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CPT code 92541: Nystagmus test, spontaneous, with recording2026 Medicare rate & RVUs in Kansas

Reports recorded assessment of spontaneous and gaze-related nystagmus during vestibular testing, often used to evaluate patients with dizziness or balance symptoms.

CMS RVU26DEffective Oct 1, 2026One payment locality11.4K Medicare services in 2024

In Kansas, Medicare pays $23.33 for 92541 in the office.

$23.33Office (non-facility)
Not available in this settingHospital or facility
−5.6%vs the national office rate ($24.72)

Check a contract rate as a % of Medicare · 92541 nationwide

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

We’ll open 92541 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 92541 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92541 covers

This vestibular test records involuntary eye movements that occur spontaneously and during gaze assessment. Audiologists, otolaryngologists, and other clinicians performing vestibular evaluations may use electronystagmography or videonystagmography equipment in an audiology clinic, ENT practice, or vestibular laboratory. Results can help characterize eye-movement findings in patients evaluated for dizziness, vertigo, or imbalance.

Report 92541 for the recorded spontaneous nystagmus assessment, including gaze; documentation should identify the test performed and its recorded findings. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for interpretation, modifier TC for the technical service, or neither modifier for the global service. The recorded assessment differs from a basic vestibular evaluation code that represents a defined combination of tests.

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.

How Kansas compares for 92541

Across 109 of 109 payment localities, the office rate for 92541 runs from $22.84 in Arkansas to $31.65 in Alaska. Kansas pays $23.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

92541 in Kansas vs other payment areas
  1. Kansas · this page$23.33
  2. Los Angeles, CA · California$27.04+$3.71
  3. Washington, DC area · District of Columbia$27.46+$4.13
  4. Miami, FL · Florida$26.19+$2.86
  5. Chicago, IL · Illinois$25.73+$2.40
  6. Manhattan, NY · New York$27.73+$4.40
  7. Alaska · Alaska$31.65+$8.32

Other areas in Kansas first, then benchmark localities. Bars start at $0.

Every other payment area

92541 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$23.05—
ArkansasArkansas$22.84—
ArizonaArizona$24.28—
Bakersfield, CACalifornia$25.76—
Chico, CACalifornia$25.69—
El Centro, CACalifornia$25.69—
Fresno, CACalifornia$25.69—
Hanford, CACalifornia$25.69—

92541 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$22.84

$31.65

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92541 office rate range by state
State / territoryOffice rate rangeLocalities
AK$31.651
AL$23.051
AR$22.841
AZ$24.281
CA$25.69–$30.7129
CO$25.431
CT$25.971
DC$27.461
DE$24.581
FL$24.57–$26.193
GA$23.65–$25.072
GU$25.951
HI$25.951
IA$23.381
ID$23.481
IL$24.13–$25.734
IN$23.571
KS$23.331
KY$23.441
LA$23.42–$24.162
MA$25.37–$27.322
MD$24.92–$27.463
ME$23.58–$24.372
MI$23.84–$24.792
MN$24.571
MO$23.18–$24.193
MS$23.011
MT$24.721
NC$23.741
ND$24.321
NE$23.451
NH$25.091
NJ$26.32–$27.352
NM$23.941
NV$24.621
NY$23.97–$28.215
OH$23.761
OK$23.391
OR$24.47–$25.982
PA$23.78–$25.532
PR$24.831
RI$25.261
SC$23.781
SD$24.271
TN$23.401
TX$23.68–$25.318
UT$23.991
VA$24.33–$27.462
VI$24.831
VT$24.281
WA$25.31–$27.752
WI$23.791
WV$23.561
WY$24.541

See 92541 in every payment locality

How the 92541 rate is calculated

Each of 92541’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 · 92541

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.39

0.39 RVUs× 1.000 GPCI

Practice expense0.33

0.33 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7400

Conversion factor

$33.4009

Medicare rate

$24.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,806

Code
92541
Physician work
0.39
Practice expense
0.33
Malpractice
0.02

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 92541 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.39× 1.0000.3900
Practice expense0.33× 0.9040.2983
Malpractice0.02× 0.5040.0101
Total RVUs0.6984
Conversion factor× 33.4009

Office rate, Kansas$23.33

Office: (0.39 × 1 + 0.33 × 0.904 + 0.02 × 0.504) × $33.4009 = $23.33

Open 92541 in the RVU calculator

Payment rules and modifiers for 92541

The CMS indicators that decide how 92541 is paid alongside other services.

CMS payment indicators · 92541

Nystagmus test, spontaneous, with recording

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

92541 without 26 · national office

$24.72

Nystagmus test, spontaneous, with recording

92541-26 · Professional component

$20.37

Pays only the interpretation and report.

When to use modifier 26

Codes related to 92541

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

Codes related to 92541
CodeHow it relatesOffice range, Kansas
Used instead
92531Spontaneous nystagmus, without recordingRelated spontaneous nystagmus study without recording.No office rate
Same family
92540Vestibular evaluation, basic test batteryBasic vestibular evaluation covering a defined combination of vestibular tests.$98.02
92542Positional nystagmus, with recordingRecorded positional nystagmus test, rather than spontaneous and gaze assessment.$26.91
92544Vestibular test, optokinetic responseRecorded optokinetic nystagmus test.$16.57
92545Vestibular test, oscillating target trackingRecorded oscillating tracking test.$15.60

How 92541 has changed in Kansas

92541 · Office / nonfacility

$23.33

Effective 2026-10-01

The base rate is $0.37 higher than on 2025-10-01, moving from $22.96 to $23.33 (1.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $22.96changed to$23.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.40 changed to 0.39
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.63changed to$22.96

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $23.24changed to$23.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $24.04changed to$23.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $24.53changed to$24.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $24.42changed to$24.53

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.32 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $24.68changed to$24.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.30 changed to 0.32
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $24.38changed to$24.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.29 changed to 0.30
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $24.03changed to$24.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.28 changed to 0.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $23.93changed to$24.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $23.20changed to$23.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.26 changed to 0.28
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $21.66changed to$23.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.21 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $21.56changed to$21.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $29.08changed to$21.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.44 changed to 0.21
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $28.56changed to$29.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.47 changed to 0.44
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $28.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$23.33Not available in this settingRVU26D
2026-07-01$23.33Not available in this settingRVU26C
2026-04-01$23.33Not available in this settingRVU26B
2026-01-01$23.33Not available in this settingRVU26A
2025-10-01$22.96Not available in this settingRVU25D
2025-07-01$22.96Not available in this settingRVU25C
2025-04-01$22.96Not available in this settingRVU25B
2025-01-01$22.96Not available in this settingRVU25A
2024-10-01$23.63Not available in this settingRVU24D
2024-07-01$23.63Not available in this settingRVU24C
2024-04-01$23.63Not available in this settingRVU24B
2024-03-09$23.63Not available in this settingRVU24AR
2024-01-01$23.24Not available in this settingRVU24A
2023-10-01$24.04Not available in this settingRVU23D
2023-07-01$24.04Not available in this settingRVU23C
2023-04-01$24.04Not available in this settingRVU23B
2023-01-01$24.04Not available in this settingRVU23A
2022-10-01$24.53Not available in this settingRVU22D
2022-07-01$24.53Not available in this settingRVU22C
2022-04-01$24.53Not available in this settingRVU22B
2022-01-01$24.53Not available in this settingRVU22A
2021-10-01$24.42Not available in this settingRVU21D
2021-07-01$24.42Not available in this settingRVU21C
2021-04-01$24.42Not available in this settingRVU21B
2021-01-01$24.42Not available in this settingRVU21A
2020-10-01$24.68Not available in this settingRVU20D
2020-07-01$24.68Not available in this settingRVU20C
2020-04-01$24.68Not available in this settingRVU20B
2020-01-01$24.68Not available in this settingRVU20A
2019-10-01$24.38Not available in this settingRVU19D
2019-07-01$24.38Not available in this settingRVU19C
2019-04-01$24.38Not available in this settingRVU19B
2019-01-01$24.38Not available in this settingRVU19A
2018-10-01$24.03Not available in this settingRVU18D
2018-07-01$24.03Not available in this settingRVU18C
2018-04-01$24.03Not available in this settingRVU18B
2018-01-01$24.03Not available in this settingRVU18AR1
2017-10-01$23.93Not available in this settingRVU17D
2017-07-01$23.93Not available in this settingRVU17C
2017-04-01$23.93Not available in this settingRVU17B
2017-01-01$23.93Not available in this settingRVU17A
2016-10-01$23.20Not available in this settingRVU16D
2016-07-01$23.20Not available in this settingRVU16C
2016-04-01$23.20Not available in this settingRVU16B
2016-01-01$23.20Not available in this settingRVU16A
2015-10-01$21.66Not available in this settingRVU15D
2015-07-01$21.66Not available in this settingRVU15C
2015-04-01$21.56Not available in this settingRVU15B
2015-01-01$21.56Not available in this settingRVU15A
2014-10-01$29.08Not available in this settingRVU14D
2014-07-01$29.08Not available in this settingRVU14C
2014-04-01$29.08Not available in this settingRVU14B
2014-01-01$29.08Not available in this settingRVU14A
2013-10-01$28.56Not available in this settingRVU13D
2013-07-01$28.56Not available in this settingRVU13C
2013-04-01$28.56Not available in this settingRVU13B
2013-01-01$28.56Not available in this settingRVU13AR

Price 92541 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

92541 billing questions

How does 92541 differ from 92531?

92541 describes the spontaneous and gaze assessment with recording. The 92531 code is the nearby option for the corresponding study without recording.

When should 92540 be considered instead?

92540 represents a basic vestibular evaluation that includes spontaneous nystagmus, positional nystagmus, optokinetic nystagmus, and oscillating tracking tests. Use 92541 for the individual recorded spontaneous nystagmus assessment.

Which modifier identifies interpretation?

Append modifier 26 when billing only the professional interpretation. Modifier TC identifies the technical service, and billing without either modifier represents the global service.

What should the record support?

Document that spontaneous and gaze-related eye movements were assessed and recorded, along with the findings and the interpretation when the professional component is billed.

Is this the positional nystagmus test?

No. 92541 addresses spontaneous nystagmus, including gaze assessment; 92542 is the recorded positional nystagmus test.

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

Show the CMS file lines behind this rate
RVUs for 92541PPRRVU2026_Oct_nonQPP.csv, line 11,806 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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