92567 is tympanometry alone. For a combined tympanometry and acoustic reflex threshold battery, report 92550 rather than separate 92567 and 92568 codes.
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CMS RVU26D · Effective 2026-10-01
92567 Tympanometry Medicare reimbursement rates in Connecticut
Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss. Compare 92567 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 92567 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
$16.93
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$9.02
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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 92567: Tympanometry middle ear testing
Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss.
Tympanometry uses a sealed ear canal probe to vary air pressure and record how the tympanic membrane and middle ear system respond. The tympanogram helps assess middle ear fluid, negative pressure from eustachian tube dysfunction, and possible perforation or a patent ventilation tube when ear canal volume is unusually large. Audiologists, otolaryngologists, pediatricians, and primary care practices perform the test, usually in an office, sometimes alongside pure tone audiometry or after obstructing cerumen is removed.
Report one unit for testing both ears. CMS already prices 92567 as bilateral, so modifier 50 adds no payment; use modifier 52 to identify a reduced service when only one ear is tested. CMS classifies the code as a therapy service for its component indicator, so do not split the test into claims with modifiers 26 and TC. Document findings for each ear, including ear canal volume and measurable peak pressure and compliance, or a flat tracing if no peak is present. Use 92550 for a combined tympanometry and acoustic reflex threshold battery; 92570 includes reflex decay testing as well.
CMS billing rules for 92567
- 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 RVU0.20 · 42%
- Practice expense (office) RVU0.27 · 56%
- Malpractice RVU0.01 · 2%
990.7K
Medicare services in 2024 · #143 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.
92567 compared with similar codes
Office rates for Connecticut, from the same CMS release.
92570 includes tympanometry, acoustic reflex thresholds, and reflex decay. Choose it when all three are performed; use 92567 for tympanometry alone or 92550 when thresholds are added without decay.
92568 measures acoustic reflex thresholds rather than eardrum mobility. For a combined tympanometry and reflex threshold battery, use 92550 instead of reporting the tests separately.
Compare 92567 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
Connecticut →
Office / nonfacility
$16.93
Facility
$9.02
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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 92567 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
11,839
- Code
- 92567
- Physician work
- 0.20
- Practice expense
- 0.27
- Malpractice
- 0.01
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.020 | 0.2040 |
| Practice expense | 0.27 | × 1.077 | 0.2908 |
| Malpractice | 0.01 | × 1.210 | 0.0121 |
| Total RVUs | 0.5069 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$16.93
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1.02 |
| Practice expense | 0.27 | 1.077 |
| Malpractice | 0.01 | 1.21 |
(0.2 × 1.02 + 0.27 × 1.077 + 0.01 × 1.21) × $33.4009 = $16.93
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1.02 |
| Practice expense | 0.05 | 1.077 |
| Malpractice | 0.01 | 1.21 |
(0.2 × 1.02 + 0.05 × 1.077 + 0.01 × 1.21) × $33.4009 = $9.02
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.
92567 billing questions
Can 92567 and 92568 be billed together for a combined test?
Report 92550 rather than separate 92567 and 92568 codes when tympanometry and acoustic reflex thresholds are performed as one battery.
How is a test on only one ear reported?
Report one unit with modifier 52 for a unilateral test. Do not append modifier 50: CMS already prices 92567 as bilateral.
Can a physician bill 92567-26 for interpreting a tympanogram performed elsewhere?
No. CMS does not recognize a professional component modifier for 92567, so an interpretation alone does not support a 92567-26 claim.
Is tympanometry separately billable with comprehensive audiometry 92557?
Yes. Comprehensive audiometry does not include tympanometry, so 92567 may be reported with 92557 when both tests are performed and documented.
What documentation supports 92567?
Keep the tympanogram or recorded findings for each tested ear, including ear canal volume and any measurable peak pressure and compliance. Document a flat tracing when no peak is present and include an interpretation.
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.
