CPT code 92532: Positional nystagmus, without recording2026 Medicare rate & RVUs in Illinois
A clinician changes the patient’s position and observes eye movements for nystagmus while evaluating vertigo or other vestibular symptoms.
CMS doesn’t publish an office rate for 92532 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | Unavailable |
| East St. Louis, IL | Unavailable | Unavailable |
| Rest of Illinois | Unavailable | Unavailable |
| Suburban Chicago, IL | Unavailable | Unavailable |
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.
How the rate is built · 92532
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 92532
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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92532 isn’t priced in this setting.
92532 compared with similar codes
Compare codes · National
5 codes, side by side
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.
92532 billing questions
How does this code differ from 92542?
This code represents positional nystagmus testing without recording. Code 92542 is the corresponding test with recording.
How does positional testing differ from a spontaneous nystagmus test?
Positional testing looks for eye movements provoked by changing the patient’s position. Code 92531 concerns spontaneous nystagmus.
Does Medicare pay this code separately?
No. Medicare status B means payment for this code is included in payment for other services.
What should the record document?
The record can identify that positional testing was performed, the positions used, and the observed eye movements or findings.
Can a modifier make this separately payable by Medicare?
No. Status B means Medicare never pays 92532 separately.
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
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