Billing code 92583: Speech audiometryMedicare rate & RVUs in Guam
Picture-based speech audiometry assesses hearing through spoken prompts and picture choices, often when a patient cannot reliably repeat the words heard.
Medicare pays $69.69 for 92583 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 92583 covers
In this test, the patient listens to spoken prompts and selects the matching picture, such as by pointing. Audiologists commonly use the picture-response method with children or others who can identify pictures but cannot reliably repeat spoken words. It provides information about auditory responses using a different response method from conventional spoken-word testing.
Report 92583 for the technical performance of the picture-selection test. CMS identifies it as a technical-component-only service, with interpretation covered by a separate code. Documentation should identify the picture-response method, the testing performed, the patient’s responses, and the results. CMS prices the service as bilateral, so modifier 50 does not increase payment.
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.
92583 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $69.69 | Unavailable |
How the 92583 rate is calculated
Each of 92583’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 · 92583
RVUs × geographic indexes × conversion factor
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Work 0.00Practice expense 1.83Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92583
The CMS indicators that decide how 92583 is paid alongside other services.
CMS payment indicators · 92583
Speech audiometry
| 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. |
92583 compared with similar codes
Compare codes
92583 vs 92582 vs 92579 vs 92556: national Medicare rates
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How to choose
- 92582Play audiometry
- Use 92583 when the patient selects pictures in response to spoken prompts. Use 92582 when the patient performs a conditioned play response during audiometry.
- 92579Audiometry
- 92579 is visual reinforcement audiometry, which uses visual reinforcement to elicit responses. 92583 identifies a picture-selection response to spoken prompts.
- 92556Speech audiometry
- 92556 covers speech-threshold testing with speech-recognition testing. Choose 92583 when the documented test uses picture selection as the response method.
92583 billing questions
How does 92583 differ from conditioning play audiometry, 92582?
With 92583, the patient responds by selecting a picture that matches a spoken prompt. With 92582, the patient is conditioned to perform a play response during audiometry.
Can modifier 50 be added when both ears are tested?
CMS prices 92583 as bilateral. Modifier 50 does not increase payment.
Does 92583 include the interpretation?
No. CMS identifies 92583 as technical-component-only; a separate code covers interpretation.
What should the record support for 92583?
Document that picture selection was the response method, what testing was performed, and the patient’s responses and results. The record should distinguish the test from conventional speech audiometry.
How is 92583 different from 92556?
92583 uses picture choices as the response method. 92556 is used for speech-threshold testing with speech-recognition testing, rather than specifically identifying a picture-selection method.
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
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