$88.49
92620 reports the initial hour of central auditory function evaluation; 92621 reports additional 15-minute increments and must accompany it.
On this page
CMS RVU26D · Effective 2026-10-01
92621 Auditory function Medicare reimbursement rates in Nevada
Reports each additional 15 minutes of central auditory function evaluation after the initial hour, such as testing for suspected auditory processing difficulties. Compare 92621 office and facility rates across CMS payment localities in Nevada.
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 92621 in Nevada?
Nevada 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
$21.05
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$15.03
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
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 92621: Additional central auditory function evaluation
Reports each additional 15 minutes of central auditory function evaluation after the initial hour, such as testing for suspected auditory processing difficulties.
An audiologist typically reports this code for additional time spent evaluating central auditory function after the initial hour. The evaluation may use behavioral listening tasks to examine how a patient processes sound, such as difficulty understanding speech in noise or distinguishing competing sounds. It is commonly performed in an outpatient audiology setting, with findings incorporated into the evaluation report.
Report 92621 only with 92620, the primary code for the initial hour of central auditory function evaluation. The additional testing time must support the units reported; document the time spent beyond the initial hour, the tests performed, and the findings. CMS classifies 92621 as an add-on code, so it is not reported by itself and payment is within the primary procedure’s global period.
CMS billing rules for 92621
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.35 · 56%
- Practice expense (office) RVU0.28 · 44%
- Malpractice RVU0.00 · 0%
71
Medicare services in 2024 · #5136 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.
92621 compared with similar codes
Office rates for Nevada, from the same CMS release.
$84.15
92626 is for a distinct auditory function evaluation beginning with its initial hour. Use 92621 only for additional time following the central auditory evaluation reported with 92620.
$20.05
92627 is the additional-time code associated with 92626. 92621 is the additional-time code associated with 92620.
Compare 92621 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
Nevada** →
Office / nonfacility
$21.05
Facility
$15.03
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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 92621 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
11,878
- Code
- 92621
- Physician work
- 0.35
- Practice expense
- 0.28
- Malpractice
- 0.00
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.000 | 0.3500 |
| Practice expense | 0.28 | × 1.001 | 0.2803 |
| Malpractice | 0.00 | × 0.833 | 0.0000 |
| Total RVUs | 0.6303 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$21.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.28 | 1.001 |
| Malpractice | 0 | 0.833 |
(0.35 × 1 + 0.28 × 1.001 + 0 × 0.833) × $33.4009 = $21.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.1 | 1.001 |
| Malpractice | 0 | 0.833 |
(0.35 × 1 + 0.1 × 1.001 + 0 × 0.833) × $33.4009 = $15.03
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.
92621 billing questions
Can 92621 be billed by itself?
No. It is an add-on code and must be reported with 92620, the primary central auditory function evaluation code.
What service time does 92621 represent?
Each unit represents an additional 15 minutes of central auditory function evaluation after the initial hour reported with 92620. Document the additional time and the evaluation work performed.
How is 92621 different from 92627?
92621 adds time to a central auditory function evaluation reported with 92620. 92627 adds time to the auditory function evaluation reported with 92626.
What documentation supports additional units?
Record the time beyond the initial hour, the auditory tests or tasks performed, and the results that support the clinical assessment.
Does 92621 include a separate evaluation report?
The central auditory function evaluation is reported with a report under the 92620 service. Document the additional testing and findings supporting 92621.
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.
11,87592617,,Fees w/laryngeal sense i&r,A,,0.77,0.37,,0.19,,0.05,1.19,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87692618,,Ex for nonspeech dev rx add,B,+,0.65,0.30,,0.14,,0.04,0.99,0.83,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87792620,,Auditory function 60 min,A,,1.50,1.14,,0.41,,0.01,2.65,1.92,9,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,87892621,,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097