# CPT 92603: Diagnostic analysis of cochlear implant, age 7 or older, with programming

Medicare CPT 92603 pays $145.63 in a non-facility setting and $95.86 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $135.58 in Arkansas to $187.61 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/92603-cpt-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $145.63 |
| National facility | $95.86 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $187.61 | $134.61 |
| District of Columbia | $162.21 | $103.58 |
| California | $161.02 | $102.13 |
| New Jersey | $158.37 | $102.32 |
| Washington | $157.75 | $101.01 |
| New York | $157.42 | $101.90 |
| Massachusetts | $156.38 | $100.47 |
| Hawaii | $155.10 | $98.51 |
| Connecticut | $152.60 | $99.00 |
| Colorado | $150.95 | $97.99 |
| Oregon | $149.89 | $97.46 |
| Maryland | $149.61 | $97.73 |
| Rhode Island | $149.33 | $97.92 |
| New Hampshire | $148.46 | $96.65 |
| Minnesota | $147.43 | $96.22 |
| Puerto Rico | $146.39 | $96.08 |
| Virgin Islands | $146.39 | $96.08 |
| Florida | $146.18 | $96.25 |
| Nevada | $145.64 | $95.83 |
| Montana | $145.63 | $95.86 |
| Wyoming | $145.54 | $95.77 |
| North Dakota | $145.43 | $95.66 |
| South Dakota | $145.41 | $95.64 |
| Delaware | $145.13 | $95.96 |
| Texas | $144.93 | $95.93 |
| Pennsylvania | $144.89 | $96.14 |
| Vermont | $144.76 | $95.49 |
| Virginia | $144.34 | $95.42 |
| Illinois | $143.83 | $95.74 |
| Arizona | $143.41 | $95.18 |
| Georgia | $142.58 | $95.10 |
| Wisconsin | $142.45 | $94.77 |
| Maine | $142.38 | $94.82 |
| Michigan | $141.49 | $94.76 |
| Utah | $141.39 | $94.60 |
| North Carolina | $140.81 | $94.37 |
| Indiana | $140.34 | $94.20 |
| South Carolina | $140.25 | $94.26 |
| Nebraska | $140.02 | $94.08 |
| New Mexico | $139.87 | $94.24 |
| Missouri | $139.85 | $94.18 |
| Idaho | $139.84 | $94.05 |
| Louisiana | $139.54 | $94.10 |
| Ohio | $139.53 | $94.09 |
| Iowa | $139.46 | $93.93 |
| Tennessee | $139.09 | $93.85 |
| Kansas | $138.73 | $93.74 |
| Oklahoma | $138.05 | $93.61 |
| Kentucky | $137.81 | $93.57 |
| Alabama | $136.72 | $93.17 |
| West Virginia | $136.58 | $93.34 |
| Mississippi | $135.79 | $92.94 |
| Arkansas | $135.58 | $92.83 |

## Related codes

- 92601: Diagnostic analysis of cochlear implant, patient younger than 7 years, with programming — https://www.med-reveal.com/rates/92601-cpt-fee-schedule
- 92602: Diagnostic analysis of cochlear implant, patient younger than 7 years, subsequent reprogramming — https://www.med-reveal.com/rates/92602-cpt-fee-schedule
- 92604: Diagnostic analysis of cochlear implant, age 7 or older, subsequent reprogramming — https://www.med-reveal.com/rates/92604-cpt-fee-schedule
- L8614: Cochlear device, includes all internal and external components — https://www.med-reveal.com/rates/L8614-hcpcs-fee-schedule
- L8615: Headset/headpiece for use with cochlear implant device — https://www.med-reveal.com/rates/L8615-hcpcs-fee-schedule
- L8616: Microphone for use with cochlear implant device — https://www.med-reveal.com/rates/L8616-hcpcs-fee-schedule
- L8617: Transmitting coil for use with cochlear implant device — https://www.med-reveal.com/rates/L8617-hcpcs-fee-schedule
- L8618: Transmitter cable for use with cochlear implant device — https://www.med-reveal.com/rates/L8618-hcpcs-fee-schedule

Commercial negotiated rates for 92603 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
