Billing code 92549: Dynamic posturographyMedicare rate & RVUs

Medicare pays $62.46 for 92549 nationally in the office. Local office rates run $57.43–$80.04.

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

What 92549 covers

This computerized balance assessment evaluates how a patient maintains posture when visual, somatosensory, and support-surface cues are varied. The sensory organization test uses six conditions; the motor control test assesses responses to platform translations, and the adaptation test assesses responses to platform rotations. Audiologists and other vestibular clinicians typically perform the testing in an audiology or vestibular clinic, with a practitioner interpreting the results and preparing a report. It can help characterize balance impairment in patients with dizziness, unsteadiness, or suspected vestibular dysfunction.

Report 92549 for the combined testing, rather than for the six-condition sensory organization portion alone. Documentation should identify the testing performed and include findings and interpretation supporting the balance assessment. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and no component modifier represents the global service. The reported component should match the work and resources furnished by the billing entity.

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 92549 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

92549 rates by state

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

How the 92549 rate is calculated

Each of 92549’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 92549

The CMS indicators that decide how 92549 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

92549 compared with similar codes

How to choose

92548Posturography

92548 covers the six-condition sensory organization test. Choose 92549 when motor control and adaptation testing are also performed.

92540Vestibular evaluation

92540 is a basic vestibular evaluation, not computerized postural testing on a dynamic platform. The services assess different aspects of vestibular function.

92546Rotational test

92546 assesses vestibular responses during rotational testing. 92549 assesses postural control across sensory conditions and includes motor control and adaptation testing.

Codes related to 92549

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