CPT code 95924: Autonomic testing, combined tilt-table protocol2026 Medicare rate & RVUs in South Dakota

Report 95924 for combined parasympathetic and sympathetic adrenergic autonomic assessment using tilt-table testing with continuous monitoring in patients evaluated for suspected autonomic dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality22.7K Medicare services in 2024

In South Dakota, Medicare pays $152.43 for 95924 in the office.

$152.43Office (non-facility)
Not available in this settingHospital or facility
−1.4%vs the national office rate ($154.65)

Check a contract rate as a % of Medicare · 95924 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 95924 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 95924 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 95924 covers

This service evaluates both parasympathetic (cardiovagal) and sympathetic adrenergic responses during a tilt-table protocol. Testing can include continuous blood pressure and heart-rate monitoring during maneuvers such as Valsalva and deep breathing, along with the tilt response. Neurology or autonomic-disorders services commonly perform it for patients with findings such as unexplained syncope, orthostatic symptoms, or suspected autonomic neuropathy. A physician or qualified health professional interprets the physiologic responses.

Select this code when the performed protocol assesses both parasympathetic and sympathetic adrenergic function with tilt-table testing, rather than testing only one autonomic function or a different modality. The record should identify the maneuvers performed, monitoring and measurements obtained, and interpretation of the responses. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no modifier when billing 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 South Dakota compares for 95924

Across 109 of 109 payment localities, the office rate for 95924 runs from $139.84 in Arkansas to $200.79 in San Benito County, CA. South Dakota pays $152.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

95924 in South Dakota vs other payment areas
  1. South Dakota · this page$152.43
  2. Los Angeles, CA · California$173.01+$20.58
  3. Washington, DC area · District of Columbia$174.79+$22.36
  4. Miami, FL · Florida$163.59+$11.16
  5. Chicago, IL · Illinois$159.84+$7.41
  6. Manhattan, NY · New York$175.45+$23.02
  7. Alaska · Alaska$188.12+$35.69

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

Every other payment area

95924 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$141.51—
ArkansasArkansas$139.84—
ArizonaArizona$151.27—
Bakersfield, CACalifornia$163.42—
Chico, CACalifornia$163.06—
El Centro, CACalifornia$163.07—
Fresno, CACalifornia$163.06—
Hanford, CACalifornia$163.06—

95924 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.

$139.84

$188.12

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

View every state and territory as a table
95924 office rate range by state
State / territoryOffice rate rangeLocalities
AK$188.121
AL$141.511
AR$139.841
AZ$151.271
CA$163.06–$200.7929
CO$160.591
CT$163.701
DC$174.791
DE$153.481
FL$152.21–$163.593
GA$145.19–$156.992
GU$166.051
HI$166.051
IA$144.681
ID$145.401
IL$148.39–$160.154
IN$146.101
KS$144.011
KY$143.981
LA$143.75–$149.582
MA$159.85–$174.792
MD$156.07–$174.793
ME$145.90–$152.572
MI$146.94–$153.662
MN$155.011
MO$141.65–$150.163
MS$140.771
MT$154.641
NC$147.171
ND$152.661
NE$145.371
NH$158.061
NJ$165.89–$173.482
NM$147.561
NV$154.181
NY$148.98–$178.885
OH$146.541
OK$143.891
OR$153.28–$165.102
PA$146.79–$160.172
PR$155.621
RI$158.471
SC$147.041
SD$152.431
TN$144.591
TX$145.99–$159.818
UT$148.691
VA$152.07–$174.792
VI$155.621
VT$152.061
WA$159.56–$178.152
WI$148.411
WV$143.831
WY$153.781

See 95924 in every payment locality

How the 95924 rate is calculated

Each of 95924’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 · 95924

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.73

1.73 RVUs× 1.000 GPCI

Practice expense2.80

2.80 RVUs× 1.000 GPCI

Malpractice0.10

0.10 RVUs× 1.000 GPCI

Adjusted RVUs

4.6300

Conversion factor

$33.4009

Medicare rate

$154.65

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,663

Code
95924
Physician work
1.73
Practice expense
2.80
Malpractice
0.10

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 95924 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.73× 1.0001.7300
Practice expense2.80× 1.0002.8000
Malpractice0.10× 0.3360.0336
Total RVUs4.5636
Conversion factor× 33.4009

Office rate, South Dakota$152.43

Office: (1.73 × 1 + 2.8 × 1 + 0.1 × 0.336) × $33.4009 = $152.43

Open 95924 in the RVU calculator

Payment rules and modifiers for 95924

The CMS indicators that decide how 95924 is paid alongside other services.

CMS payment indicators · 95924

Autonomic testing, combined tilt-table protocol

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

95924 without 26 · national office

$154.65

Autonomic testing, combined tilt-table protocol

95924-26 · Professional component

$87.84

Pays only the interpretation and report.

When to use modifier 26

How 95924 has changed in South Dakota

95924 · Office / nonfacility

$152.43

Effective 2026-10-01

The base rate is $11.78 higher than on 2025-10-01, moving from $140.65 to $152.43 (8.4%).

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

    $140.65changed to$152.43

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.58 changed to 2.80
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $148.53changed to$140.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.69 changed to 2.58
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $146.11changed to$148.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $150.92changed to$146.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.68 changed to 2.69
    • Malpractice RVU 0.12 changed to 0.11
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $151.86changed to$150.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.62 changed to 2.68
    • Malpractice RVU 0.11 changed to 0.12
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $151.72changed to$151.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.58 changed to 2.62

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $151.23changed to$151.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.42 changed to 2.58
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $150.30changed to$151.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.39 changed to 2.42
    • Malpractice RVU 0.13 changed to 0.11
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $151.80changed to$150.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.44 changed to 2.39
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $152.43changed to$151.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.47 changed to 2.44
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $148.16changed to$152.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.36 changed to 2.47
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $153.72changed to$148.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.52 changed to 2.36
    • Malpractice RVU 0.07 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $152.96changed to$153.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $144.63changed to$152.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.27 changed to 2.52
    • Malpractice RVU 0.09 changed to 0.07
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $145.92changed to$144.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.52 changed to 2.27
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $145.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$152.43Not available in this settingRVU26D
2026-07-01$152.43Not available in this settingRVU26C
2026-04-01$152.43Not available in this settingRVU26B
2026-01-01$152.43Not available in this settingRVU26A
2025-10-01$140.65Not available in this settingRVU25D
2025-07-01$140.65Not available in this settingRVU25C
2025-04-01$140.65Not available in this settingRVU25B
2025-01-01$140.65Not available in this settingRVU25A
2024-10-01$148.53Not available in this settingRVU24D
2024-07-01$148.53Not available in this settingRVU24C
2024-04-01$148.53Not available in this settingRVU24B
2024-03-09$148.53Not available in this settingRVU24AR
2024-01-01$146.11Not available in this settingRVU24A
2023-10-01$150.92Not available in this settingRVU23D
2023-07-01$150.92Not available in this settingRVU23C
2023-04-01$150.92Not available in this settingRVU23B
2023-01-01$150.92Not available in this settingRVU23A
2022-10-01$151.86Not available in this settingRVU22D
2022-07-01$151.86Not available in this settingRVU22C
2022-04-01$151.86Not available in this settingRVU22B
2022-01-01$151.86Not available in this settingRVU22A
2021-10-01$151.72Not available in this settingRVU21D
2021-07-01$151.72Not available in this settingRVU21C
2021-04-01$151.72Not available in this settingRVU21B
2021-01-01$151.72Not available in this settingRVU21A
2020-10-01$151.23Not available in this settingRVU20D
2020-07-01$151.23Not available in this settingRVU20C
2020-04-01$151.23Not available in this settingRVU20B
2020-01-01$151.23Not available in this settingRVU20A
2019-10-01$150.30Not available in this settingRVU19D
2019-07-01$150.30Not available in this settingRVU19C
2019-04-01$150.30Not available in this settingRVU19B
2019-01-01$150.30Not available in this settingRVU19A
2018-10-01$151.80Not available in this settingRVU18D
2018-07-01$151.80Not available in this settingRVU18C
2018-04-01$151.80Not available in this settingRVU18B
2018-01-01$151.80Not available in this settingRVU18AR1
2017-10-01$152.43Not available in this settingRVU17D
2017-07-01$152.43Not available in this settingRVU17C
2017-04-01$152.43Not available in this settingRVU17B
2017-01-01$152.43Not available in this settingRVU17A
2016-10-01$148.16Not available in this settingRVU16D
2016-07-01$148.16Not available in this settingRVU16C
2016-04-01$148.16Not available in this settingRVU16B
2016-01-01$148.16Not available in this settingRVU16A
2015-10-01$153.72Not available in this settingRVU15D
2015-07-01$153.72Not available in this settingRVU15C
2015-04-01$152.96Not available in this settingRVU15B
2015-01-01$152.96Not available in this settingRVU15A
2014-10-01$144.63Not available in this settingRVU14D
2014-07-01$144.63Not available in this settingRVU14C
2014-04-01$144.63Not available in this settingRVU14B
2014-01-01$144.63Not available in this settingRVU14A
2013-10-01$145.92Not available in this settingRVU13D
2013-07-01$145.92Not available in this settingRVU13C
2013-04-01$145.92Not available in this settingRVU13B
2013-01-01$145.92Not available in this settingRVU13AR

Price 95924 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

95924 billing questions

When should 95924 be selected instead of 95921 or 95922?

Use 95924 for combined parasympathetic and sympathetic adrenergic assessment that includes tilt-table testing. Codes 95921 and 95922 describe testing focused on the respective autonomic function.

Does 95924 include sudomotor testing?

The service represented by 95924 is combined parasympathetic and sympathetic adrenergic testing with tilt-table assessment. Sudomotor testing is a distinct autonomic testing modality represented by 95923.

How should the professional and technical portions be billed?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.

What documentation supports reporting 95924?

Document the tilt-table protocol, the parasympathetic and sympathetic adrenergic responses assessed, the monitoring and measurements obtained, and the interpretation.

Can 95921 or 95922 also be reported for the same testing?

Choose 95924 when the combined tilt-table protocol is performed. The record should make clear which distinct testing services were performed before reporting additional autonomic testing codes.

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 95924PPRRVU2026_Oct_nonQPP.csv, line 12,663 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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