CPT code 95992: Canalith repositioning, per-day BPPV treatment2026 Medicare rate & RVUs

Medicare pays $40.75 for 95992 nationally in the office and $29.73 in a hospital or facility. Local office rates run $38.21–$53.66.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95992 covers

This service treats benign paroxysmal positional vertigo (BPPV), in which displaced inner-ear particles trigger brief vertigo with changes in head position. A clinician, commonly a physical therapist or physician with vestibular training, performs a canalith repositioning maneuver such as the Epley or Semont maneuver. It is typically provided in an outpatient clinic after positional testing identifies findings consistent with BPPV.

Report 95992 once for the date of service, even when the clinician repeats or adjusts repositioning maneuvers during that visit. Documentation should identify the positional symptoms and findings, the affected side or suspected canal when known, the maneuver performed, and the patient's response. CMS assigns work, practice-expense, and malpractice RVUs to the service; the practice-expense RVU differs between office and facility settings.

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 95992 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95992 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95992 rate is calculated

Each of 95992’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.

Payment rules and modifiers for 95992

95992 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

95992 compared with similar codes

How to choose

92542Positional nystagmusWith recording

92542 is a diagnostic positional nystagmus test; 95992 is the therapeutic maneuver used to reposition canaliths.

97112Neuromuscular reeducationBalance, coordination, proprioception, timed

97112 describes neuromuscular reeducation, such as separately performed balance or coordination training. It does not describe the canalith repositioning maneuver itself.

92540Vestibular evaluationBasic test battery

92540 represents a basic vestibular evaluation, while 95992 describes treatment of BPPV with a repositioning maneuver.

Codes related to 95992

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates