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See a sample rate comparisonCPT 92623 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.
Dx Aly Aud Oi Snd Prcsr Each, Diagnostic Analysis Programming And Verification Of An Auditory Osseointegrated Sound Processor Any Type Each Additional 15 Minutes List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.04 national non-facility rate (2026) · View Medicare rates for 92623 |
| Medicaid Fee Schedule | $16.535 median of the 8 states in the free preview · View Medicaid rates for 92623 |
National average reimbursement for CPT 92623 by major payers:
$31.67
$27.55
$21.01
$36.14
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CPT 92623
5 of 25 sample ratesHigher to lower in this preview
Tanya Royster
Quincy Physicians & Surgeons Clinic S.C. D/B/A Quincy Medical Group
$58.49Published rateHaidar Kabbani
Pediatric Faculty Foundation In
$41.49Published rateAnn Steck
$36.40Published rateVikramjit Gill
Presence Healthcare Services
$30.42Published rateNidhi Mehta
Town Center Orthopaedic Associates, P.C.
$20.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92623 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92623 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 92623 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 |
|---|---|---|
| 92623-CPT | Low | Dx Aly Aud Oi Snd Prcsr Each, Diagnostic Analysis Programming And Verification Of An Auditory Osseointegrated Sound Processor Any Type Each Additional 15 Minutes List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92623 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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