Billing code 92572: Speech processing testMedicare rate & RVUs in Utah
Reports technical administration of a staggered spondaic word test used to assess how a patient processes competing speech information through both ears.
Medicare pays $56.81 for 92572 in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 92572 covers
An audiologist administers this specialized behavioral listening test, typically using recorded spondaic words presented in an overlapping, staggered sequence to the two ears. The patient repeats what was heard, and the response pattern provides information about processing competing speech signals. It may be used as part of an evaluation of suspected central auditory processing difficulty; it is distinct from routine pure-tone and standard speech audiometry.
Report the code for the technical testing service, not as a substitute for the separately coded interpretation. Documentation should identify the test performed, the responses or results, and the clinical reason for evaluating speech processing. CMS classifies this as a technical-component-only code, with a separate code covering interpretation. The service is priced as bilateral, so modifier 50 does not increase payment; do not report separate units by ear to represent the bilateral test.
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.
92572 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $56.81 | Unavailable |
How the 92572 rate is calculated
Each of 92572’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92572
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 1.80Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92572
The CMS indicators that decide how 92572 is paid alongside other services.
CMS payment indicators · 92572
Speech processing test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
92572 compared with similar codes
Compare codes
92572 vs 92571 vs 92576 vs 92556: national Medicare rates
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How to choose
- 92571Speech test
- 92571 is a filtered-speech test. Choose 92572 when the performed procedure is the staggered spondaic word task with overlapping word stimuli.
- 92576Speech-in-noise test
- 92576 uses synthetic sentences for identification. It is not interchangeable with the staggered spondaic word procedure reported with 92572.
- 92556Speech audiometry
- 92556 reports standard speech audiometry, including speech recognition testing. Code 92572 is for a specific competing-speech processing test.
92572 billing questions
When should this be reported instead of standard speech audiometry?
Use it when the audiologist performs the staggered spondaic word procedure to assess processing of overlapping speech stimuli. Standard speech audiometry, such as code 92556, measures different speech-hearing functions.
Does this code include interpretation?
No. This is the technical testing service; a separate code covers interpretation.
Should modifier 50 be appended?
No. CMS prices the service as bilateral, and modifier 50 does not increase payment.
Should the test be billed once for each ear?
No. The bilateral pricing covers the test for both ears; do not represent the ears as separate units.
What documentation supports reporting this test?
Document that the staggered spondaic word test was performed, the clinical reason for testing, and the patient's responses or results. Keep the technical test documentation distinct from the separately coded interpretation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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