$29.54
92571 is a filtered-speech test. Choose 92572 when the performed procedure is the staggered spondaic word task with overlapping word stimuli.
On this page
CMS RVU26D · Effective 2026-10-01
92572 Speech processing test Medicare reimbursement rates in Wisconsin
Reports technical administration of a staggered spondaic word test used to assess how a patient processes competing speech information through both ears. Compare 92572 office and facility rates across CMS payment localities in Wisconsin.
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 92572 in Wisconsin?
Wisconsin 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
$57.70
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 92572: Staggered spondaic word testing
Reports technical administration of a staggered spondaic word test used to assess how a patient processes competing speech information through both ears.
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.
CMS billing rules for 92572
- 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) RVU1.80 · 99%
- Malpractice RVU0.01 · 1%
835
Medicare services in 2024 · #3113 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.
92572 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$40.42
92576 uses synthetic sentences for identification. It is not interchangeable with the staggered spondaic word procedure reported with 92572.
$44.26
92556 reports standard speech audiometry, including speech recognition testing. Code 92572 is for a specific competing-speech processing test.
Compare 92572 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
Wisconsin →
Office / nonfacility
$57.70
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 92572 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
11,843
- Code
- 92572
- Physician work
- 0.00
- Practice expense
- 1.80
- Malpractice
- 0.01
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.80 | × 0.958 | 1.7244 |
| Malpractice | 0.01 | × 0.308 | 0.0031 |
| Total RVUs | 1.7275 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$57.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.8 | 0.958 |
| Malpractice | 0.01 | 0.308 |
(0 × 1 + 1.8 × 0.958 + 0.01 × 0.308) × $33.4009 = $57.70
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.
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 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.
11,84092568,,Acoustic refl threshold tst,A,,0.29,0.16,,0.08,,0.01,0.46,0.38,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84192570,,Acoustic immitance testing,A,,0.55,0.38,,0.15,,0.01,0.94,0.71,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84292571,,Filtered speech test,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84392572,,Staggered spondaic word test,A,,0.00,1.80,,1.80,NA,0.01,1.81,1.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84492575,,Sensorineural acuity lvl tst,A,,0.00,2.19,,2.19,NA,0.02,2.21,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84592576,,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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,