CPT 92567
Global XXX ActiveTympanometry
CPT 92567 Billing & Documentation Guide
CPT code 92567 (Tympanometry) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.2, a non-facility practice expense RVU of 0.27, and a malpractice RVU of 0.01, a total non-facility RVU of 0.48 and facility RVU of 0.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $16.51, though rates vary from $14.6 to $20.6 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92567, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 92567 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 92567 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 92567
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.2 | 0.2 |
| Practice Expense RVU | 0.27 | 0.05 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 0.48 | 0.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92567
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $17.77 | $9.08 | $16.86 - $20.6 | 29 |
| Florida | $16.38 | $9.01 | $15.8 - $16.91 | 3 |
| Georgia | $15.69 | $8.69 | $15.12 - $16.26 | 2 |
| Illinois | $16.06 | $8.96 | $15.44 - $16.58 | 4 |
| Michigan | $15.62 | $8.72 | $15.29 - $15.95 | 2 |
| North Carolina | $15.31 | $8.45 | $15.31 - $15.31 | 1 |
| New York | $17.51 | $9.31 | $15.48 - $18.45 | 5 |
| Ohio | $15.25 | $8.54 | $15.25 - $15.25 | 1 |
| Pennsylvania | $15.93 | $8.74 | $15.27 - $16.59 | 2 |
| Texas | $15.91 | $8.67 | $15.2 - $16.53 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 92567
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92567 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 69209 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 69210 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99202 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99203 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99204 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99205 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 92567
What does CPT code 92567 mean? +
CPT code 92567 represents: Tympanometry. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92567? +
The 2026 Medicare national average non-facility payment for CPT 92567 is $16.51. Rates range from $14.6 to $20.6 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92567? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 92567? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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