$79.36–$84.04
92579 uses a sound-evoked head turn reinforced by a visual reward. 92582 uses a conditioned play response, such as placing or manipulating an object.
On this page
CMS RVU26D · Effective 2026-10-01
92579 Audiometry Medicare reimbursement rates in Michigan
Visual reinforcement audiometry assesses hearing in young children who respond to sounds by turning toward a visual reward during behavioral testing. Compare 92579 office and facility rates across CMS payment localities in Michigan.
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 92579 in Michigan?
Michigan 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
$41.39–$42.61
2 of 2 localities have a supported rate.
Facility setting
$29.19–$29.72
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 92579: Visual reinforcement hearing assessment
Visual reinforcement audiometry assesses hearing in young children who respond to sounds by turning toward a visual reward during behavioral testing.
An audiologist typically uses visual reinforcement audiometry for infants and young children who cannot reliably complete conventional pure-tone testing. The child learns to turn toward a sound source; a visual stimulus, such as an illuminated toy, reinforces that response. The method helps estimate hearing sensitivity through observed responses rather than requiring the child to describe what was heard. Testing is commonly performed in pediatric audiology clinics and hospital audiology departments.
Report the service when this visual-reinforcement response method is used, rather than play-based or picture-response testing. Documentation should identify the behavioral method, sound presentation and observed responses, and the findings obtained, including ear-specific results when available. CMS treats the service as a therapy service for component billing, so a professional-component modifier does not apply. The code is priced as bilateral; modifier 50 does not increase payment.
CMS billing rules for 92579
- Professional and technical components
- Therapy service: the professional component modifier does not apply.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.68 · 53%
- Practice expense (office) RVU0.60 · 47%
- Malpractice RVU0.01 · 1%
2.4K
Medicare services in 2024 · #2317 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.
92579 compared with similar codes
Office rates for Michigan, from the same CMS release.
$56.18–$59.55
92583 uses picture identification or selection as the response method; 92579 reinforces a head turn toward the sound source with a visual cue.
$21.29–$22.16
92587 is an objective evoked auditory test. 92579 depends on the child’s observable behavioral response to presented sounds.
Compare 92579 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
Detroit →
Office / nonfacility
$42.61
Facility
$29.72
Rest Of Michigan →
Office / nonfacility
$41.39
Facility
$29.19
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92579 billing questions
When should visual reinforcement audiometry be chosen over play audiometry?
Use 92579 when the child’s response is conditioned by turning toward a sound for a visual reward. Use 92582 when the child can perform a conditioned play task, such as placing an object after hearing a sound.
Can modifier 50 be added when both ears are tested?
CMS prices 92579 as bilateral, so modifier 50 does not increase payment.
Should modifier 26 be reported?
No. CMS identifies this as a therapy service for component billing, and the professional-component modifier does not apply.
What documentation supports reporting 92579?
Document the visual-reinforcement method, sound presentation, the child’s responses, and the hearing findings obtained. Include ear-specific results when available.
How does 92579 differ from an evoked auditory test?
92579 measures behavioral responses to sounds reinforced by a visual cue. An evoked auditory test, such as 92587, evaluates auditory responses using an objective test 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 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.
11,84492575,,Sensorineural acuity lvl tst,A,,0.00,2.19,,2.19,NA,0.02,2.21,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84592576,,Synthetic sentence id test,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84692577,,Stenger test speech,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84792579,,Visual audiometry (vra),A,,0.68,0.60,,0.20,,0.01,1.29,0.89,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84892582,,Conditioning play audiometry,A,,0.00,2.59,,2.59,NA,0.01,2.60,2.60,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84992583,,Select picture audiometry,A,,0.00,1.83,,1.83,NA,0.01,1.84,1.84,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,85092584,,Electrocochleography,A,,0.98,2.14,,2.14,NA,0.03,3.15,3.15,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00