$86.25
92626 covers the initial hour of the implant-related auditory-function evaluation. Add 92627 for additional time in 15-minute increments.
On this page
CMS RVU26D · Effective 2026-10-01
92627 Auditory evaluation Medicare reimbursement rates in Rhode Island
Reports additional time evaluating auditory function for a patient’s surgically implanted hearing device candidacy or postoperative aural rehabilitation. Compare 92627 office and facility rates across CMS payment localities in Rhode Island.
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 92627 in Rhode Island?
Rhode Island 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
$20.55
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$14.34
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 92627: Auditory implant evaluation, additional time
Reports additional time evaluating auditory function for a patient’s surgically implanted hearing device candidacy or postoperative aural rehabilitation.
An audiologist uses this code for time beyond the initial hour spent evaluating auditory function related to a surgically implanted hearing device. The evaluation may help determine candidacy for an implant or assess auditory function after implantation as part of aural rehabilitation. It is distinct from an assessment focused on choosing or fitting a conventional hearing aid.
Report 92627 only with 92626, which represents the initial hour; use 92627 for each additional 15-minute increment supported by the service record. Document the evaluation’s purpose, the auditory assessment performed, and the time supporting the additional units. CMS classifies this as an add-on code: it is billed only with its primary procedure and paid within that procedure’s global period, rather than as a standalone service.
CMS billing rules for 92627
- 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 RVU0.33 · 55%
- Practice expense (office) RVU0.27 · 45%
- Malpractice RVU0.00 · 0%
6.7K
Medicare services in 2024 · #1684 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.
92627 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
92629
No office rateEval hearing aid cand ea add
92629 is for additional time evaluating hearing-aid candidacy; 92627 is for additional time evaluating implant candidacy or postoperative auditory function.
$21.57
92621 adds time to an evaluation of central auditory function. Code 92627 adds time to an implant-related auditory-function evaluation.
Compare 92627 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
Rhode Island →
Office / nonfacility
$20.55
Facility
$14.34
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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 92627 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,883
- Code
- 92627
- Physician work
- 0.33
- Practice expense
- 0.27
- Malpractice
- 0.00
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.33 | × 1.019 | 0.3363 |
| Practice expense | 0.27 | × 1.033 | 0.2789 |
| Malpractice | 0.00 | × 0.892 | 0.0000 |
| Total RVUs | 0.6152 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$20.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.33 | 1.019 |
| Practice expense | 0.27 | 1.033 |
| Malpractice | 0 | 0.892 |
(0.33 × 1.019 + 0.27 × 1.033 + 0 × 0.892) × $33.4009 = $20.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.33 | 1.019 |
| Practice expense | 0.09 | 1.033 |
| Malpractice | 0 | 0.892 |
(0.33 × 1.019 + 0.09 × 1.033 + 0 × 0.892) × $33.4009 = $14.34
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.
92627 billing questions
Can 92627 be reported by itself?
No. Report it only with 92626, the primary code for the initial hour of this auditory-function evaluation.
When should 92627 be chosen instead of 92629?
Use 92627 for additional time evaluating auditory function for surgically implanted device candidacy or postoperative aural rehabilitation. Code 92629 is additional time for a hearing-aid candidacy evaluation.
What documentation supports additional units?
Document the implant-related evaluation purpose, the assessment performed, and the time supporting each additional 15-minute increment.
Is 92627 for implant programming or fitting?
No. It represents additional evaluation time for auditory function related to implant candidacy or postoperative aural rehabilitation, not a programming or fitting service.
How does 92627 differ from 92621?
92627 adds time to an implant-candidacy or postoperative auditory-function evaluation. Code 92621 adds time to an evaluation of central auditory function.
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.
11,88092623,,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
11,88592629,,Eval hearing aid cand ea add,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
11,88692630,,Aud rehab pre-ling hear loss,I,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537