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See a sample rate comparisonCPT 92583 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.
Hearing Test For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 72 - Rural Health Clinic |
| Common Modifiers | 59 - Distinct Procedural Service 33 - Preventive Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $61.46 national non-facility rate (2026) · View Medicare rates for 92583 |
| Medicaid Fee Schedule | $51.03 median of the 8 states in the free preview · View Medicaid rates for 92583 |
National average reimbursement for CPT 92583 by major payers:
$65.52
$57.96
$60.27
$80.81
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CPT 92583
5 of 25 sample ratesHigher to lower in this preview
Ravi Ramasamy
The Association Of Chrmc And University Physicians
$138.41Published rateJamie Evans
Loyola University Medical Center
$92.69Published rateSidrah Najam
Advocate Health And Hospitals Corporation
$80.37Published rateErica Veguilla
Northwestern Memorial Healthcare
$72.37Published rateChristopher Loynd
Touchette Regional Hospital Inc
$43.18Published rate
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See a sample payer proposalCPT 92583 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92583 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 92583 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 |
|---|---|---|
| 92582-CPT | Low | Hearing Test For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses. |
| 92583-CPT | Low | Hearing Test For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses. |
| 92584-CPT | Low | Electrocochleography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92583 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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