# CPT 92604: Diagnostic analysis of cochlear implant, age 7 or older, subsequent reprogramming

Medicare CPT 92604 pays $87.51 in a non-facility setting and $53.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $80.94 in Arkansas to $111.19 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/92604-cpt-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $87.51 |
| National facility | $53.44 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $111.19 | $74.91 |
| District of Columbia | $97.89 | $57.76 |
| California | $97.18 | $56.87 |
| New Jersey | $95.41 | $57.05 |
| Washington | $95.12 | $56.28 |
| New York | $94.86 | $56.85 |
| Massachusetts | $94.26 | $55.98 |
| Hawaii | $93.59 | $54.86 |
| Connecticut | $91.91 | $55.22 |
| Colorado | $90.85 | $54.60 |
| Oregon | $90.19 | $54.29 |
| Maryland | $90.01 | $54.50 |
| Rhode Island | $89.77 | $54.57 |
| New Hampshire | $89.33 | $53.87 |
| Minnesota | $88.59 | $53.54 |
| Puerto Rico | $88.01 | $53.56 |
| Virgin Islands | $88.01 | $53.56 |
| Florida | $87.98 | $53.80 |
| Montana | $87.51 | $53.44 |
| Nevada | $87.50 | $53.40 |
| Wyoming | $87.42 | $53.35 |
| North Dakota | $87.31 | $53.24 |
| South Dakota | $87.29 | $53.22 |
| Delaware | $87.14 | $53.48 |
| Texas | $87.01 | $53.47 |
| Pennsylvania | $86.98 | $53.61 |
| Vermont | $86.89 | $53.16 |
| Virginia | $86.64 | $53.15 |
| Illinois | $86.43 | $53.51 |
| Arizona | $86.05 | $53.04 |
| Georgia | $85.55 | $53.05 |
| Maine | $85.37 | $52.82 |
| Wisconsin | $85.37 | $52.73 |
| Michigan | $84.88 | $52.89 |
| Utah | $84.75 | $52.73 |
| North Carolina | $84.35 | $52.56 |
| Indiana | $84.02 | $52.44 |
| South Carolina | $84.01 | $52.53 |
| New Mexico | $83.81 | $52.57 |
| Nebraska | $83.80 | $52.36 |
| Missouri | $83.76 | $52.50 |
| Idaho | $83.70 | $52.36 |
| Louisiana | $83.57 | $52.47 |
| Ohio | $83.56 | $52.46 |
| Iowa | $83.45 | $52.27 |
| Tennessee | $83.22 | $52.25 |
| Kansas | $82.98 | $52.19 |
| Oklahoma | $82.58 | $52.15 |
| Kentucky | $82.44 | $52.15 |
| West Virginia | $81.70 | $52.10 |
| Alabama | $81.69 | $51.88 |
| Mississippi | $81.11 | $51.78 |
| Arkansas | $80.94 | $51.68 |

## 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
- 92603: Diagnostic analysis of cochlear implant, age 7 or older, with programming — https://www.med-reveal.com/rates/92603-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 92604 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