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92602 Reprogram cochlear implt <7

What 92602 is

CMS fee schedule short descriptor: Reprogram cochlear implt <7.

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 92602 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.301.600.012.91$97.20
Facility (hospital, ASC)1.300.360.011.67$55.78

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 92602 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 92602? These codes are bundled into it

92602 is a Column 1 code in 50 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
0208TAudiometry air only0 - no modifier bypassCheck pair
0209TAudiometry air & bone0 - no modifier bypassCheck pair
0210TSpeech audiometry threshold0 - no modifier bypassCheck pair
0211TSpeech audiom thresh & recog0 - no modifier bypassCheck pair
0212TCompre audiometry evaluation0 - no modifier bypassCheck pair
0485TOct mid ear i&r unilateral1 - modifier may bypassCheck pair
0486TOct mid ear i&r bilateral1 - modifier may bypassCheck pair
0729TDx alys vstblr implt uni sbq0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
92507Tx sp lang voice comm indiv1 - modifier may bypassCheck pair
92508Tx sp lang voice comm group1 - modifier may bypassCheck pair
92521Evaluation of speech fluency1 - modifier may bypassCheck pair
92522Evaluate speech production1 - modifier may bypassCheck pair
92523Speech sound lang comprehen1 - modifier may bypassCheck pair
92524Behavral qualit analys voice1 - modifier may bypassCheck pair
92550Tympanometry & reflex thresh1 - modifier may bypassCheck pair
92552Pure tone audiometry air0 - no modifier bypassCheck pair
92553Audiometry air & bone0 - no modifier bypassCheck pair
92555Speech threshold audiometry0 - no modifier bypassCheck pair
92556Speech audiometry complete0 - no modifier bypassCheck pair
92557Comprehensive hearing test0 - no modifier bypassCheck pair
92558Evoked auditory test qual0 - no modifier bypassCheck pair
92562Loudness balance test0 - no modifier bypassCheck pair
92563Tone decay hearing test0 - no modifier bypassCheck pair
92565Stenger test pure tone0 - no modifier bypassCheck pair
92567Tympanometry1 - modifier may bypassCheck pair
92568Acoustic refl threshold tst1 - modifier may bypassCheck pair
92570Acoustic immitance testing1 - modifier may bypassCheck pair
92571Filtered speech test0 - no modifier bypassCheck pair

Showing 30 of 50 column 2 codes. Use the pair checker for any specific combination.

92602 is bundled into these codes

92602 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 92602 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0728TDx alys vstblr implt uni 1st0Check pair
92601Cochlear implt f/up exam <71Check pair
92603Cochlear implt f/up exam 7/>0Check 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.