$31.17
92562 compares perceived loudness between ears; 92563 evaluates tone decay, or difficulty sustaining perception of a tone.
On this page
CMS RVU26D · Effective 2026-10-01
92562 Loudness balance Medicare reimbursement rates in Alabama
Reports audiometric loudness balancing between ears, typically to assess suspected loudness recruitment in a patient with asymmetric sensorineural hearing loss. Compare 92562 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 92562 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$42.86
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Audiology
About 92562: Audiometric loudness balance test
Reports audiometric loudness balancing between ears, typically to assess suspected loudness recruitment in a patient with asymmetric sensorineural hearing loss.
An audiologist presents matched tones and adjusts their intensity to compare how loud they seem to the patient in each ear. This loudness balance assessment can help evaluate suspected recruitment, in which sound loudness grows abnormally quickly in an ear with sensorineural hearing loss. It is generally performed as part of a diagnostic audiology evaluation in an office or hearing clinic, rather than as a hearing screening.
Report 92562 when the loudness balance test is performed, not merely because the patient has hearing loss or has had routine audiometry. Documentation should identify the test, the ears assessed, relevant stimulus and response findings, and the clinical reason for testing. CMS classifies this as a technical-component-only service; a separate code covers interpretation. The code is priced as bilateral, so modifier 50 does not increase payment. Other audiologic tests may be reported when separately performed and documented for distinct diagnostic questions.
CMS billing rules for 92562
- 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) RVU1.46 · 99%
- Malpractice RVU0.01 · 1%
1.9K
Medicare services in 2024 · #2491 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.
92562 compared with similar codes
Office rates for Alabama, from the same CMS release.
$19.48
92562 assesses interaural loudness balance. 92565 is a pure-tone Stenger test used to evaluate inconsistent responses between ears.
$33.67
92557 covers comprehensive threshold and speech-recognition audiometry. It does not substitute for a separately performed loudness balance assessment.
Compare 92562 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$42.86
Facility
Unavailable
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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 92562 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,836
- Code
- 92562
- Physician work
- 0.00
- Practice expense
- 1.46
- Malpractice
- 0.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.46 | × 0.875 | 1.2775 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 1.2832 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$42.86
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.46 | 0.875 |
| Malpractice | 0.01 | 0.566 |
(0 × 1 + 1.46 × 0.875 + 0.01 × 0.566) × $33.4009 = $42.86
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.
92562 billing questions
When should 92562 be chosen instead of tone decay testing?
Use 92562 for comparing perceived loudness between ears. Tone decay testing, 92563, evaluates whether a patient can sustain perception of a tone over time.
Does 92562 include interpretation?
No. CMS identifies 92562 as technical-component-only; a separate code covers interpretation.
Should modifier 50 be appended for both ears?
The code is priced as bilateral. Modifier 50 does not increase payment.
What documentation supports reporting 92562?
Document the loudness balance procedure, ears assessed, test findings, and the clinical reason for comparing loudness between ears.
Can 92562 be reported with comprehensive audiometry?
It may be reported with 92557 when both the loudness balance test and comprehensive audiometry are separately performed. The record should support each service and its distinct 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.
11,83392556,,Speech audiometry complete,A,,0.00,1.38,,1.38,NA,0.01,1.39,1.39,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83492557,,Comprehensive hearing test,A,,0.60,0.46,,0.16,,0.01,1.07,0.77,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83592558,,Evoked auditory test qual,X,+,0.17,0.11,,0.04,,0.01,0.29,0.22,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,83692562,,Loudness balance test,A,,0.00,1.46,,1.46,NA,0.01,1.47,1.47,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83792563,,Tone decay hearing test,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83892565,,Stenger test pure tone,A,,0.00,0.66,,0.66,NA,0.01,0.67,0.67,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83992567,,Tympanometry,A,,0.20,0.27,,0.05,,0.01,0.48,0.26,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515