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

A clinician uses a positional maneuver to treat benign paroxysmal positional vertigo by moving displaced inner-ear particles out of a symptomatic canal.

CMS RVU26DEffective Oct 1, 2026One payment locality125.5K Medicare services in 2024

In Dallas, TX, Medicare pays $40.81 for 95992 in the office and $29.83 when it’s performed in a hospital or facility.

$40.81Office (non-facility)
$29.83Hospital or facility
+0.1%vs the national office rate ($40.75)

Check a contract rate as a % of Medicare · 95992 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 95992 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 95992 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 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.

How Dallas, TX compares for 95992

Across 109 of 109 payment localities, the office rate for 95992 runs from $38.21 in Arkansas to $53.66 in Alaska. Dallas, TX pays $40.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

95992 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$40.81
  2. Austin, TX · Texas$41.63+$0.82
  3. Beaumont, TX · Texas$39.29−$1.52
  4. Brazoria, TX · Texas$40.66−$0.15
  5. Fort Worth, TX · Texas$40.66−$0.15
  6. Galveston, TX · Texas$40.72−$0.09
  7. Houston, TX · Texas$41.09+$0.28

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

Every other payment area

95992 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$39.88$29.42
Los Angeles, CACalifornia$44.40$31.36
Washington, DC areaDistrict of Columbia$44.94$31.95
Miami, FLFlorida$42.41$30.94
Chicago, ILIllinois$41.86$30.79
Manhattan, NYNew York$45.24$32.44
AlaskaAlaska$53.66$41.92
AlabamaAlabama$38.50$28.85

95992 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$38.21

$53.66

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

View every state and territory as a table
95992 office rate range by state
State / territoryOffice rate rangeLocalities
AK$53.661
AL$38.501
AR$38.211
AZ$40.171
CA$42.36–$50.0629
CO$41.901
CT$42.591
DC$44.941
DE$40.621
FL$40.39–$42.413
GA$39.18–$41.212
GU$42.621
HI$42.621
IA$39.011
ID$39.141
IL$39.76–$41.864
IN$39.261
KS$38.911
KY$38.951
LA$38.92–$39.912
MA$41.84–$44.722
MD$41.13–$44.943
ME$39.24–$40.362
MI$39.47–$40.662
MN$40.731
MO$38.57–$40.003
MS$38.391
MT$40.751
NC$39.461
ND$40.351
NE$39.121
NH$41.311
NJ$43.23–$44.842
NM$39.581
NV$40.651
NY$39.77–$45.855
OH$39.391
OK$38.921
OR$40.49–$42.712
PA$39.43–$41.962
PR$40.911
RI$41.661
SC$39.461
SD$40.311
TN$39.011
TX$39.29–$41.638
UT$39.741
VA$40.29–$44.942
VI$40.911
VT$40.261
WA$41.74–$45.412
WI$39.631
WV$38.981
WY$40.581

See 95992 in every payment locality

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.

How the rate is built · 95992

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense0.47

0.47 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2200

Conversion factor

$33.4009

Medicare rate

$40.75

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

The exact Dallas, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,737

Code
95992
Physician work
0.73
Practice expense
0.47
Malpractice
0.02

GPCI2026.csv

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 95992 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0090.7366
Practice expense0.47× 0.9960.4681
Malpractice0.02× 0.8580.0172
Total RVUs1.2218
Conversion factor× 33.4009

Office rate, Dallas, TX$40.81

Office: (0.73 × 1.009 + 0.47 × 0.996 + 0.02 × 0.858) × $33.4009 = $40.81

Facility: (0.73 × 1.009 + 0.14 × 0.996 + 0.02 × 0.858) × $33.4009 = $29.83

Open 95992 in the RVU calculator

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.

Place of service · 95992

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$40.75

Non-facility (office)
$40.75
Facility
$29.73

Higher because the practice carries its own overhead.

Codes related to 95992

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

Codes related to 95992
CodeHow it relatesOffice range, Dallas, TX
Often billed with
92542Positional nystagmus, with recordingPositional nystagmus testing can help identify positional findings before repositioning treatment.$28.39
97112Neuromuscular reeducation, balance, coordination, proprioception, timedMay describe separately documented balance or coordination training beyond the repositioning maneuver.$32.77
92540Vestibular evaluation, basic test batteryA broader vestibular evaluation may be performed to assess vestibular findings around the treatment visit.$103.67

How 95992 has changed in Dallas, TX

95992 · Office / nonfacility

$40.81

Effective 2026-10-01

The base rate is $0.53 lower than on 2025-10-01, moving from $41.34 to $40.81 (1.3%).

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

    $41.34changed to$40.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 0.49 changed to 0.47
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.54changed to$41.34

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.85changed to$42.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $44.04changed to$41.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.50 changed to 0.49
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $44.71changed to$44.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.49 changed to 0.50
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $45.08changed to$44.71

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.04changed to$45.08

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.47 changed to 0.49
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.27changed to$46.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.46 changed to 0.47
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $44.49changed to$45.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.44 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $44.04changed to$44.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.43 changed to 0.44
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $43.98changed to$44.04

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $43.50changed to$43.98

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.42 changed to 0.43
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $43.28changed to$43.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $44.29changed to$43.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.43 changed to 0.42
    • Malpractice RVU 0.05 changed to 0.03
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $43.43changed to$44.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.47 changed to 0.43
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $43.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$40.81$29.83RVU26D
2026-07-01$40.81$29.83RVU26C
2026-04-01$40.81$29.83RVU26B
2026-01-01$40.81$29.83RVU26A
2025-10-01$41.34$34.50RVU25D
2025-07-01$41.34$34.50RVU25C
2025-04-01$41.34$34.50RVU25B
2025-01-01$41.34$34.50RVU25A
2024-10-01$42.54$35.50RVU24D
2024-07-01$42.54$35.50RVU24C
2024-04-01$42.54$35.50RVU24B
2024-03-09$42.54$35.50RVU24AR
2024-01-01$41.85$34.92RVU24A
2023-10-01$44.04$36.46RVU23D
2023-07-01$44.04$36.46RVU23C
2023-04-01$44.04$36.46RVU23B
2023-01-01$44.04$36.46RVU23A
2022-10-01$44.71$37.25RVU22D
2022-07-01$44.71$37.25RVU22C
2022-04-01$44.71$37.25RVU22B
2022-01-01$44.71$37.25RVU22A
2021-10-01$45.08$37.56RVU21D
2021-07-01$45.08$37.56RVU21C
2021-04-01$45.08$37.56RVU21B
2021-01-01$45.08$37.56RVU21A
2020-10-01$46.04$39.05RVU20D
2020-07-01$46.04$39.05RVU20C
2020-04-01$46.04$39.05RVU20B
2020-01-01$46.04$39.05RVU20A
2019-10-01$45.27$38.69RVU19D
2019-07-01$45.27$38.69RVU19C
2019-04-01$45.27$38.69RVU19B
2019-01-01$45.27$38.69RVU19A
2018-10-01$44.49$38.65RVU18D
2018-07-01$44.49$38.65RVU18C
2018-04-01$44.49$38.65RVU18B
2018-01-01$44.49$38.65RVU18AR1
2017-10-01$44.04$38.23RVU17D
2017-07-01$44.04$38.23RVU17C
2017-04-01$44.04$38.23RVU17B
2017-01-01$44.04$38.23RVU17A
2016-10-01$43.98$38.20RVU16D
2016-07-01$43.98$38.20RVU16C
2016-04-01$43.98$38.20RVU16B
2016-01-01$43.98$38.20RVU16A
2015-10-01$43.50$38.06RVU15D
2015-07-01$43.50$38.06RVU15C
2015-04-01$43.28$37.87RVU15B
2015-01-01$43.28$37.87RVU15A
2014-10-01$44.29$38.84RVU14D
2014-07-01$44.29$38.84RVU14C
2014-04-01$44.29$38.84RVU14B
2014-01-01$44.29$38.84RVU14A
2013-10-01$43.43$37.20RVU13D
2013-07-01$43.43$37.20RVU13C
2013-04-01$43.43$37.20RVU13B
2013-01-01$43.43$37.20RVU13AR

Price 95992 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

95992 billing questions

Is 95992 reported once for each maneuver?

No. The code is reported per day, so repeated repositioning maneuvers during the same date of service do not create additional units.

How is 95992 different from positional nystagmus testing?

95992 describes treatment with a canalith repositioning maneuver. Positional nystagmus testing, such as 92542, is diagnostic assessment rather than repositioning treatment.

What documentation supports 95992?

Record positional symptoms and examination findings, the side or canal involved when identified, the maneuver performed, and the patient's response.

Can 95992 be reported with balance training?

A separately performed balance or coordination intervention may be distinct from repositioning. Document the separate skilled work rather than treating the maneuver itself as balance training.

Which clinicians commonly perform this service?

Physical therapists and physicians with vestibular training commonly perform canalith repositioning for BPPV.

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 95992PPRRVU2026_Oct_nonQPP.csv, line 12,737 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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