$17.16–$17.92
92567 reports tympanometry, which evaluates middle-ear pressure and mobility. Use 92568 for measuring the sound level that triggers an acoustic reflex.
On this page
CMS RVU26D · Effective 2026-10-01
92568 Acoustic reflex Medicare reimbursement rates in New Jersey
Reports measurement of the sound level that triggers an acoustic reflex, typically during diagnostic evaluation of hearing or middle-ear function. Compare 92568 office and facility rates across CMS payment localities in New Jersey.
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 92568 in New Jersey?
New Jersey 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
$16.28–$16.85
2 of 2 localities have a supported rate.
Facility setting
$13.36–$13.75
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 92568: Acoustic reflex threshold assessment
Reports measurement of the sound level that triggers an acoustic reflex, typically during diagnostic evaluation of hearing or middle-ear function.
An audiologist typically uses immittance equipment to measure the sound level that elicits an involuntary middle-ear muscle response. The test may be included in an outpatient diagnostic hearing evaluation when reflex thresholds help interpret auditory or middle-ear findings. Results are recorded by ear and can be considered alongside tympanometry and audiometry.
Report 92568 for the reflex-threshold measurement itself, rather than tympanometry alone or a broader immittance service that includes this measurement. Documentation should identify the ears tested, test conditions, measured thresholds or absent responses, and relevant interpretation. CMS prices the service on a bilateral basis, so modifier 50 does not increase payment. CMS identifies this as a therapy service; the professional component modifier does not apply.
CMS billing rules for 92568
- 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 RVU0.29 · 63%
- Practice expense (office) RVU0.16 · 35%
- Malpractice RVU0.01 · 2%
2.4K
Medicare services in 2024 · #2313 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.
92568 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$23.10–$24.02
92550 combines tympanometry with reflex-threshold measurements. 92568 represents the reflex-threshold test rather than that combined service.
$33.33–$34.61
92570 covers a broader acoustic immittance service that includes reflex thresholds. 92568 is specific to the threshold measurement.
Compare 92568 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
Northern Nj →
Office / nonfacility
$16.85
Facility
$13.75
Rest Of New Jersey →
Office / nonfacility
$16.28
Facility
$13.36
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92568 billing questions
How is 92568 different from tympanometry?
92568 measures the sound level that elicits an acoustic reflex. Tympanometry, reported with 92567, assesses middle-ear pressure and mobility.
Should 92568 be reported with 92550?
92550 represents tympanometry together with reflex-threshold measurements. When both services are performed as that combined service, compare 92550 with reporting the individual tests.
How does 92568 differ from 92570?
92570 describes a broader acoustic immittance service that includes reflex-threshold measurement. Use 92568 when reporting the threshold test itself, rather than the broader service.
Should modifier 50 be appended?
CMS prices 92568 as bilateral. Modifier 50 does not increase payment.
Can modifier 26 be used for the professional work?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
What should the record include?
Document the ears tested, test conditions, measured thresholds or absent responses, and the interpretation of the findings.
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.
11,83792563,,Tone decay hearing test,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83892565,,Stenger test pure tone,A,,0.00,0.66,,0.66,NA,0.01,0.67,0.67,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83992567,,Tympanometry,A,,0.20,0.27,,0.05,,0.01,0.48,0.26,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84092568,,Acoustic refl threshold tst,A,,0.29,0.16,,0.08,,0.01,0.46,0.38,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84192570,,Acoustic immitance testing,A,,0.55,0.38,,0.15,,0.01,0.94,0.71,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84292571,,Filtered speech test,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84392572,,Staggered spondaic word test,A,,0.00,1.80,,1.80,NA,0.01,1.81,1.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00