$52.92
Use 92553 for pure-tone air- and bone-conduction thresholds. Use 92575 for the specialized masking-noise assessment of sensorineural acuity.
On this page
CMS RVU26D · Effective 2026-10-01
92575 Audiology test Medicare reimbursement rates in Connecticut
Report this specialized audiology test when sensorineural hearing sensitivity needs assessment, particularly when a conductive component complicates interpretation of hearing thresholds. Compare 92575 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 92575 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
$79.59
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.
Audiology
About 92575: Sensorineural acuity level test
Report this specialized audiology test when sensorineural hearing sensitivity needs assessment, particularly when a conductive component complicates interpretation of hearing thresholds.
An audiologist performs the sensorineural acuity level test to estimate inner-ear hearing sensitivity, including when a conductive component makes ordinary air-conduction thresholds difficult to interpret. The test uses masking noise with bone-conduction testing to help assess the sensorineural portion of hearing loss. It may be part of a diagnostic evaluation for a patient with suspected mixed hearing loss or middle-ear disease.
Report the test for the specific sensorineural acuity assessment, not as a substitute for routine pure-tone thresholds or speech testing. The record should identify the clinical question, test performed, and results. CMS treats this as a technical-component-only service; interpretation is covered by a separate code. The code is priced as bilateral, so report it without modifier 50 to seek increased payment for testing both ears.
CMS billing rules for 92575
- 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) RVU2.19 · 99%
- Malpractice RVU0.02 · 1%
2.2K
Medicare services in 2024 · #2411 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.
92575 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$37.39
92557 reports comprehensive threshold and speech-recognition testing. It does not describe the sensorineural acuity level assessment reported with 92575.
$16.93
92567 measures middle-ear function by tympanometry; 92575 assesses sensorineural hearing sensitivity using a different test method.
Compare 92575 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
$79.59
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 92575 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
11,844
- Code
- 92575
- Physician work
- 0.00
- Practice expense
- 2.19
- Malpractice
- 0.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.020 | 0.0000 |
| Practice expense | 2.19 | × 1.077 | 2.3586 |
| Malpractice | 0.02 | × 1.210 | 0.0242 |
| Total RVUs | 2.3828 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$79.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.02 |
| Practice expense | 2.19 | 1.077 |
| Malpractice | 0.02 | 1.21 |
(0 × 1.02 + 2.19 × 1.077 + 0.02 × 1.21) × $33.4009 = $79.59
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.
92575 billing questions
Does this code include the interpretation?
No. CMS identifies 92575 as technical-component-only; a separate code covers interpretation. Keep documentation of the test performance distinct from the interpretation.
Should modifier 50 be appended when both ears are tested?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
Can this be reported with standard audiometry?
It can be reported with standard audiometry when both services are performed and documented. The standard test measures hearing thresholds; 92575 addresses sensorineural acuity.
What documentation supports reporting 92575?
Document the reason for the sensorineural acuity assessment, the test performed, and the results. The record should support that this specialized test was performed rather than only routine threshold testing.
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.
11,84192570,,Acoustic immitance testing,A,,0.55,0.38,,0.15,,0.01,0.94,0.71,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84292571,,Filtered speech test,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84392572,,Staggered spondaic word test,A,,0.00,1.80,,1.80,NA,0.01,1.81,1.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84492575,,Sensorineural acuity lvl tst,A,,0.00,2.19,,2.19,NA,0.02,2.21,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84592576,,Synthetic sentence id test,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84692577,,Stenger test speech,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84792579,,Visual audiometry (vra),A,,0.68,0.60,,0.20,,0.01,1.29,0.89,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808