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See a sample rate comparisonCPT 92572 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.
Staggered Spondaic Word Test
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 49 - Independent Clinic |
| Common Modifiers | AB - Audiology service by audiologist 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $60.46 national non-facility rate (2026) · View Medicare rates for 92572 |
| Medicaid Fee Schedule | $50.07 median of the 8 states in the free preview · View Medicaid rates for 92572 |
National average reimbursement for CPT 92572 by major payers:
$56.74
$39.99
$48.35
$65.70
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CPT 92572
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$254.02Published rateMatthew Niedzwiecki
Loyola University Medical Center
$67.51Published rateNadia Mirza
Advocate Health And Hospitals Corporation
$58.54Published rateBeverly Uwanaka
Town Center Orthopaedic Associates, P.C.
$38.03Published rateEugene Schnitzler
$4.32Published rate
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See a sample payer proposalCPT 92572 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92572 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 92572 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 |
|---|---|---|
| 92571-CPT | Low | Speech Filtering Test, This Test Measures A Persons Ability To Filter Out And Identify Individual Words. Recorded Speech Is Played Through Headphones Into One Ear And Both Ears. |
| 92572-CPT | Low | Staggered Spondaic Word Test |
| 92575-CPT | Low | Noise Masking Hearing Test, A Hearing Test In Which Tones Are Presented At Different Volumes And Pitches. The Tones Are Then Repeated With A Bone Vibrator On The Side Of The Head To Mask The Sound. Results From The Two Tests Are Compared. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92572 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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