Billing code 92565: Stenger testMedicare rate & RVUs in Kansas
Reports bilateral pure-tone Stenger testing used to assess suspected nonorganic hearing loss when reported hearing differs from audiometric findings.
Medicare pays $20.10 for 92565 in the office in Kansas (Kansas). 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 92565 covers
A pure-tone Stenger test uses simultaneous tones of the same frequency presented to both ears at different levels. The response pattern helps assess suspected nonorganic hearing loss, often when a patient reports substantially poorer hearing in one ear than the audiometric findings support. An audiologist or other qualified hearing-care professional typically performs the test with audiometric equipment in an office or audiology setting.
Report this code for the technical testing, not for the interpretation, which is covered by a separate code. Documentation should identify the indication, test conditions, and responses that support the findings. CMS prices the code as bilateral, so modifier 50 does not increase payment. The test is reported for both ears as one bilateral service rather than as separate unilateral services.
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.
92565 in Kansas
| Payment locality | Office | Facility |
|---|---|---|
| Kansas | $20.10 | Unavailable |
How the 92565 rate is calculated
Each of 92565’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 · 92565
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.66
0.66 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.6700
Conversion factor
$33.4009
Medicare rate
$22.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92565
The CMS indicators that decide how 92565 is paid alongside other services.
CMS payment indicators · 92565
Stenger 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. |
92565 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92577Stenger test
- Use 92565 for a pure-tone Stenger assessment and 92577 when the Stenger assessment uses speech stimuli.
- 92552Pure-tone audiometry
- 92552 measures pure-tone air-conduction hearing thresholds; 92565 uses a Stenger presentation to assess suspected nonorganic hearing loss.
- 92553Audiometry
- 92553 tests air- and bone-conduction thresholds. It is threshold audiometry, not the pure-tone Stenger assessment reported with 92565.
- 92557Comprehensive hearing test
- 92557 reports comprehensive audiometry, including pure-tone and speech testing. 92565 identifies the distinct pure-tone Stenger procedure.
92565 billing questions
When is the pure-tone Stenger test appropriate?
It is used to assess suspected nonorganic hearing loss, particularly when reported unilateral hearing loss is inconsistent with audiometric findings.
How does this differ from the speech Stenger test?
Code 92565 covers Stenger testing with pure tones. Code 92577 is for the speech version.
Does this code include interpretation?
No. This code covers the technical testing; a separate code covers interpretation.
Should modifier 50 be added?
CMS prices the service as bilateral, and modifier 50 does not increase payment.
Can pure-tone audiometry be reported with this test?
Pure-tone threshold testing may be performed in the same evaluation. Document the distinct testing performed and its results.
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
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