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92620 Auditory function 60 min

What 92620 is

CMS fee schedule short descriptor: Auditory function 60 min.

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 92620 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.501.140.012.65$88.51
Facility (hospital, ASC)1.500.410.011.92$64.13

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 92620 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 92620? These codes are bundled into it

92620 is a Column 1 code in 9 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
92571Filtered speech test0 - no modifier bypassCheck pair
92572Staggered spondaic word test0 - no modifier bypassCheck pair
92576Synthetic sentence id test0 - no modifier bypassCheck pair
92626Eval aud funcj 1st hour1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

92620 is bundled into these codes

92620 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 92620 is the code that denies.

Column 1 codeShort descriptionModifier indicator
92521Evaluation of speech fluency0Check pair
92522Evaluate speech production0Check pair
92523Speech sound lang comprehen0Check pair
92524Behavral qualit analys voice0Check pair
G0153Hhcp-svs of s/l path,ea 15mn0Check pair
G0161Hhc slp ea 15 min0Check 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.