92650
No office rateAep scr auditory potential
92650 is for auditory evoked potential screening. Choose 92651 for a limited assessment with interpretation to determine hearing status.
On this page
CMS RVU26D · Effective 2026-10-01
92651 Auditory evoked potentials Medicare reimbursement rates in Delaware
Reports a limited auditory evoked potential assessment with interpretation to determine hearing status, typically when behavioral testing is not feasible or reliable. Compare 92651 office and facility rates across CMS payment localities in Delaware.
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 92651 in Delaware?
Delaware 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
$79.64
1 of 1 localities have a supported rate.
Payment area: Delaware
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 92651: Limited auditory evoked potential hearing assessment
Reports a limited auditory evoked potential assessment with interpretation to determine hearing status, typically when behavioral testing is not feasible or reliable.
This service records electrical responses to sound to assess hearing status using a limited stimulus approach, such as a single click level. Audiologists and other qualified professionals may perform it when a patient, often an infant or someone unable to complete reliable behavioral testing, needs an objective assessment. The service includes interpretation and a report of the findings; it is distinct from a screening-only test and from more extensive frequency-specific threshold estimation or neurodiagnostic testing.
Report the code for the limited hearing-status assessment, not for a multi-frequency threshold study or an auditory neurodiagnostic evaluation. Documentation should identify the test approach and stimulus level, the responses obtained, the interpretation, and the resulting assessment. CMS prices this code as bilateral, so modifier 50 does not increase payment when both ears are assessed.
CMS billing rules for 92651
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.98 · 41%
- Practice expense (office) RVU1.38 · 58%
- Malpractice RVU0.04 · 2%
401
Medicare services in 2024 · #3738 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.
92651 compared with similar codes
Office rates for Delaware, from the same CMS release.
$107.21
92652 is used for threshold estimation across multiple frequencies; 92651 is the limited approach, such as testing at a single click stimulus level.
$79.63
92653 covers auditory evoked potential neurodiagnostic testing. Use 92651 when the purpose is limited hearing-status assessment rather than neurodiagnosis.
Compare 92651 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
Delaware →
Office / nonfacility
$79.64
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 92651 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
11,900
- Code
- 92651
- Physician work
- 0.98
- Practice expense
- 1.38
- Malpractice
- 0.04
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.005 | 0.9849 |
| Practice expense | 1.38 | × 0.988 | 1.3634 |
| Malpractice | 0.04 | × 0.899 | 0.0360 |
| Total RVUs | 2.3843 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$79.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1.005 |
| Practice expense | 1.38 | 0.988 |
| Malpractice | 0.04 | 0.899 |
(0.98 × 1.005 + 1.38 × 0.988 + 0.04 × 0.899) × $33.4009 = $79.64
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.
92651 billing questions
How does this code differ from 92652?
This code represents a limited hearing-status assessment using a single stimulus level, such as a click. Use 92652 for auditory evoked potential testing that estimates thresholds across multiple frequencies.
Is this the same as an auditory evoked potential screening?
No. This code describes a limited assessment with interpretation to determine hearing status; 92650 is the screening code.
Should modifier 50 be added when both ears are tested?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What should the report document?
Record the stimulus approach and level, responses obtained, interpretation, and the hearing-status conclusion. The documentation should support a limited assessment rather than multi-frequency threshold estimation or neurodiagnostic testing.
When is 92653 more appropriate?
Use 92653 when the service is a neurodiagnostic auditory evoked potential evaluation rather than a limited test to determine hearing status.
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.
11,89792641,,Hearing dev verif eacous aly,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,89892642,,Hearing asstv dev fitg svc,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,89992650,,Aep scr auditory potential,N,+,0.24,0.55,,0.38,,0.02,0.81,0.64,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90092651,,Aep hearing status deter i&r,A,,0.98,1.38,,1.38,NA,0.04,2.40,2.40,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90192652,,Aep thrshld est mlt freq i&r,A,,1.46,1.70,,1.70,NA,0.07,3.23,3.23,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90292653,,Aep neurodiagnostic i&r,A,,1.02,1.33,,1.33,NA,0.05,2.40,2.40,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90392700,,Unlisted orl service/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503