$164.74
Use 92601 for initial diagnostic analysis and programming in a patient younger than 7; use 92602 for a later reprogramming session.
On this page
CMS RVU26D · Effective 2026-10-01
92602 Implant reprogramming Medicare reimbursement rates in Guam
Reports a follow-up session to adjust a cochlear implant’s programming for a patient younger than 7 after initial diagnostic analysis and programming. Compare 92602 office and facility rates across CMS payment localities in Guam.
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 92602 in Guam?
Guam 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
$104.38
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$57.29
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 92602: Cochlear implant reprogramming, subsequent, under age 7
Reports a follow-up session to adjust a cochlear implant’s programming for a patient younger than 7 after initial diagnostic analysis and programming.
An audiologist typically reports this service when making subsequent programming adjustments to a cochlear implant for a child younger than 7. The visit may involve reviewing the child’s responses and changing processor map settings, such as stimulation levels, to support device use. It is for follow-up reprogramming, not the initial diagnostic analysis and programming session. The service may be furnished in an audiology office or another appropriate clinical setting.
Documentation should identify the patient’s age, cochlear implant, reason for the follow-up, programming changes made, and the child’s response or relevant findings. Select this code for a subsequent reprogramming session in a patient younger than 7; use the age-appropriate initial analysis code when the encounter is for initial diagnostic analysis and programming. CMS classifies the service as therapy, so the professional component modifier does not apply.
CMS billing rules for 92602
- Professional and technical components
- Therapy service: the professional component modifier does not apply.
Where the value comes from
- Work RVU1.30 · 45%
- Practice expense (office) RVU1.60 · 55%
- Malpractice RVU0.01 · 0%
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.
92602 compared with similar codes
Office rates for Guam, from the same CMS release.
$155.10
92603 is for initial diagnostic analysis and programming in patients age 7 or older. Code 92602 is for subsequent reprogramming in patients younger than 7.
$93.59
Both codes describe subsequent cochlear implant reprogramming; choose 92602 for a patient younger than 7 and 92604 for a patient age 7 or older.
Compare 92602 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
Hawaii, Guam →
Office / nonfacility
$104.38
Facility
$57.29
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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 92602 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
11,860
- Code
- 92602
- Physician work
- 1.30
- Practice expense
- 1.60
- Malpractice
- 0.01
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.30 | × 1.000 | 1.3000 |
| Practice expense | 1.60 | × 1.137 | 1.8192 |
| Malpractice | 0.01 | × 0.579 | 0.0058 |
| Total RVUs | 3.1250 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$104.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.3 | 1 |
| Practice expense | 1.6 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(1.3 × 1 + 1.6 × 1.137 + 0.01 × 0.579) × $33.4009 = $104.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.3 | 1 |
| Practice expense | 0.36 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(1.3 × 1 + 0.36 × 1.137 + 0.01 × 0.579) × $33.4009 = $57.29
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.
92602 billing questions
How does 92602 differ from 92601?
92602 is for subsequent cochlear implant reprogramming in a patient younger than 7. Code 92601 describes the initial diagnostic analysis and programming for that age group.
When is 92604 used instead?
Use 92604 for subsequent cochlear implant reprogramming when the patient is 7 or older. Code 92602 is for patients younger than 7.
Should modifier 26 be appended?
No. CMS identifies this as a therapy service, for which the professional component modifier does not apply.
What documentation supports a subsequent reprogramming service?
Document the patient’s age, the cochlear implant, the reason for the visit, the programming adjustments, and relevant responses or findings.
Is this the code for an initial programming session?
No. For a patient younger than 7 receiving initial diagnostic analysis and programming, the related code is 92601.
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.
11,85792596,,Ear protector evaluation,A,,0.00,2.33,,2.33,NA,0.01,2.34,2.34,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85892597,,Oral speech device eval,A,,1.23,0.88,,0.88,NA,0.02,2.13,2.13,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85992601,,Cochlear implt f/up exam <7,A,,2.30,2.31,,0.63,,0.01,4.62,2.94,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86092602,,Reprogram cochlear implt <7,A,,1.30,1.60,,0.36,,0.01,2.91,1.67,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86192603,,Cochlear implt f/up exam 7/>,A,,2.25,2.10,,0.61,,0.01,4.36,2.87,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86292604,,Reprogram cochlear implt 7/>,A,,1.25,1.36,,0.34,,0.01,2.62,1.60,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86392605,,Ex for nonspeech device rx,B,+,1.75,0.93,,0.38,,0.11,2.79,2.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014