$33.26
92587 represents the limited evaluation of 3 to 6 frequencies. Choose 92588 for a comprehensive or diagnostic evoked otoacoustic emissions evaluation.
On this page
CMS RVU26D · Effective 2026-10-01
92587 Otoacoustic emissions Medicare reimbursement rates in Vermont
Reports a limited-frequency otoacoustic emissions assessment used to evaluate cochlear response when confirming or investigating suspected hearing disorder, often alongside audiologic testing. Compare 92587 office and facility rates across CMS payment localities in Vermont.
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 92587 in Vermont?
Vermont 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
$21.62
1 of 1 localities have a supported rate.
Payment area: Vermont
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 92587: Limited evoked otoacoustic emissions assessment
Reports a limited-frequency otoacoustic emissions assessment used to evaluate cochlear response when confirming or investigating suspected hearing disorder, often alongside audiologic testing.
This test measures otoacoustic emissions, sounds generated by the inner ear in response to an acoustic stimulus delivered through a probe in the ear canal. An audiologist commonly performs it in an office or hospital audiology department as part of a hearing evaluation, including assessment of patients who cannot provide reliable behavioral responses. The limited evaluation samples 3 to 6 frequencies and supports assessment of cochlear function; it does not provide behavioral hearing thresholds.
Report 92587 for the limited-frequency evaluation, with documentation of the clinical reason, test method, frequencies assessed, findings, and interpretation. The code includes an interpretation and report. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The code is priced as bilateral, so modifier 50 does not increase payment. A broader frequency evaluation is represented by 92588.
CMS billing rules for 92587
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.35 · 53%
- Practice expense (office) RVU0.29 · 44%
- Malpractice RVU0.02 · 3%
37.2K
Medicare services in 2024 · #898 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.
92587 compared with similar codes
Office rates for Vermont, from the same CMS release.
92558
No office rateEvoked auditory test qual
92558 is for automated evoked otoacoustic emissions screening. 92587 is the limited assessment used to confirm or investigate a hearing disorder and includes interpretation and a report.
$35.42
92557 is a comprehensive hearing test using audiometric procedures, not an otoacoustic emissions assessment. Report 92587 only when the separate emissions service is also performed.
Compare 92587 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
Vermont →
Office / nonfacility
$21.62
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 92587 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
11,851
- Code
- 92587
- Physician work
- 0.35
- Practice expense
- 0.29
- Malpractice
- 0.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.000 | 0.3500 |
| Practice expense | 0.29 | × 0.990 | 0.2871 |
| Malpractice | 0.02 | × 0.506 | 0.0101 |
| Total RVUs | 0.6472 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$21.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.29 | 0.99 |
| Malpractice | 0.02 | 0.506 |
(0.35 × 1 + 0.29 × 0.99 + 0.02 × 0.506) × $33.4009 = $21.62
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.
92587 billing questions
How do I choose between 92587 and 92588?
Use 92587 for the limited evaluation of 3 to 6 frequencies. Use 92588 when the service is a comprehensive or diagnostic evaluation rather than the limited assessment.
Is this code reported for one ear or both?
CMS prices 92587 as bilateral. Modifier 50 does not increase payment.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Report the code without either modifier for the global service.
Does the code include interpretation and a report?
Yes. The limited evoked otoacoustic emissions service includes interpretation and a report; documentation should support the test performed and its findings.
Can 92587 be reported with a comprehensive hearing test?
It may be reported with 92557 when both the limited otoacoustic emissions assessment and the comprehensive hearing test are performed and documented as distinct services.
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.
11,84892582,,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
11,85292587,26,Evoked auditory test limited,A,,0.35,0.19,,0.19,,0.01,0.55,0.55,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85392587,TC,Evoked auditory test limited,A,,0.00,0.10,,0.10,NA,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,85492588,,Evoked auditory tst complete,A,,0.55,0.44,,0.44,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817