CPT 92615
Global XXX ActiveLaryngoscopic sensory i&r
CPT 92615 Billing & Documentation Guide
CPT code 92615 (Laryngoscopic sensory i&r) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.61, a non-facility practice expense RVU of 0.31, and a malpractice RVU of 0.04, a total non-facility RVU of 0.96 and facility RVU of 0.8. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $32.74, though rates vary from $29.96 to $42.33 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92615, 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 92615 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 92615 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 92615
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.61 | 0.61 |
| Practice Expense RVU | 0.31 | 0.15 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 0.96 | 0.8 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92615
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 | $34.08 | $27.76 | $32.79 - $38.26 | 29 |
| Florida | $33.36 | $28 | $32.28 - $34.53 | 3 |
| Georgia | $31.88 | $26.79 | $31.2 - $32.56 | 2 |
| Illinois | $33.01 | $27.84 | $31.92 - $33.99 | 4 |
| Michigan | $31.98 | $26.96 | $31.34 - $32.62 | 2 |
| North Carolina | $30.89 | $25.9 | $30.89 - $30.89 | 1 |
| New York | $34.71 | $28.75 | $31.15 - $36.47 | 5 |
| Ohio | $31.17 | $26.3 | $31.17 - $31.17 | 1 |
| Pennsylvania | $32.13 | $26.9 | $31.14 - $33.11 | 2 |
| Texas | $31.92 | $26.66 | $31.04 - $32.66 | 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 92615
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92615 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 |
| 76120 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76125 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 92520 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 92610 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 92611 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 92613 | 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 |
| 92617 | Column 2 (secondary), bundled into primary | No | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 92615
What does CPT code 92615 mean? +
CPT code 92615 represents: Laryngoscopic sensory i&r. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92615? +
The 2026 Medicare national average non-facility payment for CPT 92615 is $32.74. Rates range from $29.96 to $42.33 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92615? +
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 92615? +
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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