CPT code 92542: Positional nystagmus, with recording2026 Medicare rate & RVUs in Connecticut
Reports recorded observation of involuntary eye movements during positional maneuvers, helping evaluate dizziness and suspected vestibular disorders such as benign paroxysmal positional vertigo.
In Connecticut, Medicare pays $29.77 for 92542 in the office.
Check a contract rate as a % of Medicare · 92542 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92542 covers
For this test, the clinician changes the patient’s head or body position and observes and records resulting nystagmus, or involuntary rhythmic eye movement. It is commonly performed by an audiologist or an ear, nose, and throat specialist as part of an evaluation for dizziness, vertigo, or suspected positional vestibular dysfunction. The recorded findings help characterize whether eye movements are triggered by position and support the broader clinical assessment; this test alone does not establish a diagnosis such as benign paroxysmal positional vertigo.
Report 92542 when positional testing is performed with recording. The record should identify the maneuvers or positions tested, document the observed eye movements and relevant findings, and support the interpretation. The related unrecorded test is 92532. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. When the positional test is included in the broader basic vestibular evaluation reported with 92540, do not separately report it as an additional service.
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 Connecticut compares for 92542
Across 109 of 109 payment localities, the office rate for 92542 runs from $26.37 in Arkansas to $36.72 in Alaska. Connecticut pays $29.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$29.77
- Los Angeles, CA · California$31.01+$1.24
- Washington, DC area · District of Columbia$31.45+$1.68
- Miami, FL · Florida$29.91+$0.14
- Chicago, IL · Illinois$29.43−$0.34
- Manhattan, NY · New York$31.73+$1.96
- Alaska · Alaska$36.72+$6.95
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $26.60 | — |
| ArkansasArkansas | $26.37 | — |
| ArizonaArizona | $27.92 | — |
| Bakersfield, CACalifornia | $29.58 | — |
| Chico, CACalifornia | $29.50 | — |
| El Centro, CACalifornia | $29.51 | — |
| Fresno, CACalifornia | $29.50 | — |
| Hanford, CACalifornia | $29.50 | — |
| Madera, CACalifornia | $29.50 | — |
| Merced, CACalifornia | $29.50 | — |
| Modesto, CACalifornia | $29.50 | — |
| Napa, CACalifornia | $32.87 | — |
| Oxnard, CACalifornia | $30.77 | — |
| Redding, CACalifornia | $29.50 | — |
| Rest of CaliforniaCalifornia | $29.50 | — |
| Riverside, CACalifornia | $29.73 | — |
| Sacramento, CACalifornia | $30.61 | — |
| Salinas, CACalifornia | $30.48 | — |
| San Diego, CACalifornia | $30.91 | — |
| Marin County, CACalifornia | $34.45 | — |
| San Francisco, CACalifornia | $34.43 | — |
| San Benito County, CACalifornia | $35.12 | — |
| Santa Clara County, CACalifornia | $35.03 | — |
| San Luis Obispo, CACalifornia | $30.02 | — |
| Santa Cruz, CACalifornia | $31.00 | — |
| Santa Maria, CACalifornia | $30.52 | — |
| Santa Rosa, CACalifornia | $31.29 | — |
| Stockton, CACalifornia | $29.50 | — |
| Vallejo, CACalifornia | $32.84 | — |
| Visalia, CACalifornia | $29.50 | — |
| Yuba City, CACalifornia | $29.50 | — |
| ColoradoColorado | $29.20 | — |
| DelawareDelaware | $28.26 | — |
| Fort Lauderdale, FLFlorida | $29.09 | — |
| Rest of FloridaFlorida | $28.20 | — |
| Atlanta, GAGeorgia | $28.76 | — |
| Rest of GeorgiaGeorgia | $27.22 | — |
| Hawaii, Guam, HIHawaii | $29.76 | — |
| IowaIowa | $26.97 | — |
| IdahoIdaho | $27.08 | — |
| East St. Louis, ILIllinois | $28.11 | — |
| Rest of IllinoisIllinois | $27.72 | — |
| Suburban Chicago, ILIllinois | $29.34 | — |
| IndianaIndiana | $27.17 | — |
| KansasKansas | $26.91 | — |
| KentuckyKentucky | $27.00 | — |
| New Orleans, LALouisiana | $27.77 | — |
| Rest of LouisianaLouisiana | $26.98 | — |
| Metropolitan Boston, MAMassachusetts | $31.29 | — |
| Rest of MassachusettsMassachusetts | $29.14 | — |
| Baltimore area, MDMaryland | $29.68 | — |
| Rest of MarylandMaryland | $28.64 | — |
| Rest of MaineMaine | $27.18 | — |
| Southern Maine, MEMaine | $28.04 | — |
| Detroit, MIMichigan | $28.43 | — |
| Rest of MichiganMichigan | $27.43 | — |
| MinnesotaMinnesota | $28.27 | — |
| Metropolitan Kansas City, MOMissouri | $27.64 | — |
| Metropolitan St. Louis, MOMissouri | $27.81 | — |
| Rest of MissouriMissouri | $26.71 | — |
| MississippiMississippi | $26.55 | — |
| MontanaMontana | $28.39 | — |
| North CarolinaNorth Carolina | $27.34 | — |
| North DakotaNorth Dakota | $27.99 | — |
| NebraskaNebraska | $27.05 | — |
| New HampshireNew Hampshire | $28.80 | — |
| Northern New JerseyNew Jersey | $31.35 | — |
| Rest of New JerseyNew Jersey | $30.19 | — |
| New MexicoNew Mexico | $27.53 | — |
| NevadaNevada | $28.29 | — |
| NYC suburbs and Long Island, NYNew York | $32.24 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $30.38 | — |
| Queens, NYNew York | $31.88 | — |
| Rest of New YorkNew York | $27.59 | — |
| OhioOhio | $27.35 | — |
| OklahomaOklahoma | $26.96 | — |
| Portland, OROregon | $29.81 | — |
| Rest of OregonOregon | $28.14 | — |
| Metropolitan Philadelphia, PAPennsylvania | $29.30 | — |
| Rest of PennsylvaniaPennsylvania | $27.37 | — |
| Puerto RicoPuerto Rico | $28.51 | — |
| Rhode IslandRhode Island | $29.01 | — |
| South CarolinaSouth Carolina | $27.38 | — |
| South DakotaSouth Dakota | $27.95 | — |
| TennesseeTennessee | $26.99 | — |
| Austin, TXTexas | $29.04 | — |
| Beaumont, TXTexas | $27.26 | — |
| Brazoria, TXTexas | $28.26 | — |
| Dallas, TXTexas | $28.39 | — |
| Fort Worth, TXTexas | $28.28 | — |
| Galveston, TXTexas | $28.32 | — |
| Houston, TXTexas | $28.68 | — |
| Rest of TexasTexas | $27.71 | — |
| UtahUtah | $27.60 | — |
| VirginiaVirginia | $27.99 | — |
| Virgin Islands, VIUnited States Virgin Islands | $28.51 | — |
| VermontVermont | $27.94 | — |
| Rest of WashingtonWashington | $29.07 | — |
| King County, WAWashington | $31.78 | — |
| WisconsinWisconsin | $27.42 | — |
| West VirginiaWest Virginia | $27.10 | — |
| WyomingWyoming | $28.22 | — |
92542 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$26.37
$36.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $36.72 | 1 |
| AL | $26.60 | 1 |
| AR | $26.37 | 1 |
| AZ | $27.92 | 1 |
| CA | $29.50–$35.12 | 29 |
| CO | $29.20 | 1 |
| CT | $29.77 | 1 |
| DC | $31.45 | 1 |
| DE | $28.26 | 1 |
| FL | $28.20–$29.91 | 3 |
| GA | $27.22–$28.76 | 2 |
| GU | $29.76 | 1 |
| HI | $29.76 | 1 |
| IA | $26.97 | 1 |
| ID | $27.08 | 1 |
| IL | $27.72–$29.43 | 4 |
| IN | $27.17 | 1 |
| KS | $26.91 | 1 |
| KY | $27.00 | 1 |
| LA | $26.98–$27.77 | 2 |
| MA | $29.14–$31.29 | 2 |
| MD | $28.64–$31.45 | 3 |
| ME | $27.18–$28.04 | 2 |
| MI | $27.43–$28.43 | 2 |
| MN | $28.27 | 1 |
| MO | $26.71–$27.81 | 3 |
| MS | $26.55 | 1 |
| MT | $28.39 | 1 |
| NC | $27.34 | 1 |
| ND | $27.99 | 1 |
| NE | $27.05 | 1 |
| NH | $28.80 | 1 |
| NJ | $30.19–$31.35 | 2 |
| NM | $27.53 | 1 |
| NV | $28.29 | 1 |
| NY | $27.59–$32.24 | 5 |
| OH | $27.35 | 1 |
| OK | $26.96 | 1 |
| OR | $28.14–$29.81 | 2 |
| PA | $27.37–$29.30 | 2 |
| PR | $28.51 | 1 |
| RI | $29.01 | 1 |
| SC | $27.38 | 1 |
| SD | $27.95 | 1 |
| TN | $26.99 | 1 |
| TX | $27.26–$29.04 | 8 |
| UT | $27.60 | 1 |
| VA | $27.99–$31.45 | 2 |
| VI | $28.51 | 1 |
| VT | $27.94 | 1 |
| WA | $29.07–$31.78 | 2 |
| WI | $27.42 | 1 |
| WV | $27.10 | 1 |
| WY | $28.22 | 1 |
How the 92542 rate is calculated
Each of 92542’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 · 92542
RVUs × geographic indexes × conversion factor
Work0.47
0.47 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.8500
Conversion factor
$33.4009
Medicare rate
$28.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,809
- Code
- 92542
- Physician work
- 0.47
- Practice expense
- 0.36
- Malpractice
- 0.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.47 | × 1.020 | 0.4794 |
| Practice expense | 0.36 | × 1.077 | 0.3877 |
| Malpractice | 0.02 | × 1.210 | 0.0242 |
| Total RVUs | 0.8913 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Connecticut$29.77
Office: (0.47 × 1.02 + 0.36 × 1.077 + 0.02 × 1.21) × $33.4009 = $29.77
Payment rules and modifiers for 92542
The CMS indicators that decide how 92542 is paid alongside other services.
CMS payment indicators · 92542
Positional nystagmus, with recording
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92542 without 26 · national office
$28.39
Positional nystagmus, with recording
92542-26 · Professional component
$24.38
Pays only the interpretation and report.
How 92542 has changed in Connecticut
92542 · Office / nonfacility
$29.77
Effective 2026-10-01
The base rate is $0.42 higher than on 2025-10-01, moving from $29.35 to $29.77 (1.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$29.35changed to$29.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.48 changed to 0.47
- Work GPCI 1.022 changed to 1.020
- Practice expense GPCI 1.091 changed to 1.077
- Malpractice GPCI 1.207 changed to 1.210
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$30.21changed to$29.35
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$29.71changed to$30.21
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$30.92changed to$29.71
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.030 changed to 1.022
- Practice expense GPCI 1.102 changed to 1.091
- Malpractice GPCI 1.070 changed to 1.207
January 1, 2023
RVU23A
$31.75changed to$30.92
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.037 changed to 1.030
- Practice expense GPCI 1.114 changed to 1.102
- Malpractice GPCI 0.934 changed to 1.070
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$32.01changed to$31.75
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$32.27changed to$32.01
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.34 changed to 0.36
- Work GPCI 1.029 changed to 1.037
- Practice expense GPCI 1.113 changed to 1.114
- Malpractice GPCI 1.094 changed to 0.934
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$31.44changed to$32.27
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.31 changed to 0.34
- Malpractice RVU 0.03 changed to 0.02
- Work GPCI 1.021 changed to 1.029
- Practice expense GPCI 1.112 changed to 1.113
- Malpractice GPCI 1.255 changed to 1.094
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$30.61changed to$31.44
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.29 changed to 0.31
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$30.19changed to$30.61
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.28 changed to 0.29
- Work GPCI 1.023 changed to 1.021
- Practice expense GPCI 1.117 changed to 1.112
- Malpractice GPCI 1.244 changed to 1.255
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$30.16changed to$30.19
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.024 changed to 1.023
- Practice expense GPCI 1.121 changed to 1.117
- Malpractice GPCI 1.232 changed to 1.244
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$28.21changed to$30.16
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.24 changed to 0.28
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$28.07changed to$28.21
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$28.58changed to$28.07
- Conversion factor 35.8228 changed to 35.7547
- Work RVU 0.33 changed to 0.48
- Practice expense RVU 0.39 changed to 0.24
- Practice expense GPCI 1.116 changed to 1.121
- Malpractice GPCI 1.234 changed to 1.232
Held through RVU15B.
January 1, 2014
RVU14A
$28.95changed to$28.58
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.44 changed to 0.39
- Practice expense GPCI 1.110 changed to 1.116
- Malpractice GPCI 1.235 changed to 1.234
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $28.95
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $29.77 | Not available in this setting | RVU26D |
| 2026-07-01 | $29.77 | Not available in this setting | RVU26C |
| 2026-04-01 | $29.77 | Not available in this setting | RVU26B |
| 2026-01-01 | $29.77 | Not available in this setting | RVU26A |
| 2025-10-01 | $29.35 | Not available in this setting | RVU25D |
| 2025-07-01 | $29.35 | Not available in this setting | RVU25C |
| 2025-04-01 | $29.35 | Not available in this setting | RVU25B |
| 2025-01-01 | $29.35 | Not available in this setting | RVU25A |
| 2024-10-01 | $30.21 | Not available in this setting | RVU24D |
| 2024-07-01 | $30.21 | Not available in this setting | RVU24C |
| 2024-04-01 | $30.21 | Not available in this setting | RVU24B |
| 2024-03-09 | $30.21 | Not available in this setting | RVU24AR |
| 2024-01-01 | $29.71 | Not available in this setting | RVU24A |
| 2023-10-01 | $30.92 | Not available in this setting | RVU23D |
| 2023-07-01 | $30.92 | Not available in this setting | RVU23C |
| 2023-04-01 | $30.92 | Not available in this setting | RVU23B |
| 2023-01-01 | $30.92 | Not available in this setting | RVU23A |
| 2022-10-01 | $31.75 | Not available in this setting | RVU22D |
| 2022-07-01 | $31.75 | Not available in this setting | RVU22C |
| 2022-04-01 | $31.75 | Not available in this setting | RVU22B |
| 2022-01-01 | $31.75 | Not available in this setting | RVU22A |
| 2021-10-01 | $32.01 | Not available in this setting | RVU21D |
| 2021-07-01 | $32.01 | Not available in this setting | RVU21C |
| 2021-04-01 | $32.01 | Not available in this setting | RVU21B |
| 2021-01-01 | $32.01 | Not available in this setting | RVU21A |
| 2020-10-01 | $32.27 | Not available in this setting | RVU20D |
| 2020-07-01 | $32.27 | Not available in this setting | RVU20C |
| 2020-04-01 | $32.27 | Not available in this setting | RVU20B |
| 2020-01-01 | $32.27 | Not available in this setting | RVU20A |
| 2019-10-01 | $31.44 | Not available in this setting | RVU19D |
| 2019-07-01 | $31.44 | Not available in this setting | RVU19C |
| 2019-04-01 | $31.44 | Not available in this setting | RVU19B |
| 2019-01-01 | $31.44 | Not available in this setting | RVU19A |
| 2018-10-01 | $30.61 | Not available in this setting | RVU18D |
| 2018-07-01 | $30.61 | Not available in this setting | RVU18C |
| 2018-04-01 | $30.61 | Not available in this setting | RVU18B |
| 2018-01-01 | $30.61 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $30.19 | Not available in this setting | RVU17D |
| 2017-07-01 | $30.19 | Not available in this setting | RVU17C |
| 2017-04-01 | $30.19 | Not available in this setting | RVU17B |
| 2017-01-01 | $30.19 | Not available in this setting | RVU17A |
| 2016-10-01 | $30.16 | Not available in this setting | RVU16D |
| 2016-07-01 | $30.16 | Not available in this setting | RVU16C |
| 2016-04-01 | $30.16 | Not available in this setting | RVU16B |
| 2016-01-01 | $30.16 | Not available in this setting | RVU16A |
| 2015-10-01 | $28.21 | Not available in this setting | RVU15D |
| 2015-07-01 | $28.21 | Not available in this setting | RVU15C |
| 2015-04-01 | $28.07 | Not available in this setting | RVU15B |
| 2015-01-01 | $28.07 | Not available in this setting | RVU15A |
| 2014-10-01 | $28.58 | Not available in this setting | RVU14D |
| 2014-07-01 | $28.58 | Not available in this setting | RVU14C |
| 2014-04-01 | $28.58 | Not available in this setting | RVU14B |
| 2014-01-01 | $28.58 | Not available in this setting | RVU14A |
| 2013-10-01 | $28.95 | Not available in this setting | RVU13D |
| 2013-07-01 | $28.95 | Not available in this setting | RVU13C |
| 2013-04-01 | $28.95 | Not available in this setting | RVU13B |
| 2013-01-01 | $28.95 | Not available in this setting | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
92542 billing questions
How does 92542 differ from 92532?
Both describe positional nystagmus testing, but 92542 is the recorded service and 92532 is the unrecorded service. The documentation should support which version was performed.
Can 92542 be billed with 92540?
The basic vestibular evaluation reported with 92540 includes positional nystagmus testing. Do not separately report 92542 for that included test.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 92542?
Document the positional maneuvers performed, the recorded eye movements and findings, and the interpretation. The record should support that positional testing was performed with recording.
Can spontaneous nystagmus testing also be reported?
92541 describes spontaneous nystagmus testing, a different test from position-provoked nystagmus. It may be reported for a separately performed service when supported by the record and not included in a broader evaluation.
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
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