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See a sample rate comparisonCPT 92602 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.
Program Or Adjust Ear Implant, Programming Or Adjustment Of Cochlear Implant (Electronic Device Implanted In The Inner Ear To Create Sound Sensations. Used As Treatment For Deafness).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $97.20 national non-facility rate (2026) · View Medicare rates for 92602 |
| Medicaid Fee Schedule | $79.48 median of the 8 states in the free preview · View Medicaid rates for 92602 |
National average reimbursement for CPT 92602 by major payers:
$126.37
$127.30
$126.54
$157.38
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CPT 92602
5 of 25 sample ratesHigher to lower in this preview
Delaney Dowd
$264.08Published rateGeorge Gianakakos
Loyola University Medical Center
$200.75Published rateColleen Buhrfiend
Pediatric Faculty Foundation In
$182.11Published ratePaul Berkowitz
Presence Healthcare Services
$136.02Published rateClint Anthony
$80.33Published rate
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See a sample payer proposalCPT 92602 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92602 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 92602 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 |
|---|---|---|
| 92601-CPT | Moderate | Program Or Adjust Ear Implant, Programming Or Adjustment Of Cochlear Implant (Electronic Device Implanted In The Inner Ear To Create Sound Sensations. Used As Treatment For Deafness). |
| 92602-CPT | Low | Program Or Adjust Ear Implant, Programming Or Adjustment Of Cochlear Implant (Electronic Device Implanted In The Inner Ear To Create Sound Sensations. Used As Treatment For Deafness). |
| 92603-CPT | Low | Program Or Adjust Ear Implant, Programming Or Adjustment Of Cochlear Implant (Electronic Device Implanted In The Inner Ear To Create Sound Sensations. Used As Treatment For Deafness). |
| 92604-CPT | Low | Program Or Adjust Ear Implant, Programming Or Adjustment Of Cochlear Implant (Electronic Device Implanted In The Inner Ear To Create Sound Sensations. Used As Treatment For Deafness). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92602. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92602 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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