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CMS RVU26D · Effective 2026-10-01

92565 Stenger test Medicare reimbursement rates in Connecticut

Reports bilateral pure-tone Stenger testing used to assess suspected nonorganic hearing loss when reported hearing differs from audiometric findings. Compare 92565 office and facility rates across CMS payment localities in Connecticut.

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 92565 in Connecticut?

Connecticut 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

$24.15

1 of 1 localities have a supported rate.

Payment area: Connecticut

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.

Find 92565 in your payment locality →

Audiology

About 92565: Pure-tone Stenger hearing test

Reports bilateral pure-tone Stenger testing used to assess suspected nonorganic hearing loss when reported hearing differs from audiometric findings.

A pure-tone Stenger test uses simultaneous tones of the same frequency presented to both ears at different levels. The response pattern helps assess suspected nonorganic hearing loss, often when a patient reports substantially poorer hearing in one ear than the audiometric findings support. An audiologist or other qualified hearing-care professional typically performs the test with audiometric equipment in an office or audiology setting.

Report this code for the technical testing, not for the interpretation, which is covered by a separate code. Documentation should identify the indication, test conditions, and responses that support the findings. CMS prices the code as bilateral, so modifier 50 does not increase payment. The test is reported for both ears as one bilateral service rather than as separate unilateral services.

CMS billing rules for 92565

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) RVU0.66 · 99%
  • Malpractice RVU0.01 · 1%

1.4K

Medicare services in 2024 · #2739 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.

92565 compared with similar codes

Office rates for Connecticut, from the same CMS release.

92577

Stenger test

Speech stimuli

$24.51

Use 92565 for a pure-tone Stenger assessment and 92577 when the Stenger assessment uses speech stimuli.

92552

Pure-tone audiometry

Air conduction only

$43.57

92552 measures pure-tone air-conduction hearing thresholds; 92565 uses a Stenger presentation to assess suspected nonorganic hearing loss.

92553

Audiometry

Air and bone thresholds

$52.92

92553 tests air- and bone-conduction thresholds. It is threshold audiometry, not the pure-tone Stenger assessment reported with 92565.

92557

Comprehensive hearing test

Air, bone, and speech testing

$37.39

92557 reports comprehensive audiometry, including pure-tone and speech testing. 92565 identifies the distinct pure-tone Stenger procedure.

Compare 92565 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

Office and facility base rates · shared scale starting at $0

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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 92565 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

11,838

Code
92565
Physician work
0.00
Practice expense
0.66
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office / nonfacility calculation for 92565 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0200.0000
Practice expense0.66× 1.0770.7108
Malpractice0.01× 1.2100.0121
Total RVUs0.7229
Conversion factor× 33.4009

Office / nonfacility rate, Connecticut$24.15

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.02
Practice expense0.661.077
Malpractice0.011.21

(0 × 1.02 + 0.66 × 1.077 + 0.01 × 1.21) × $33.4009 = $24.15

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.

92565 billing questions

When is the pure-tone Stenger test appropriate?

It is used to assess suspected nonorganic hearing loss, particularly when reported unilateral hearing loss is inconsistent with audiometric findings.

How does this differ from the speech Stenger test?

Code 92565 covers Stenger testing with pure tones. Code 92577 is for the speech version.

Does this code include interpretation?

No. This code covers the technical testing; a separate code covers interpretation.

Should modifier 50 be added?

CMS prices the service as bilateral, and modifier 50 does not increase payment.

Can pure-tone audiometry be reported with this test?

Pure-tone threshold testing may be performed in the same evaluation. Document the distinct testing performed and its results.

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 92565PPRRVU2026_Oct_nonQPP.csv, line 11,838 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)