Billing code 92582: Play audiometryMedicare rate & RVUs in Virginia
Reports behavioral pure-tone hearing threshold testing in which a patient is conditioned to perform a play task in response to sound.
Medicare pays $85.27–$102.28 for 92582 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. 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 92582 covers
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.
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.
Where 92582 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $102.28 | Unavailable |
| Virginia | $85.27 | Unavailable |
How the 92582 rate is calculated
Each of 92582’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 · 92582
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense2.59
2.59 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.6000
Conversion factor
$33.4009
Medicare rate
$86.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92582
The CMS indicators that decide how 92582 is paid alongside other services.
CMS payment indicators · 92582
Play audiometry
| 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. |
92582 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92579Audiometry
- Choose 92582 for thresholds obtained through a conditioned play task. Choose 92579 when visual reinforcement is used to elicit the patient's response.
- 92583Speech audiometry
- 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.
- 92552Pure-tone audiometry
- 92552 is conventional air-conduction pure-tone audiometry. Use 92582 when thresholds are obtained by conditioning the patient to respond with a play action.
- 92553Audiometry
- 92553 includes conventional air- and bone-conduction testing. 92582 identifies testing performed through a conditioned play response.
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 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
Show the CMS file lines behind this rate
Fee sheets
Put 92582 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →