$34.38–$35.48
Use 92557 for comprehensive threshold and speech audiometry. Use 92625 to characterize tinnitus with tinnitus-focused measures.
On this page
CMS RVU26D · Effective 2026-10-01
92625 Tinnitus assessment Medicare reimbursement rates in Maine
Report this service for an audiologic assessment that characterizes tinnitus through measures such as pitch and loudness matching. Compare 92625 office and facility rates across CMS payment localities in Maine.
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 92625 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$63.41–$65.31
2 of 2 localities have a supported rate.
Facility setting
$48.35–$49.09
2 of 2 localities have a 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 92625: Tinnitus psychoacoustic assessment
Report this service for an audiologic assessment that characterizes tinnitus through measures such as pitch and loudness matching.
An audiologist typically performs this assessment for a patient reporting tinnitus, often in an outpatient audiology or otolaryngology setting. The work characterizes the perceived sound using psychoacoustic measures such as pitch or loudness matching and other appropriate tinnitus measurements. It addresses the tinnitus itself, rather than simply measuring hearing thresholds or evaluating an implanted hearing device.
Report the service when the record supports a distinct tinnitus assessment and documents the patient’s reported symptoms, measures performed, results, and clinical purpose. It is not a time-increment code; do not calculate units from elapsed minutes. CMS prices the code as bilateral, so modifier 50 does not increase payment. The assessment may accompany separately performed hearing tests when each service is supported by the encounter documentation.
CMS billing rules for 92625
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.15 · 58%
- Practice expense (office) RVU0.80 · 41%
- Malpractice RVU0.02 · 1%
9.4K
Medicare services in 2024 · #1506 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.
92625 compared with similar codes
Office rates for Maine, from the same CMS release.
$85.34–$88.05
92620 assesses auditory processing function; 92625 evaluates tinnitus characteristics. Select based on the clinical assessment performed.
$81.08–$83.71
92626 evaluates auditory function for candidacy or status related to a surgically implanted device. It is not a tinnitus psychoacoustic assessment.
Compare 92625 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$63.41
Facility
$48.35
Southern Maine →
Office / nonfacility
$65.31
Facility
$49.09
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
92625 billing questions
How is this different from a comprehensive hearing test?
92625 characterizes tinnitus with measures such as pitch or loudness matching. A comprehensive audiometric evaluation such as 92557 measures hearing thresholds and speech recognition.
Should modifier 50 be appended when tinnitus affects both ears?
CMS prices 92625 as bilateral. Modifier 50 does not increase payment.
Can a hearing test be reported on the same date?
A separately performed hearing evaluation, such as 92557, may be reported when its work is documented. The tinnitus assessment does not replace threshold or speech testing.
How many units should be reported?
This is not an additional-time code. Base reporting on the completed tinnitus assessment and its documentation, not on elapsed minutes.
What documentation supports 92625?
Document the tinnitus complaint, the assessment measures performed, the results, and the clinical reason for the assessment. Identify any separately performed hearing tests in the record.
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.
11,87892621,,Auditory function + 15 min,A,,0.35,0.28,,0.10,,0.00,0.63,0.45,9,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,87992622,,Dx aly aud oi snd prcsr 1st,A,,1.25,1.06,,0.35,,0.01,2.32,1.61,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,88092623,,Dx aly aud oi snd prcsr each,A,,0.33,0.27,,0.09,,0.00,0.60,0.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,88192625,,Tinnitus assessment,A,,1.15,0.80,,0.31,,0.02,1.97,1.48,9,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,88292626,,Eval aud funcj 1st hour,A,,1.40,1.11,,0.38,,0.01,2.52,1.79,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,88392627,,Eval aud funcj ea addl 15,A,,0.33,0.27,,0.09,,0.00,0.60,0.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,88492628,,Eval hearing aid cand 1st 30,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00