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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 |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service NC |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92650 |
| Medicaid Fee Schedule | $22.24 median of the 8 states in the free preview · View Medicaid rates for 92650 |
National average reimbursement for CPT 92650 by major payers:

$46.63

$38.84

$39.32

$54.13
Choose a payer to see a sample of rates for CPT 92650.
Vinisha Singhi
Physicians Of University Hospital PC
Nicu Associates At Saint Barnabas
Rani Thekumparampil
Harpreet Kaur
Saint Peters University Hospital
Anthony Marino
Central Jersey Newborn Care PC
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Rate Benchmarking
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See a sample payer proposalCPT 92650 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92650 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 92650 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 |
|---|---|---|
| 92650-CPT | Low | Test Of Hearing And Nerves, Hearing Test Placing Electrodes On The Scalp Of The Head And Using Noises Chirps Or Clicks When Recording To Evaluate Hearing Nerve Function. |
| 92651-CPT | Low | Test Of Hearing And Nerves, Hearing Test Placing Electrodes On The Scalp Of The Head And Using Noises Chirps Or Clicks When Recording To Evaluate Hearing Nerve Function. |
| 92652-CPT | Low | Test Of Hearing And Nerves, Hearing Test Placing Electrodes On The Scalp Of The Head And Using Multiple Frequencies To Record And Evaluate Hearing Nerve Function. |
| 92653-CPT | Low | Test Of Hearing And Nerves, Hearing Test Placing Electrodes On The Scalp Of The Head And Using Strong And Fast Electrical Signals (Neural Conduction) To Record And Evaluate Hearing Nerve Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92650 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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