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0210T Speech audiometry threshold

What 0210T is

CMS fee schedule short descriptor: Speech audiometry threshold.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 0210T (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 0210T at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0210T? These codes are bundled into it

0210T is a Column 1 code in 5 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
69209Remove impacted ear wax uni0 - no modifier bypassCheck pair
69210Remove impacted ear wax uni0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

0210T is bundled into these codes

0210T appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 0210T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0211TSpeech audiom thresh & recog0Check pair
0212TCompre audiometry evaluation0Check pair
0728TDx alys vstblr implt uni 1st0Check pair
0729TDx alys vstblr implt uni sbq0Check pair
92555Speech threshold audiometry0Check pair
92601Cochlear implt f/up exam <70Check pair
92602Reprogram cochlear implt <70Check pair
92603Cochlear implt f/up exam 7/>0Check pair
92604Reprogram cochlear implt 7/>0Check pair
92640Aud brainstem implt programg1Check pair
G0153Hhcp-svs of s/l path,ea 15mn1Check pair
G0161Hhc slp ea 15 min1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.