CPT 92584
Global XXX ActiveElectrocochleography
CPT 92584 Billing & Documentation Guide
CPT code 92584 (Electrocochleography) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.98, a non-facility practice expense RVU of 2.14, and a malpractice RVU of 0.03, a total non-facility RVU of 3.15 and facility RVU of 3.15. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $108.86, though rates vary from $94.65 to $139.94 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92584, 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 92584 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 92584 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 92584
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.98 | 0.98 |
| Practice Expense RVU | 2.14 | 2.14 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 3.15 | 3.15 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92584
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 | $119.03 | $119.03 | $112.17 - $139.94 | 29 |
| Florida | $106.4 | $106.4 | $102.57 - $109.68 | 3 |
| Georgia | $102.18 | $102.18 | $97.69 - $106.66 | 2 |
| Illinois | $103.83 | $103.83 | $99.56 - $108.15 | 4 |
| Michigan | $101.26 | $101.26 | $99.12 - $103.4 | 2 |
| North Carolina | $100.06 | $100.06 | $100.06 - $100.06 | 1 |
| New York | $115.39 | $115.39 | $101.34 - $121.68 | 5 |
| Ohio | $99 | $99 | $99 - $99 | 1 |
| Pennsylvania | $104.12 | $104.12 | $99.3 - $108.93 | 2 |
| Texas | $104.21 | $104.21 | $98.71 - $109.31 | 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 92584
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92584 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 92584
What does CPT code 92584 mean? +
CPT code 92584 represents: Electrocochleography. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92584? +
The 2026 Medicare national average non-facility payment for CPT 92584 is $108.86. Rates range from $94.65 to $139.94 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92584? +
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 92584? +
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 June 1, 2026.
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