CPT 92602
Global XXX ActiveReprogram cochlear implt <7
CPT 92602 Billing & Documentation Guide
CPT code 92602 (Reprogram cochlear implt <7) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.3, a non-facility practice expense RVU of 1.6, and a malpractice RVU of 0.01, a total non-facility RVU of 2.91 and facility RVU of 1.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $100.37, though rates vary from $89.5 to $125.44 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92602, 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 92602 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 92602 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 92602
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.3 | 1.3 |
| Practice Expense RVU | 1.6 | 0.36 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 2.91 | 1.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92602
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 | $108.39 | $59.39 | $102.91 - $125.44 | 29 |
| Florida | $97.69 | $56.14 | $95.01 - $99.9 | 3 |
| Georgia | $94.87 | $55.36 | $91.49 - $98.25 | 2 |
| Illinois | $95.85 | $55.83 | $92.74 - $99.2 | 4 |
| Michigan | $94.08 | $55.19 | $92.59 - $95.56 | 2 |
| North Carolina | $93.5 | $54.85 | $93.5 - $93.5 | 1 |
| New York | $105.55 | $59.35 | $94.43 - $110.36 | 5 |
| Ohio | $92.55 | $54.74 | $92.55 - $92.55 | 1 |
| Pennsylvania | $96.52 | $55.95 | $92.8 - $100.23 | 2 |
| Texas | $96.58 | $55.81 | $92.36 - $100.34 | 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 92602
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92602 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0208T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0209T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0210T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0211T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0212T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0485T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0486T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0729T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 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 |
Frequently Asked Questions, CPT 92602
What does CPT code 92602 mean? +
CPT code 92602 represents: Reprogram cochlear implt <7. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92602? +
The 2026 Medicare national average non-facility payment for CPT 92602 is $100.37. Rates range from $89.5 to $125.44 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92602? +
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 92602? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team