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See a sample rate comparisonCPT 92558 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Evoked Otoacoustic Emissions, Evoked Otoacoustic Emissions Screening (Qualitative Measurement Of Distortion Product Or Transient Evoked Otoacoustic Emissions) Automated Analysis
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92558 |
| Medicaid Fee Schedule | $11.695 median of the 8 states in the free preview · View Medicaid rates for 92558 |
National average reimbursement for CPT 92558 by major payers:
$14.10
$12.78
$12.96
$29.73
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CPT 92558
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$63.38Published rateMary Fahrmeier
$19.50Published rateDavid Banayan
Loyola University Medical Center
$15.92Published rateAnand Kumar
The Board Of Trustees Of The University Of Illinois
$12.76Published rateOyoyo Sawyer
District Medical Group Inc
$8.11Published rate
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See a sample payer proposalCPT 92558 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92558 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92558 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92557-CPT | Low | Series Of Hearing Tests, A Series Of Hearing Tests That Measures Both Speech And Sound Levels. The Tests Record The Lowest Level At Which Speech Can Be Identified. They Also Record The Quietest Sound That Can Be Heard (Audiometry). |
| 92558-CPT | Low | Evoked Otoacoustic Emissions, Evoked Otoacoustic Emissions Screening (Qualitative Measurement Of Distortion Product Or Transient Evoked Otoacoustic Emissions) Automated Analysis |
| 92562-CPT | Low | Loudness Balance Test |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92558 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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