CPT code 95922: Autonomic testing, adrenergic function2026 Medicare rate & RVUs in Kentucky
Reports testing of sympathetic adrenergic autonomic function, such as blood pressure and heart-rate responses during Valsalva maneuver or head-up tilt.
In Kentucky, Medicare pays $84.67 for 95922 in the office.
Check a contract rate as a % of Medicare · 95922 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 95922 covers
This service assesses the sympathetic adrenergic part of autonomic control, including how blood pressure and heart-rate measures respond to maneuvers such as Valsalva or head-up tilt. Neurologists and clinicians in autonomic laboratories commonly use it when evaluating symptoms such as orthostatic intolerance, fainting, or suspected autonomic neuropathy. The test may be performed in an office or facility setting using monitoring equipment and trained staff.
Select 95922 when the documented testing evaluates adrenergic function, rather than cardiovagal function alone or sudomotor function. The record should identify the maneuvers or measurements performed and support the clinical reason for testing. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional work, modifier TC for the technical service, or neither modifier for the global 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 Kentucky compares for 95922
Across 109 of 109 payment localities, the office rate for 95922 runs from $82.27 in Arkansas to $119.33 in San Benito County, CA. Kentucky pays $84.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$84.67
- Los Angeles, CA · California$102.45+$17.78
- Washington, DC area · District of Columbia$103.33+$18.66
- Miami, FL · Florida$96.09+$11.42
- Chicago, IL · Illinois$93.86+$9.19
- Manhattan, NY · New York$103.52+$18.85
- Alaska · Alaska$110.20+$25.53
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $83.28 | — |
| ArkansasArkansas | $82.27 | — |
| ArizonaArizona | $89.16 | — |
| Bakersfield, CACalifornia | $96.66 | — |
| Chico, CACalifornia | $96.47 | — |
| El Centro, CACalifornia | $96.48 | — |
| Fresno, CACalifornia | $96.47 | — |
| Hanford, CACalifornia | $96.47 | — |
| Madera, CACalifornia | $96.47 | — |
| Merced, CACalifornia | $96.47 | — |
| Modesto, CACalifornia | $96.47 | — |
| Napa, CACalifornia | $110.65 | — |
| Oxnard, CACalifornia | $101.91 | — |
| Redding, CACalifornia | $96.47 | — |
| Rest of CaliforniaCalifornia | $96.47 | — |
| Riverside, CACalifornia | $97.03 | — |
| Sacramento, CACalifornia | $100.93 | — |
| Salinas, CACalifornia | $100.54 | — |
| San Diego, CACalifornia | $102.64 | — |
| Marin County, CACalifornia | $116.88 | — |
| San Francisco, CACalifornia | $116.82 | — |
| San Benito County, CACalifornia | $119.33 | — |
| Santa Clara County, CACalifornia | $119.10 | — |
| San Luis Obispo, CACalifornia | $98.94 | — |
| Santa Cruz, CACalifornia | $103.43 | — |
| Santa Maria, CACalifornia | $100.84 | — |
| Santa Rosa, CACalifornia | $104.47 | — |
| Stockton, CACalifornia | $96.47 | — |
| Vallejo, CACalifornia | $110.57 | — |
| Visalia, CACalifornia | $96.47 | — |
| Yuba City, CACalifornia | $96.47 | — |
| ColoradoColorado | $94.88 | — |
| ConnecticutConnecticut | $96.60 | — |
| DelawareDelaware | $90.49 | — |
| Fort Lauderdale, FLFlorida | $93.28 | — |
| Rest of FloridaFlorida | $89.50 | — |
| Atlanta, GAGeorgia | $92.54 | — |
| Rest of GeorgiaGeorgia | $85.30 | — |
| Hawaii, Guam, HIHawaii | $98.35 | — |
| IowaIowa | $85.29 | — |
| IdahoIdaho | $85.71 | — |
| East St. Louis, ILIllinois | $88.28 | — |
| Rest of IllinoisIllinois | $87.13 | — |
| Suburban Chicago, ILIllinois | $94.25 | — |
| IndianaIndiana | $86.13 | — |
| KansasKansas | $84.84 | — |
| New Orleans, LALouisiana | $88.02 | — |
| Rest of LouisianaLouisiana | $84.51 | — |
| Metropolitan Boston, MAMassachusetts | $103.46 | — |
| Rest of MassachusettsMassachusetts | $94.40 | — |
| Baltimore area, MDMaryland | $96.29 | — |
| Rest of MarylandMaryland | $92.06 | — |
| Rest of MaineMaine | $85.96 | — |
| Southern Maine, MEMaine | $90.05 | — |
| Detroit, MIMichigan | $90.32 | — |
| Rest of MichiganMichigan | $86.40 | — |
| MinnesotaMinnesota | $91.67 | — |
| Metropolitan Kansas City, MOMissouri | $87.64 | — |
| Metropolitan St. Louis, MOMissouri | $88.43 | — |
| Rest of MissouriMissouri | $83.21 | — |
| MississippiMississippi | $82.76 | — |
| MontanaMontana | $91.18 | — |
| North CarolinaNorth Carolina | $86.73 | — |
| North DakotaNorth Dakota | $90.19 | — |
| NebraskaNebraska | $85.72 | — |
| New HampshireNew Hampshire | $93.33 | — |
| Northern New JerseyNew Jersey | $102.51 | — |
| Rest of New JerseyNew Jersey | $97.91 | — |
| New MexicoNew Mexico | $86.75 | — |
| NevadaNevada | $90.96 | — |
| NYC suburbs and Long Island, NYNew York | $105.53 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $98.44 | — |
| Queens, NYNew York | $104.43 | — |
| Rest of New YorkNew York | $87.82 | — |
| OhioOhio | $86.20 | — |
| OklahomaOklahoma | $84.66 | — |
| Portland, OROregon | $97.65 | — |
| Rest of OregonOregon | $90.46 | — |
| Metropolitan Philadelphia, PAPennsylvania | $94.44 | — |
| Rest of PennsylvaniaPennsylvania | $86.38 | — |
| Puerto RicoPuerto Rico | $91.79 | — |
| Rhode IslandRhode Island | $93.51 | — |
| South CarolinaSouth Carolina | $86.57 | — |
| South DakotaSouth Dakota | $90.08 | — |
| TennesseeTennessee | $85.18 | — |
| Austin, TXTexas | $94.39 | — |
| Beaumont, TXTexas | $85.90 | — |
| Brazoria, TXTexas | $90.56 | — |
| Dallas, TXTexas | $91.01 | — |
| Fort Worth, TXTexas | $90.45 | — |
| Galveston, TXTexas | $90.75 | — |
| Houston, TXTexas | $91.67 | — |
| Rest of TexasTexas | $88.09 | — |
| UtahUtah | $87.57 | — |
| VirginiaVirginia | $89.72 | — |
| Virgin Islands, VIUnited States Virgin Islands | $91.79 | — |
| VermontVermont | $89.78 | — |
| Rest of WashingtonWashington | $94.25 | — |
| King County, WAWashington | $105.52 | — |
| WisconsinWisconsin | $87.62 | — |
| West VirginiaWest Virginia | $84.38 | — |
| WyomingWyoming | $90.75 | — |
95922 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.
$82.27
$110.20
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 | $110.20 | 1 |
| AL | $83.28 | 1 |
| AR | $82.27 | 1 |
| AZ | $89.16 | 1 |
| CA | $96.47–$119.33 | 29 |
| CO | $94.88 | 1 |
| CT | $96.60 | 1 |
| DC | $103.33 | 1 |
| DE | $90.49 | 1 |
| FL | $89.50–$96.09 | 3 |
| GA | $85.30–$92.54 | 2 |
| GU | $98.35 | 1 |
| HI | $98.35 | 1 |
| IA | $85.29 | 1 |
| ID | $85.71 | 1 |
| IL | $87.13–$94.25 | 4 |
| IN | $86.13 | 1 |
| KS | $84.84 | 1 |
| KY | $84.67 | 1 |
| LA | $84.51–$88.02 | 2 |
| MA | $94.40–$103.46 | 2 |
| MD | $92.06–$103.33 | 3 |
| ME | $85.96–$90.05 | 2 |
| MI | $86.40–$90.32 | 2 |
| MN | $91.67 | 1 |
| MO | $83.21–$88.43 | 3 |
| MS | $82.76 | 1 |
| MT | $91.18 | 1 |
| NC | $86.73 | 1 |
| ND | $90.19 | 1 |
| NE | $85.72 | 1 |
| NH | $93.33 | 1 |
| NJ | $97.91–$102.51 | 2 |
| NM | $86.75 | 1 |
| NV | $90.96 | 1 |
| NY | $87.82–$105.53 | 5 |
| OH | $86.20 | 1 |
| OK | $84.66 | 1 |
| OR | $90.46–$97.65 | 2 |
| PA | $86.38–$94.44 | 2 |
| PR | $91.79 | 1 |
| RI | $93.51 | 1 |
| SC | $86.57 | 1 |
| SD | $90.08 | 1 |
| TN | $85.18 | 1 |
| TX | $85.90–$94.39 | 8 |
| UT | $87.57 | 1 |
| VA | $89.72–$103.33 | 2 |
| VI | $91.79 | 1 |
| VT | $89.78 | 1 |
| WA | $94.25–$105.52 | 2 |
| WI | $87.62 | 1 |
| WV | $84.38 | 1 |
| WY | $90.75 | 1 |
How the 95922 rate is calculated
Each of 95922’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 · 95922
RVUs × geographic indexes × conversion factor
Work0.96
0.96 RVUs× 1.000 GPCI
Practice expense1.72
1.72 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.7300
Conversion factor
$33.4009
Medicare rate
$91.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,657
- Code
- 95922
- Physician work
- 0.96
- Practice expense
- 1.72
- Malpractice
- 0.05
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 1.72 | × 0.889 | 1.5291 |
| Malpractice | 0.05 | × 0.915 | 0.0458 |
| Total RVUs | 2.5348 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$84.67
Office: (0.96 × 1 + 1.72 × 0.889 + 0.05 × 0.915) × $33.4009 = $84.67
Payment rules and modifiers for 95922
The CMS indicators that decide how 95922 is paid alongside other services.
CMS payment indicators · 95922
Autonomic testing, adrenergic function
| 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
95922 without 26 · national office
$91.18
Autonomic testing, adrenergic function
95922-26 · Professional component
$45.76
Pays only the interpretation and report.
How 95922 has changed in Kentucky
95922 · Office / nonfacility
$84.67
Effective 2026-10-01
The base rate is $5.32 higher than on 2025-10-01, moving from $79.35 to $84.67 (6.7%).
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
$79.35changed to$84.67
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.64 changed to 1.72
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$86.90changed to$79.35
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.83 changed to 1.64
- Malpractice RVU 0.05 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$85.48changed to$86.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$89.62changed to$85.48
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.87 changed to 1.83
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$94.78changed to$89.62
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.99 changed to 1.87
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$98.30changed to$94.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.08 changed to 1.99
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$92.24changed to$98.30
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.76 changed to 2.08
- Malpractice RVU 0.07 changed to 0.06
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$89.65changed to$92.24
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.68 changed to 1.76
- Malpractice RVU 0.06 changed to 0.07
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$91.79changed to$89.65
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.76 changed to 1.68
- Malpractice RVU 0.05 changed to 0.06
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$93.12changed to$91.79
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.82 changed to 1.76
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$93.24changed to$93.12
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.84 changed to 1.82
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$92.98changed to$93.24
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.83 changed to 1.84
- Malpractice RVU 0.04 changed to 0.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$92.52changed to$92.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$98.25changed to$92.52
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.00 changed to 1.83
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$98.84changed to$98.25
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.19 changed to 2.00
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $98.84
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $84.67 | Not available in this setting | RVU26D |
| 2026-07-01 | $84.67 | Not available in this setting | RVU26C |
| 2026-04-01 | $84.67 | Not available in this setting | RVU26B |
| 2026-01-01 | $84.67 | Not available in this setting | RVU26A |
| 2025-10-01 | $79.35 | Not available in this setting | RVU25D |
| 2025-07-01 | $79.35 | Not available in this setting | RVU25C |
| 2025-04-01 | $79.35 | Not available in this setting | RVU25B |
| 2025-01-01 | $79.35 | Not available in this setting | RVU25A |
| 2024-10-01 | $86.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $86.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $86.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $86.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $85.48 | Not available in this setting | RVU24A |
| 2023-10-01 | $89.62 | Not available in this setting | RVU23D |
| 2023-07-01 | $89.62 | Not available in this setting | RVU23C |
| 2023-04-01 | $89.62 | Not available in this setting | RVU23B |
| 2023-01-01 | $89.62 | Not available in this setting | RVU23A |
| 2022-10-01 | $94.78 | Not available in this setting | RVU22D |
| 2022-07-01 | $94.78 | Not available in this setting | RVU22C |
| 2022-04-01 | $94.78 | Not available in this setting | RVU22B |
| 2022-01-01 | $94.78 | Not available in this setting | RVU22A |
| 2021-10-01 | $98.30 | Not available in this setting | RVU21D |
| 2021-07-01 | $98.30 | Not available in this setting | RVU21C |
| 2021-04-01 | $98.30 | Not available in this setting | RVU21B |
| 2021-01-01 | $98.30 | Not available in this setting | RVU21A |
| 2020-10-01 | $92.24 | Not available in this setting | RVU20D |
| 2020-07-01 | $92.24 | Not available in this setting | RVU20C |
| 2020-04-01 | $92.24 | Not available in this setting | RVU20B |
| 2020-01-01 | $92.24 | Not available in this setting | RVU20A |
| 2019-10-01 | $89.65 | Not available in this setting | RVU19D |
| 2019-07-01 | $89.65 | Not available in this setting | RVU19C |
| 2019-04-01 | $89.65 | Not available in this setting | RVU19B |
| 2019-01-01 | $89.65 | Not available in this setting | RVU19A |
| 2018-10-01 | $91.79 | Not available in this setting | RVU18D |
| 2018-07-01 | $91.79 | Not available in this setting | RVU18C |
| 2018-04-01 | $91.79 | Not available in this setting | RVU18B |
| 2018-01-01 | $91.79 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $93.12 | Not available in this setting | RVU17D |
| 2017-07-01 | $93.12 | Not available in this setting | RVU17C |
| 2017-04-01 | $93.12 | Not available in this setting | RVU17B |
| 2017-01-01 | $93.12 | Not available in this setting | RVU17A |
| 2016-10-01 | $93.24 | Not available in this setting | RVU16D |
| 2016-07-01 | $93.24 | Not available in this setting | RVU16C |
| 2016-04-01 | $93.24 | Not available in this setting | RVU16B |
| 2016-01-01 | $93.24 | Not available in this setting | RVU16A |
| 2015-10-01 | $92.98 | Not available in this setting | RVU15D |
| 2015-07-01 | $92.98 | Not available in this setting | RVU15C |
| 2015-04-01 | $92.52 | Not available in this setting | RVU15B |
| 2015-01-01 | $92.52 | Not available in this setting | RVU15A |
| 2014-10-01 | $98.25 | Not available in this setting | RVU14D |
| 2014-07-01 | $98.25 | Not available in this setting | RVU14C |
| 2014-04-01 | $98.25 | Not available in this setting | RVU14B |
| 2014-01-01 | $98.25 | Not available in this setting | RVU14A |
| 2013-10-01 | $98.84 | Not available in this setting | RVU13D |
| 2013-07-01 | $98.84 | Not available in this setting | RVU13C |
| 2013-04-01 | $98.84 | Not available in this setting | RVU13B |
| 2013-01-01 | $98.84 | Not available in this setting | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
95922 billing questions
How is 95922 different from 95921?
95922 represents testing of adrenergic sympathetic function, while 95921 represents cardiovagal parasympathetic function. Choose based on the function actually tested and documented.
When should 95924 be considered instead?
95924 describes combined parasympathetic and sympathetic autonomic testing with tilt. Consider it when the performed service assesses both branches as a combined test, rather than assuming 95922 alone represents the full battery.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Billing without either modifier represents the global service.
What documentation supports 95922?
Document the adrenergic function assessment, the maneuvers or measurements performed, and the clinical reason for testing. The record should make clear that the service evaluated sympathetic autonomic responses.
Can 95922 be used for sudomotor testing?
No. Sudomotor function is represented by 95923; 95922 is for adrenergic function.
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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