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CMS RVU26D · Effective 2026-10-01

92653 AEP testing Medicare reimbursement rates in Vermont

Reports neurodiagnostic auditory evoked potential testing with interpretation when the clinical question concerns auditory nerve or brainstem function. Compare 92653 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 92653 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

$78.89

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.

Find 92653 in your payment locality →

Audiology

About 92653: Neurodiagnostic auditory evoked potential study

Reports neurodiagnostic auditory evoked potential testing with interpretation when the clinical question concerns auditory nerve or brainstem function.

This service records and analyzes electrical responses along the auditory pathway after sound stimulation. Auditory brainstem response testing is a common example when the clinical question is neurologic function, such as whether responses suggest abnormal auditory nerve or brainstem conduction, rather than simply determining hearing thresholds. Audiologists commonly perform the test in an office or hospital outpatient setting, with a physician or audiologist interpreting and documenting the findings as appropriate.

Report the code for the neurodiagnostic study with its interpretation and report. The record should support the neurologic purpose of testing and include the testing approach, relevant response findings, and clinical interpretation. Distinguish this service from AEP testing intended to determine hearing status or estimate thresholds at multiple frequencies. CMS prices this code as bilateral; reporting modifier 50 does not increase payment.

CMS billing rules for 92653

Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU1.02 · 43%
  • Practice expense (office) RVU1.33 · 55%
  • Malpractice RVU0.05 · 2%

24K

Medicare services in 2024 · #1065 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.

92653 compared with similar codes

Office rates for Vermont, from the same CMS release.

92650

Aep scr auditory potential

No office rate

Choose 92650 for auditory evoked potential screening. Choose 92653 when the study evaluates auditory pathway function for a neurodiagnostic purpose and includes interpretation and a report.

92651

Auditory evoked potentials

Limited hearing-status assessment

$79.04

92651 addresses determination of hearing status; 92653 addresses neurodiagnostic function of the auditory pathway.

92652

Auditory evoked potentials

Multiple-frequency threshold estimate

$106.16

92652 is for estimating thresholds across multiple frequencies. 92653 is selected for neurodiagnostic evaluation, not threshold estimation.

Compare 92653 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

Office and facility base rates · shared scale starting at $0
  • Vermont →

    Office / nonfacility

    $78.89

    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 92653 in Vermont.

PPRRVU2026_Oct_nonQPP.csv

11,902

Code
92653
Physician work
1.02
Practice expense
1.33
Malpractice
0.05

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office / nonfacility calculation for 92653 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0001.0200
Practice expense1.33× 0.9901.3167
Malpractice0.05× 0.5060.0253
Total RVUs2.3620
Conversion factor× 33.4009

Office / nonfacility rate, Vermont$78.89

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.021
Practice expense1.330.99
Malpractice0.050.506

(1.02 × 1 + 1.33 × 0.99 + 0.05 × 0.506) × $33.4009 = $78.89

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.

92653 billing questions

How is this different from 92651?

92653 is for neurodiagnostic evaluation of auditory pathway function. Use 92651 when the study is intended to determine hearing status.

When would 92652 be more appropriate?

Use 92652 when the purpose is estimating hearing thresholds at multiple frequencies. Use 92653 when the clinical question is neurodiagnostic rather than threshold estimation.

Should modifier 50 be appended?

CMS prices 92653 as bilateral, and modifier 50 does not increase payment.

What documentation supports the neurodiagnostic purpose?

Document the reason for testing, the auditory responses obtained, and the interpretation relating findings to auditory nerve or brainstem function.

How does 92653 differ from screening code 92650?

92650 describes auditory evoked potential screening. 92653 is for a neurodiagnostic study with interpretation and a report.

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.

RVUs for 92653PPRRVU2026_Oct_nonQPP.csv, line 11,902 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)