$37.32
Use 92552 for pure-tone air-conduction threshold measurement. Use 92563 when the service assesses response to a sustained tone over time.
On this page
CMS RVU26D · Effective 2026-10-01
92563 Tone decay test Medicare reimbursement rates in Indiana
An audiologist uses a sustained pure tone to assess auditory adaptation, reporting this diagnostic test when evaluating a patient’s hearing response over time. Compare 92563 office and facility rates across CMS payment localities in Indiana.
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 92563 in Indiana?
Indiana 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
$32.98
1 of 1 localities have a supported rate.
Payment area: Indiana
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 92563: Pure-tone auditory decay assessment
An audiologist uses a sustained pure tone to assess auditory adaptation, reporting this diagnostic test when evaluating a patient’s hearing response over time.
An audiologist presents a steady pure tone near the patient’s hearing threshold and assesses whether the patient continues to hear it. If the tone fades from perception, the examiner adjusts its intensity and documents the response. The test is used in diagnostic audiology, often in an office or an otolaryngology practice, as part of an evaluation of hearing function and auditory adaptation. It is distinct from routine threshold testing, which measures the softest sounds a patient can detect.
Report 92563 for the tone decay testing itself. The record should identify the test performed and document the patient’s responses and findings. CMS classifies this as a technical-component-only service; a separate code covers interpretation. The code is priced as bilateral, so modifier 50 does not increase payment. Its CMS work RVU is zero, reflecting that the service’s payment is assigned to its technical component rather than professional interpretation.
CMS billing rules for 92563
- 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) RVU1.06 · 99%
- Malpractice RVU0.01 · 1%
7.1K
Medicare services in 2024 · #1649 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.
92563 compared with similar codes
Office rates for Indiana, from the same CMS release.
$45.37
92553 measures air- and bone-conduction hearing thresholds; 92563 assesses auditory adaptation to a sustained tone.
$45.37
92562 evaluates loudness balance between ears or within an ear. 92563 evaluates whether a sustained tone remains audible.
Compare 92563 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
Indiana →
Office / nonfacility
$32.98
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 92563 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
11,837
- Code
- 92563
- Physician work
- 0.00
- Practice expense
- 1.06
- Malpractice
- 0.01
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.06 | × 0.927 | 0.9826 |
| Malpractice | 0.01 | × 0.486 | 0.0049 |
| Total RVUs | 0.9875 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$32.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.06 | 0.927 |
| Malpractice | 0.01 | 0.486 |
(0 × 1 + 1.06 × 0.927 + 0.01 × 0.486) × $33.4009 = $32.98
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.
92563 billing questions
How is this different from pure-tone audiometry?
Pure-tone audiometry establishes hearing thresholds. Tone decay testing assesses whether a sustained tone remains audible and how the patient responds if it fades.
Does 92563 include interpretation?
No. CMS classifies 92563 as technical-component-only, and a separate code covers interpretation.
Should modifier 50 be added for testing both ears?
The code is already priced as bilateral. Modifier 50 does not increase payment.
What documentation supports reporting 92563?
Document the tone decay test, the patient’s responses during testing, and the resulting findings. Keep interpretation distinct from the technical testing service.
Can tone decay testing be reported with other audiometry?
It may be part of a broader diagnostic hearing evaluation that also includes threshold testing. Document each service performed and report the applicable code for each.
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.
11,83492557,,Comprehensive hearing test,A,,0.60,0.46,,0.16,,0.01,1.07,0.77,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83592558,,Evoked auditory test qual,X,+,0.17,0.11,,0.04,,0.01,0.29,0.22,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,83692562,,Loudness balance test,A,,0.00,1.46,,1.46,NA,0.01,1.47,1.47,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83792563,,Tone decay hearing test,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83892565,,Stenger test pure tone,A,,0.00,0.66,,0.66,NA,0.01,0.67,0.67,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83992567,,Tympanometry,A,,0.20,0.27,,0.05,,0.01,0.48,0.26,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84092568,,Acoustic refl threshold tst,A,,0.29,0.16,,0.08,,0.01,0.46,0.38,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915