$139.57–$143.40
92603 is for cochlear implant analysis and programming in a patient seven years or older. Use 92640 when the implanted device is an auditory brainstem implant.
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CMS RVU26D · Effective 2026-10-01
92640 Implant programming Medicare reimbursement rates in Michigan
Audiologists report auditory brainstem implant programming when they assess and adjust an implanted device’s stimulation settings for a recipient. Compare 92640 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 92640 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
$102.16–$104.80
2 of 2 localities have a supported rate.
Facility setting
$73.80–$74.82
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 92640: Auditory brainstem implant programming
Audiologists report auditory brainstem implant programming when they assess and adjust an implanted device’s stimulation settings for a recipient.
An audiologist assesses an auditory brainstem implant and adjusts its stimulation map to support the recipient’s access to sound. The work may include checking electrode responses and refining stimulation levels based on the recipient’s responses. It is performed for people who have received an auditory brainstem implant, often in an audiology or implant-programming clinic associated with an otolaryngology practice.
Report this service for programming of an auditory brainstem implant, not for programming a cochlear implant. Documentation should identify the implanted device and record the assessment and programming performed, including relevant setting changes and the recipient’s responses. CMS prices this code as bilateral; appending modifier 50 does not increase payment. The assessment described here is tied to implant programming; separately performed diagnostic work requires its own support and applicable code.
CMS billing rules for 92640
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.76 · 55%
- Practice expense (office) RVU1.41 · 44%
- 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.
92640 compared with similar codes
Office rates for Michigan, from the same CMS release.
$83.60–$86.15
92604 describes subsequent reprogramming of a cochlear implant in a patient seven years or older. It is not the code for programming an auditory brainstem implant.
$76.32–$79.47
92651 is an auditory evoked potential service used to determine hearing status. 92640 is for assessing and programming an auditory brainstem implant.
Compare 92640 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
$104.80
Facility
$74.82
Rest Of Michigan →
Office / nonfacility
$102.16
Facility
$73.80
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92640 billing questions
How does this differ from cochlear implant programming?
Use 92640 for programming an auditory brainstem implant. Cochlear implant programming is reported with the cochlear implant analysis and programming codes, selected by the patient’s age and whether the service is initial or subsequent.
Should modifier 50 be appended for bilateral pricing?
CMS prices 92640 as bilateral, and modifier 50 does not increase payment. Do not append it to seek additional payment.
What should the record support?
Document that the device is an auditory brainstem implant, the assessment performed, programming changes made, and the recipient’s responses. The record should distinguish programming from a standalone hearing evaluation.
Can an audiologist report this service?
Yes. Audiologists commonly perform auditory brainstem implant assessment and programming in an implant-programming clinic.
Is this the code for an auditory evoked potential test?
No. 92640 covers assessment and programming of an implanted auditory brainstem device; auditory evoked potential codes describe electrophysiologic testing.
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.
11,89392637,,Hearing aid pst-fitg f-up ea,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,89492638,,Bhvl verif of amplification,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,89592639,,Hearing aid meas verif,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,89692640,,Aud brainstem implt programg,A,,1.76,1.41,,0.48,,0.01,3.18,2.25,9,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,05,0,99,0.00,0.00,0.00
11,89792641,,Hearing dev verif eacous aly,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
11,89892642,,Hearing asstv dev fitg svc,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
11,89992650,,Aep scr auditory potential,N,+,0.24,0.55,,0.38,,0.02,0.81,0.64,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00