CPT code 95922: Autonomic testing, adrenergic function2026 Medicare rate & RVUs in Maine
Reports testing of sympathetic adrenergic autonomic function, such as blood pressure and heart-rate responses during Valsalva maneuver or head-up tilt.
Medicare pays $85.96–$90.05 for 95922 in the office in Maine, from Rest of Maine to Southern Maine, ME. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 95922 pays more and less in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | $85.96 | Unavailable |
| Southern Maine, ME | $90.05 | Unavailable |
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.
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.
95922 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95921Autonomic testingParasympathetic function
- Use 95921 for cardiovagal parasympathetic assessment; use 95922 for adrenergic sympathetic assessment.
- 95923Sweat function testSudomotor testing
- 95923 assesses sudomotor function, whereas 95922 assesses adrenergic responses such as blood pressure and heart-rate changes.
- 95924Autonomic testingCombined tilt-table protocol
- 95924 represents combined parasympathetic and sympathetic testing with tilt. 95922 represents the adrenergic function portion when that is the service performed.
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.
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