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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92637 |
| Medicaid Fee Schedule | $16.895 median of the 8 states in the free preview · View Medicaid rates for 92637 |
National average reimbursement for CPT 92637 by major payers:

$35.14

$N/A

$N/A

$N/A
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See a sample payer proposalCPT 92637 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92637 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 92637 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 |
|---|---|---|
| 92637-CPT | Low | Hearing Aid Pst-Fitg F-Up Ea, Hearing Aid Post-Fitting Follow-Up Services Unilateral Or Bilateral Including Confirmation Of Physical Fit Validation Of Patient Benefit And Performance Sound Quality Of Device Adjustment(S) (Eg Verification Programming Adjustment[S] Device Connection[S] And Device Training) As Indicated And When Performed Hearing Assistive Device Supplemental Technology Fitting Services; 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 92637. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92637 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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