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See a sample rate comparisonCPT 92651 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 21 - Inpatient Hospital 15 - Mobile Unit 11 - Office |
| Common Modifiers | 32 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $80.16 national non-facility rate (2026) · View Medicare rates for 92651 |
| Medicaid Fee Schedule | $65.12 median of the 8 states in the free preview · View Medicaid rates for 92651 |
National average reimbursement for CPT 92651 by major payers:
$111.85
$120.41
$107.49
$148.54
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CPT 92651
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$571.76Published rateElizabeth Homan
Advocate Health And Hospitals Corporation
$161.50Published rateAndrew Knox
Rockford Health Physicians
$157.49Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$142.78Published ratePatricia Wright
Town Center Orthopaedic Associates, P.C.
$79.86Published rate
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See a sample payer proposalCPT 92651 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92651 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 92651 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 92651. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92651 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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