$41.11
Choose 92582 for thresholds obtained through a conditioned play task. Choose 92579 when visual reinforcement is used to elicit the patient's response.
On this page
CMS RVU26D · Effective 2026-10-01
92582 Play audiometry Medicare reimbursement rates in Tennessee
Reports behavioral pure-tone hearing threshold testing in which a patient is conditioned to perform a play task in response to sound. Compare 92582 office and facility rates across CMS payment localities in Tennessee.
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 92582 in Tennessee?
Tennessee 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
$78.82
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
No 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 92582: Conditioned-play hearing threshold test
Reports behavioral pure-tone hearing threshold testing in which a patient is conditioned to perform a play task in response to sound.
In conditioning play audiometry, the audiologist teaches the patient to make a simple play response, such as placing an object in a container, when a tone is heard. The response allows the clinician to estimate hearing thresholds through behavioral testing. This approach is commonly used with children who can learn the task but may not reliably complete conventional button-press testing. Audiologists typically perform it in an audiology clinic or other setting equipped for hearing assessment.
Report the service when the conditioning-play method is used to obtain hearing thresholds, and document the test method, responses, and results. The code is priced for testing of both ears; modifier 50 does not increase payment. CMS classifies it as a technical-component-only service, with interpretation covered by a separate code. The record should distinguish this play-response method from visual reinforcement or picture-based testing and support the medical reason for assessing hearing.
CMS billing rules for 92582
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU2.59 · 100%
- Malpractice RVU0.01 · 0%
360
Medicare services in 2024 · #3826 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.
92582 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$55.74
92582 obtains tone responses through a play action; 92583 uses picture selection for audiometry. The response task, not simply the patient's age, distinguishes the methods.
$36.61
92552 is conventional air-conduction pure-tone audiometry. Use 92582 when thresholds are obtained by conditioning the patient to respond with a play action.
$44.51
92553 includes conventional air- and bone-conduction testing. 92582 identifies testing performed through a conditioned play response.
Compare 92582 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
Tennessee →
Office / nonfacility
$78.82
Facility
Unavailable
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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 92582 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
11,848
- Code
- 92582
- Physician work
- 0.00
- Practice expense
- 2.59
- Malpractice
- 0.01
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 2.59 | × 0.909 | 2.3543 |
| Malpractice | 0.01 | × 0.537 | 0.0054 |
| Total RVUs | 2.3597 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$78.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 2.59 | 0.909 |
| Malpractice | 0.01 | 0.537 |
(0 × 1 + 2.59 × 0.909 + 0.01 × 0.537) × $33.4009 = $78.82
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.
92582 billing questions
When should 92582 be used instead of conventional pure-tone audiometry?
Use it when the patient is conditioned to perform a play action in response to tones. Conventional pure-tone testing uses a different response method and is appropriate when the patient can reliably complete that task.
How does conditioning play differ from visual reinforcement audiometry?
Conditioning play relies on a learned play response to sound. Visual reinforcement audiometry uses a visual stimulus to reinforce a response to sound.
Is interpretation included in 92582?
No. CMS identifies 92582 as technical-component-only; a separate code covers interpretation.
Should modifier 50 be appended when both ears are tested?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 92582?
Document that the patient was conditioned to perform a play response to tones, the testing performed, the responses obtained, and the resulting hearing thresholds.
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.
11,84592576,,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
11,85192587,,Evoked auditory test limited,A,,0.35,0.29,,0.29,NA,0.02,0.66,0.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780