CPT code 92549: Dynamic posturography, SOT with MCT and ADT2026 Medicare rate & RVUs in Los Angeles, CA

Reports computerized balance testing that combines six sensory organization conditions with motor control and adaptation tests during vestibular evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality4K Medicare services in 2024

In Los Angeles, CA, Medicare pays $69.51 for 92549 in the office.

$69.51Office (non-facility)
Not available in this settingHospital or facility
+11.3%vs the national office rate ($62.46)

Check a contract rate as a % of Medicare · 92549 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 92549 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 92549 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 92549 covers

This computerized balance assessment evaluates how a patient maintains posture when visual, somatosensory, and support-surface cues are varied. The sensory organization test uses six conditions; the motor control test assesses responses to platform translations, and the adaptation test assesses responses to platform rotations. Audiologists and other vestibular clinicians typically perform the testing in an audiology or vestibular clinic, with a practitioner interpreting the results and preparing a report. It can help characterize balance impairment in patients with dizziness, unsteadiness, or suspected vestibular dysfunction.

Report 92549 for the combined testing, rather than for the six-condition sensory organization portion alone. Documentation should identify the testing performed and include findings and interpretation supporting the balance assessment. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and no component modifier represents the global service. The reported component should match the work and resources furnished by the billing entity.

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 Los Angeles, CA compares for 92549

Across 109 of 109 payment localities, the office rate for 92549 runs from $57.43 in Arkansas to $80.04 in San Benito County, CA. Los Angeles, CA pays $69.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

92549 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$69.51
  2. Bakersfield, CA · California$65.94−$3.57
  3. Chico, CA · California$65.84−$3.67
  4. El Centro, CA · California$65.84−$3.67
  5. Fresno, CA · California$65.84−$3.67
  6. Hanford, CA · California$65.84−$3.67
  7. Madera, CA · California$65.84−$3.67

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

Every other payment area

92549 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$65.84—
Modesto, CACalifornia$65.84—
Napa, CACalifornia$74.54—
Oxnard, CACalifornia$69.08—
Redding, CACalifornia$65.84—
Rest of CaliforniaCalifornia$65.84—
Riverside, CACalifornia$66.08—
Sacramento, CACalifornia$68.62—

92549 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.

$57.43

$78.53

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

View every state and territory as a table
92549 office rate range by state
State / territoryOffice rate rangeLocalities
AK$78.531
AL$57.991
AR$57.431
AZ$61.331
CA$65.84–$80.0429
CO$64.791
CT$65.741
DC$70.011
DE$62.131
FL$61.33–$64.853
GA$58.98–$63.212
GU$66.751
HI$66.751
IA$59.221
ID$59.441
IL$59.93–$64.084
IN$59.681
KS$58.921
KY$58.701
LA$58.59–$60.582
MA$64.55–$70.032
MD$63.09–$70.013
ME$59.54–$61.912
MI$59.64–$61.752
MN$62.961
MO$57.83–$60.863
MS$57.641
MT$62.461
NC$59.981
ND$62.061
NE$59.471
NH$63.751
NJ$66.73–$69.642
NM$59.821
NV$62.381
NY$60.59–$71.165
OH$59.561
OK$58.741
OR$62.13–$66.452
PA$59.68–$64.472
PR$62.821
RI$64.031
SC$59.821
SD$62.021
TN$59.111
TX$59.41–$64.388
UT$60.391
VA$61.70–$70.012
VI$62.821
VT$61.801
WA$64.44–$71.342
WI$60.591
WV$58.371
WY$62.291

See 92549 in every payment locality

How the 92549 rate is calculated

Each of 92549’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 · 92549

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.85

0.85 RVUs× 1.000 GPCI

Practice expense1.00

1.00 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.8700

Conversion factor

$33.4009

Medicare rate

$62.46

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,825

Code
92549
Physician work
0.85
Practice expense
1.00
Malpractice
0.02

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 92549 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0410.8848
Practice expense1.00× 1.1831.1830
Malpractice0.02× 0.6640.0133
Total RVUs2.0811
Conversion factor× 33.4009

Office rate, Los Angeles, CA$69.51

Office: (0.85 × 1.041 + 1 × 1.183 + 0.02 × 0.664) × $33.4009 = $69.51

Open 92549 in the RVU calculator

Payment rules and modifiers for 92549

The CMS indicators that decide how 92549 is paid alongside other services.

CMS payment indicators · 92549

Dynamic posturography, SOT with MCT and ADT

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

92549 without 26 · national office

$62.46

Dynamic posturography, SOT with MCT and ADT

92549-26 · Professional component

$43.09

Pays only the interpretation and report.

When to use modifier 26

How 92549 has changed in Los Angeles, CA

92549 · Office / nonfacility

$69.51

Effective 2026-10-01

The base rate is $0.81 lower than on 2025-10-01, moving from $70.32 to $69.51 (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

    $70.32changed to$69.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.87 changed to 0.85
    • Practice expense RVU 1.05 changed to 1.00
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $71.97changed to$70.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.04 changed to 1.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $70.80changed to$71.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $73.06changed to$70.80

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690
  5. January 1, 2023

    RVU23A

    $72.33changed to$73.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.99 changed to 1.04
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $71.67changed to$72.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.94 changed to 0.99
    • Malpractice RVU 0.05 changed to 0.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $71.86changed to$71.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Malpractice RVU 0.03 changed to 0.05
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$71.86

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$69.51Not available in this settingRVU26D
2026-07-01$69.51Not available in this settingRVU26C
2026-04-01$69.51Not available in this settingRVU26B
2026-01-01$69.51Not available in this settingRVU26A
2025-10-01$70.32Not available in this settingRVU25D
2025-07-01$70.32Not available in this settingRVU25C
2025-04-01$70.32Not available in this settingRVU25B
2025-01-01$70.32Not available in this settingRVU25A
2024-10-01$71.97Not available in this settingRVU24D
2024-07-01$71.97Not available in this settingRVU24C
2024-04-01$71.97Not available in this settingRVU24B
2024-03-09$71.97Not available in this settingRVU24AR
2024-01-01$70.80Not available in this settingRVU24A
2023-10-01$73.06Not available in this settingRVU23D
2023-07-01$73.06Not available in this settingRVU23C
2023-04-01$73.06Not available in this settingRVU23B
2023-01-01$73.06Not available in this settingRVU23A
2022-10-01$72.33Not available in this settingRVU22D
2022-07-01$72.33Not available in this settingRVU22C
2022-04-01$72.33Not available in this settingRVU22B
2022-01-01$72.33Not available in this settingRVU22A
2021-10-01$71.67Not available in this settingRVU21D
2021-07-01$71.67Not available in this settingRVU21C
2021-04-01$71.67Not available in this settingRVU21B
2021-01-01$71.67Not available in this settingRVU21A
2020-10-01$71.86Not available in this settingRVU20D
2020-07-01$71.86Not available in this settingRVU20C
2020-04-01$71.86Not available in this settingRVU20B
2020-01-01$71.86Not available in this settingRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 92549 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

92549 billing questions

When should 92549 be chosen instead of 92548?

Use 92549 when the six-condition sensory organization testing is performed with both motor control and adaptation testing. Use 92548 when the service includes the six-condition sensory organization test without those additional tests.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.

What documentation supports reporting 92549?

Document the sensory organization, motor control, and adaptation testing performed, along with the results and interpretation. The record should support that the reported service included all three components.

Is 92549 reported per test condition or per component?

The code represents the combined service, including the six sensory organization conditions and the motor control and adaptation tests. Do not treat each condition or included test as a separate unit of 92549.

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 92549PPRRVU2026_Oct_nonQPP.csv, line 11,825 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92549 pays in Los Angeles, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 92549 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist