Billing code 92575: Audiology testMedicare rate & RVUs in Guam
Report this specialized audiology test when sensorineural hearing sensitivity needs assessment, particularly when a conductive component complicates interpretation of hearing thresholds.
Medicare pays $83.56 for 92575 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 92575 covers
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.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $83.56 | Unavailable |
How the 92575 rate is calculated
Each of 92575’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92575
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 2.19Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92575
The CMS indicators that decide how 92575 is paid alongside other services.
CMS payment indicators · 92575
Audiology test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
92575 compared with similar codes
Compare codes
92575 vs 92553 vs 92557 vs 92567: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92553Audiometry
- Use 92553 for pure-tone air- and bone-conduction thresholds. Use 92575 for the specialized masking-noise assessment of sensorineural acuity.
- 92557Comprehensive hearing test
- 92557 reports comprehensive threshold and speech-recognition testing. It does not describe the sensorineural acuity level assessment reported with 92575.
- 92567Tympanometry
- 92567 measures middle-ear function by tympanometry; 92575 assesses sensorineural hearing sensitivity using a different test method.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 92575 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →