Delaware for the office setting.
New Hampshire
New Hampshire · 92582
Office
$90.35
Facility
Unavailable
$4.58 higher than Delaware for the office setting.
Northern Nj
New Jersey · 92582
Office
$100.71
Facility
Unavailable
$14.94 higher than Delaware for the office setting.
Rest Of New Jersey
New Jersey · 92582
Office
$94.83
Facility
Unavailable
$9.06 higher than Delaware for the office setting.
New Mexico
New Mexico · 92582
Office
$79.73
Facility
Unavailable
$6.04 lower than Delaware for the office setting.
Nevada**
Nevada · 92582
Office
$86.87
Facility
Unavailable
$1.10 higher than Delaware for the office setting.
Nyc Suburbs/Long Island
New York · 92582
Office
$103.48
Facility
Unavailable
$17.71 higher than Delaware for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 92582
Office
$95.13
Facility
Unavailable
$9.36 higher than Delaware for the office setting.
Queens
New York · 92582
Office
$102.73
Facility
Unavailable
$16.96 higher than Delaware for the office setting.
Rest Of New York
New York · 92582
Office
$82.42
Facility
Unavailable
$3.35 lower than Delaware for the office setting.
Ohio
Ohio · 92582
Office
$79.32
Facility
Unavailable
$6.45 lower than Delaware for the office setting.
Oklahoma
Oklahoma · 92582
Office
$77.51
Facility
Unavailable
$8.26 lower than Delaware for the office setting.
Portland
Oregon · 92582
Office
$96.36
Facility
Unavailable
$10.59 higher than Delaware for the office setting.
Rest Of Oregon
Oregon · 92582
Office
$86.40
Facility
Unavailable
$0.63 higher than Delaware for the office setting.
Metropolitan Philadelphia
Pennsylvania · 92582
Office
$90.45
Facility
Unavailable
$4.68 higher than Delaware for the office setting.
Rest Of Pennsylvania
Pennsylvania · 92582
Office
$79.73
Facility
Unavailable
$6.04 lower than Delaware for the office setting.
Puerto Rico
Puerto Rico · 92582
Office
$87.79
Facility
Unavailable
$2.02 higher than Delaware for the office setting.
Rhode Island
Rhode Island · 92582
Office
$89.66
Facility
Unavailable
$3.89 higher than Delaware for the office setting.
South Carolina
South Carolina · 92582
Office
$80.22
Facility
Unavailable
$5.55 lower than Delaware for the office setting.
South Dakota**
South Dakota · 92582
Office
$86.62
Facility
Unavailable
$0.85 higher than Delaware for the office setting.
Tennessee
Tennessee · 92582
Office
$78.82
Facility
Unavailable
$6.95 lower than Delaware for the office setting.
Austin
Texas · 92582
Office
$91.82
Facility
Unavailable
$6.05 higher than Delaware for the office setting.
Beaumont
Texas · 92582
Office
$79.03
Facility
Unavailable
$6.74 lower than Delaware for the office setting.
Brazoria
Texas · 92582
Office
$85.99
Facility
Unavailable
$0.22 higher than Delaware for the office setting.
Dallas
Texas · 92582
Office
$86.45
Facility
Unavailable
$0.68 higher than Delaware for the office setting.
Fort Worth
Texas · 92582
Office
$85.59
Facility
Unavailable
$0.18 lower than Delaware for the office setting.
Galveston
Texas · 92582
Office
$86.18
Facility
Unavailable
$0.41 higher than Delaware for the office setting.
Houston
Texas · 92582
Office
$86.36
Facility
Unavailable
$0.59 higher than Delaware for the office setting.
Rest Of Texas
Texas · 92582
Office
$82.40
Facility
Unavailable
$3.37 lower than Delaware for the office setting.
Utah
Utah · 92582
Office
$81.62
Facility
Unavailable
$4.15 lower than Delaware for the office setting.
Virginia
Virginia · 92582
Office
$85.27
Facility
Unavailable
$0.50 lower than Delaware for the office setting.
Virgin Islands
United States Virgin Islands · 92582
Office
$87.79
Facility
Unavailable
$2.02 higher than Delaware for the office setting.
Vermont
Vermont · 92582
Office
$85.81
Facility
Unavailable
$0.04 higher than Delaware for the office setting.
Rest Of Washington
Washington · 92582
Office
$91.35
Facility
Unavailable
$5.58 higher than Delaware for the office setting.
Seattle (King Cnty)
Washington · 92582
Office
$106.42
Facility
Unavailable
$20.65 higher than Delaware for the office setting.
Wisconsin
Wisconsin · 92582
Office
$82.98
Facility
Unavailable
$2.79 lower than Delaware for the office setting.
West Virginia
West Virginia · 92582
Office
$75.65
Facility
Unavailable
$10.12 lower than Delaware for the office setting.
Wyoming**
Wyoming · 92582
Office
$86.76
Facility
Unavailable
$0.99 higher than Delaware for the office setting.
See how rates vary across the country
92582 · 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.
$74.48
$109.96
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $92.32 | 1 |
| AL | $75.88 | 1 |
| AR | $74.48 | 1 |
| AZ | $84.11 | 1 |
| CA | $94.99–$124.92 | 29 |
| CO | $92.31 | 1 |
| CT | $93.57 | 1 |
| DC | $102.28 | 1 |
| DE | $85.77 | 1 |
| FL | $83.20–$90.90 | 3 |
| GA | $77.56–$88.29 | 2 |
| GU | $98.55 | 1 |
| HI | $98.55 | 1 |
| IA | $79.29 | 1 |
| ID | $79.75 | 1 |
| IL | $79.50–$89.44 | 4 |
| IN | $80.36 | 1 |
| KS | $78.37 | 1 |
| KY | $77.21 | 1 |
| LA | $76.88–$81.78 | 2 |
| MA | $91.36–$103.59 | 2 |
| MD | $87.85–$102.28 | 3 |
| ME | $79.80–$85.94 | 2 |
| MI | $79.36–$84.04 | 2 |
| MN | $89.12 | 1 |
| MO | $74.90–$82.69 | 3 |
| MS | $74.73 | 1 |
| MT | $86.84 | 1 |
| NC | $80.93 | 1 |
| ND | $86.64 | 1 |
| NE | $79.97 | 1 |
| NH | $90.35 | 1 |
| NJ | $94.83–$100.71 | 2 |
| NM | $79.73 | 1 |
| NV | $86.87 | 1 |
| NY | $82.42–$103.48 | 5 |
| OH | $79.32 | 1 |
| OK | $77.51 | 1 |
| OR | $86.40–$96.36 | 2 |
| PA | $79.73–$90.45 | 2 |
| PR | $87.79 | 1 |
| RI | $89.66 | 1 |
| SC | $80.22 | 1 |
| SD | $86.62 | 1 |
| TN | $78.82 | 1 |
| TX | $79.03–$91.82 | 8 |
| UT | $81.62 | 1 |
| VA | $85.27–$102.28 | 2 |
| VI | $87.79 | 1 |
| VT | $85.81 | 1 |
| WA | $91.35–$106.42 | 2 |
| WI | $82.98 | 1 |
| WV | $75.65 | 1 |
| WY | $86.76 | 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 92582 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$94.35
$85.77 × 110% = $94.35
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 92582 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
11,848
- Code
- 92582
- Physician work
- 0.00
- Practice expense
- 2.59
- Malpractice
- 0.01
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 2.59 | × 0.988 | 2.5589 |
| Malpractice | 0.01 | × 0.899 | 0.0090 |
| Total RVUs | 2.5679 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$85.77
Open 92582 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.005 |
| Practice expense | 2.59 | 0.988 |
| Malpractice | 0.01 | 0.899 |
(0 × 1.005 + 2.59 × 0.988 + 0.01 × 0.899) × $33.4009 = $85.77
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
92582 · Office / nonfacility
$85.77
Effective 2026-10-01
The base rate is $0.21 lower than on 2025-10-01, moving from $85.98 to $85.77 (0.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$85.98changed to$85.77
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 2.67 changed to 2.59
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $85.98
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $85.77 | Not available in this setting | RVU26D |
| 2026-07-01 | $85.77 | Not available in this setting | RVU26C |
| 2026-04-01 | $85.77 | Not available in this setting | RVU26B |
| 2026-01-01 | $85.77 | Not available in this setting | RVU26A |
| 2025-10-01 | $85.98 | Not available in this setting | RVU25D |
| 2025-07-01 | $85.98 | Not available in this setting | RVU25C |
| 2025-04-01 | $85.98 | Not available in this setting | RVU25B |
| 2025-01-01 | $85.98 | Not available in this setting | RVU25A |
92582 billing questions
When should 92582 be used instead of conventional pure-tone audiometry?
Use it when the patient is conditioned to perform a play action in response to tones. Conventional pure-tone testing uses a different response method and is appropriate when the patient can reliably complete that task.
How does conditioning play differ from visual reinforcement audiometry?
Conditioning play relies on a learned play response to sound. Visual reinforcement audiometry uses a visual stimulus to reinforce a response to sound.
Is interpretation included in 92582?
No. CMS identifies 92582 as technical-component-only; a separate code covers interpretation.
Should modifier 50 be appended when both ears are tested?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 92582?
Document that the patient was conditioned to perform a play response to tones, the testing performed, the responses obtained, and the resulting hearing thresholds.
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.
