CPT code 92532: Positional nystagmus, without recording2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92532 covers

Positional nystagmus testing checks whether a change in the patient’s head or body position provokes involuntary eye movements. It is part of vestibular assessment for dizziness or balance symptoms and may be performed by clinicians such as audiologists or otolaryngologists in clinical or vestibular-testing settings. Unlike the recorded positional test, this code identifies the version without recording.

Medicare assigns this service Physician Fee Schedule status B. Medicare never pays it separately; its payment is included in payment for other services. Report the service for positional nystagmus testing without recording, rather than the recorded version represented by 92542. The clinical record can identify the positions used and the observed eye movements or findings.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 92532 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92532 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 92532 rate is calculated

Each of 92532’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 92532

92532 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

92532 compared with similar codes

How to choose

92542Positional nystagmusWith recording

Use 92532 for positional nystagmus testing without recording; 92542 is the recorded version.

92531Spontaneous nystagmusWithout recording

92531 evaluates spontaneous nystagmus, while 92532 evaluates nystagmus provoked by changing the patient’s position.

92533Caloric vestibular testEach irrigation

92533 evaluates vestibular responses to caloric stimulation; 92532 evaluates eye movements associated with patient positioning.

92540Vestibular evaluationBasic test battery

92540 is a basic vestibular evaluation comprising several tests. 92532 identifies the positional nystagmus test specifically.

Codes related to 92532

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates