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See a sample rate comparisonCPT 92562 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.
Loudness Balance Test
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | AB - Audiology service by audiologist 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $49.10 national non-facility rate (2026) · View Medicare rates for 92562 |
| Medicaid Fee Schedule | $39.455 median of the 8 states in the free preview · View Medicaid rates for 92562 |
National average reimbursement for CPT 92562 by major payers:
$56.15
$49.23
$51.48
$69.14
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CPT 92562
5 of 25 sample ratesHigher to lower in this preview
Tracy Binius
Fairview Health Services
$129.19Published rateJames Mackenzie
Lurie Childrens Medical Group LLC
$77.91Published rateNeil Jariwala
Loyola University Medical Center
$70.66Published rateProgressive Medical Center Sc
Progressive Medical Center, S.C.
$44.81Published rateMelissa Wagner-Schuman
$19.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92562 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92562 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 92562 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92562 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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