CPT code 92544: Vestibular test, optokinetic response2026 Medicare rate & RVUs in Wisconsin

This vestibular test records eye movements as a patient watches a moving visual pattern, helping characterize optokinetic responses during evaluation of dizziness or imbalance.

CMS RVU26DEffective Oct 1, 2026One payment locality3.2K Medicare services in 2024

In Wisconsin, Medicare pays $16.89 for 92544 in the office.

$16.89Office (non-facility)
Not available in this settingHospital or facility
−4.6%vs the national office rate ($17.70)

Check a contract rate as a % of Medicare · 92544 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 92544 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 92544 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 92544 covers

The patient watches a moving visual pattern while a clinician observes or records the resulting rhythmic eye movements. The test examines how the eyes respond to visual motion and can help characterize oculomotor and vestibular function in patients evaluated for vertigo, imbalance, or suspected vestibular dysfunction. Audiologists and otolaryngology practices commonly perform it in a vestibular testing setting.

Report 92544 when optokinetic stimulation is performed as an individual test; distinguish it from smooth-pursuit tracking, which evaluates eye movement while following a target. Record the test performed and findings, including the patient’s eye-movement response to the visual stimulus. Medicare recognizes professional and technical components: use modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. When the defined basic vestibular evaluation is reported with 92540, its component tests are not separately unbundled.

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 Wisconsin compares for 92544

Across 109 of 109 payment localities, the office rate for 92544 runs from $16.20 in Arkansas to $22.29 in Alaska. Wisconsin pays $16.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

92544 in Wisconsin vs other payment areas
  1. Wisconsin · this page$16.89
  2. Los Angeles, CA · California$19.36+$2.47
  3. Washington, DC area · District of Columbia$19.73+$2.84
  4. Miami, FL · Florida$19.07+$2.18
  5. Chicago, IL · Illinois$18.67+$1.78
  6. Manhattan, NY · New York$20.00+$3.11
  7. Alaska · Alaska$22.29+$5.40

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

Every other payment area

92544 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$16.37—
ArkansasArkansas$16.20—
ArizonaArizona$17.35—
Bakersfield, CACalifornia$18.41—
Chico, CACalifornia$18.34—
El Centro, CACalifornia$18.35—
Fresno, CACalifornia$18.34—
Hanford, CACalifornia$18.34—

92544 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.

$16.20

$22.29

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

View every state and territory as a table
92544 office rate range by state
State / territoryOffice rate rangeLocalities
AK$22.291
AL$16.371
AR$16.201
AZ$17.351
CA$18.34–$22.0429
CO$18.191
CT$18.661
DC$19.731
DE$17.581
FL$17.67–$19.073
GA$16.93–$18.002
GU$18.571
HI$18.571
IA$16.591
ID$16.681
IL$17.35–$18.674
IN$16.751
KS$16.571
KY$16.721
LA$16.71–$17.302
MA$18.15–$19.602
MD$17.83–$19.733
ME$16.78–$17.382
MI$17.06–$17.872
MN$17.471
MO$16.53–$17.303
MS$16.371
MT$17.701
NC$16.901
ND$17.311
NE$16.641
NH$17.961
NJ$18.88–$19.632
NM$17.141
NV$17.601
NY$17.09–$20.415
OH$16.981
OK$16.661
OR$17.47–$18.602
PA$16.98–$18.332
PR$17.781
RI$18.071
SC$16.971
SD$17.261
TN$16.631
TX$16.90–$18.138
UT$17.131
VA$17.36–$19.732
VI$17.781
VT$17.291
WA$18.10–$19.912
WI$16.891
WV$16.901
WY$17.531

See 92544 in every payment locality

How the 92544 rate is calculated

Each of 92544’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 · 92544

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.26

0.26 RVUs× 1.000 GPCI

Practice expense0.25

0.25 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.5300

Conversion factor

$33.4009

Medicare rate

$17.70

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,812

Code
92544
Physician work
0.26
Practice expense
0.25
Malpractice
0.02

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Office calculation for 92544 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work0.26× 1.0000.2600
Practice expense0.25× 0.9580.2395
Malpractice0.02× 0.3080.0062
Total RVUs0.5057
Conversion factor× 33.4009

Office rate, Wisconsin$16.89

Office: (0.26 × 1 + 0.25 × 0.958 + 0.02 × 0.308) × $33.4009 = $16.89

Open 92544 in the RVU calculator

Payment rules and modifiers for 92544

The CMS indicators that decide how 92544 is paid alongside other services.

CMS payment indicators · 92544

Vestibular test, optokinetic response

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

92544 without 26 · national office

$17.70

Vestibular test, optokinetic response

92544-26 · Professional component

$14.03

Pays only the interpretation and report.

When to use modifier 26

How 92544 has changed in Wisconsin

92544 · Office / nonfacility

$16.89

Effective 2026-10-01

The base rate is $0.20 higher than on 2025-10-01, moving from $16.69 to $16.89 (1.2%).

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

    $16.69changed to$16.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.957 changed to 0.958
    • Malpractice GPCI 0.331 changed to 0.308

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $16.85changed to$16.69

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.24 changed to 0.25

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $16.58changed to$16.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.09changed to$16.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.950 changed to 0.957
    • Malpractice GPCI 0.314 changed to 0.331
  5. January 1, 2023

    RVU23A

    $17.37changed to$17.09

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.942 changed to 0.950
    • Malpractice GPCI 0.296 changed to 0.314

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.52changed to$17.37

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $17.17changed to$17.52

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.21 changed to 0.24
    • Practice expense GPCI 0.949 changed to 0.942
    • Malpractice GPCI 0.322 changed to 0.296

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.88changed to$17.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.20 changed to 0.21
    • Practice expense GPCI 0.957 changed to 0.949
    • Malpractice GPCI 0.347 changed to 0.322

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.52changed to$16.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.19 changed to 0.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $16.54changed to$16.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.956 changed to 0.957
    • Malpractice GPCI 0.457 changed to 0.347

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $16.23changed to$16.54

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.955 changed to 0.956
    • Malpractice GPCI 0.566 changed to 0.457

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $15.26changed to$16.23

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.15 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $15.18changed to$15.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $23.10changed to$15.18

    • Conversion factor 35.8228 changed to 35.7547
    • Work RVU 0.26 changed to 0.27
    • Practice expense RVU 0.39 changed to 0.15
    • Practice expense GPCI 0.958 changed to 0.955
    • Malpractice GPCI 0.557 changed to 0.566

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $22.61changed to$23.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.41 changed to 0.39
    • Practice expense GPCI 0.960 changed to 0.958
    • Malpractice GPCI 0.547 changed to 0.557

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$22.61

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$16.89Not available in this settingRVU26D
2026-07-01$16.89Not available in this settingRVU26C
2026-04-01$16.89Not available in this settingRVU26B
2026-01-01$16.89Not available in this settingRVU26A
2025-10-01$16.69Not available in this settingRVU25D
2025-07-01$16.69Not available in this settingRVU25C
2025-04-01$16.69Not available in this settingRVU25B
2025-01-01$16.69Not available in this settingRVU25A
2024-10-01$16.85Not available in this settingRVU24D
2024-07-01$16.85Not available in this settingRVU24C
2024-04-01$16.85Not available in this settingRVU24B
2024-03-09$16.85Not available in this settingRVU24AR
2024-01-01$16.58Not available in this settingRVU24A
2023-10-01$17.09Not available in this settingRVU23D
2023-07-01$17.09Not available in this settingRVU23C
2023-04-01$17.09Not available in this settingRVU23B
2023-01-01$17.09Not available in this settingRVU23A
2022-10-01$17.37Not available in this settingRVU22D
2022-07-01$17.37Not available in this settingRVU22C
2022-04-01$17.37Not available in this settingRVU22B
2022-01-01$17.37Not available in this settingRVU22A
2021-10-01$17.52Not available in this settingRVU21D
2021-07-01$17.52Not available in this settingRVU21C
2021-04-01$17.52Not available in this settingRVU21B
2021-01-01$17.52Not available in this settingRVU21A
2020-10-01$17.17Not available in this settingRVU20D
2020-07-01$17.17Not available in this settingRVU20C
2020-04-01$17.17Not available in this settingRVU20B
2020-01-01$17.17Not available in this settingRVU20A
2019-10-01$16.88Not available in this settingRVU19D
2019-07-01$16.88Not available in this settingRVU19C
2019-04-01$16.88Not available in this settingRVU19B
2019-01-01$16.88Not available in this settingRVU19A
2018-10-01$16.52Not available in this settingRVU18D
2018-07-01$16.52Not available in this settingRVU18C
2018-04-01$16.52Not available in this settingRVU18B
2018-01-01$16.52Not available in this settingRVU18AR1
2017-10-01$16.54Not available in this settingRVU17D
2017-07-01$16.54Not available in this settingRVU17C
2017-04-01$16.54Not available in this settingRVU17B
2017-01-01$16.54Not available in this settingRVU17A
2016-10-01$16.23Not available in this settingRVU16D
2016-07-01$16.23Not available in this settingRVU16C
2016-04-01$16.23Not available in this settingRVU16B
2016-01-01$16.23Not available in this settingRVU16A
2015-10-01$15.26Not available in this settingRVU15D
2015-07-01$15.26Not available in this settingRVU15C
2015-04-01$15.18Not available in this settingRVU15B
2015-01-01$15.18Not available in this settingRVU15A
2014-10-01$23.10Not available in this settingRVU14D
2014-07-01$23.10Not available in this settingRVU14C
2014-04-01$23.10Not available in this settingRVU14B
2014-01-01$23.10Not available in this settingRVU14A
2013-10-01$22.61Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 92544 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

92544 billing questions

What does this test measure?

It assesses the eye movements produced when the patient views a moving visual pattern. The response helps characterize visual-motion and vestibular-related function.

How is 92544 different from the oscillating tracking test?

92544 evaluates eye movements in response to a moving visual field. The oscillating tracking test, 92545, assesses the patient’s ability to follow a moving target.

Can 92544 be reported separately with 92540?

No. The basic vestibular evaluation represented by 92540 includes the optokinetic test as one of its component tests; do not separately unbundle 92544 from that evaluation.

Which modifiers identify the test components?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 92544?

Document that optokinetic visual stimulation was performed and record the observed or recorded eye-movement response. The record should distinguish this stimulus-response test from smooth-pursuit tracking.

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 92544PPRRVU2026_Oct_nonQPP.csv, line 11,812 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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