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See a sample rate comparisonCPT 92653 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 Strong And Fast Electrical Signals (Neural Conduction) To Record And Evaluate Hearing Nerve Function.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 32 |
| Complexity Level | Low |
| Medicare Fee Schedule | $80.16 national non-facility rate (2026) · View Medicare rates for 92653 |
| Medicaid Fee Schedule | $65.06 median of the 8 states in the free preview · View Medicaid rates for 92653 |
National average reimbursement for CPT 92653 by major payers:
$114.12
$117.42
$109.10
$145.58
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CPT 92653
5 of 25 sample ratesHigher to lower in this preview
Adam Wallace
Aurora Medical Group Inc
$334.32Published rateJohn Millichap
Multicare Health System
$198.16Published rateMark Wainwright
Association Of University Physicians
$175.72Published rateDavid Hanrahan
Loyola University Medical Center
$145.88Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$38.95Published rate
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See a sample payer proposalCPT 92653 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92653 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 92653 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 92653. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92653 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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