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CMS RVU26D · Effective 2026-10-01

92516 in Wyoming**

Office / nonfacility

$74.89

Base rate per service

Facility setting

$18.44

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Otolaryngology testing

About 92516: Facial nerve function assessment

A focused assessment of facial nerve motor function, reported when evaluating facial weakness, paralysis, or a suspected nerve injury.

This service evaluates facial nerve motor function, including the patient’s ability to move facial muscles and the symmetry of those movements. It is used in cases such as new facial weakness or paralysis, including suspected Bell palsy or facial nerve injury. Otolaryngologists and other clinicians evaluating facial nerve disorders may perform it in an office or facility setting. The findings can help characterize the deficit and guide further evaluation or treatment.

Report 92516 for a distinct facial nerve function assessment, not merely a brief facial inspection during a general visit. The record should identify the reason for testing, the facial movements or responses assessed, and the findings, including affected side and degree or pattern of weakness when documented. If needle electromyography is performed to assess cranial nerve-supplied muscles, distinguish that service from this functional assessment and report the applicable electrodiagnostic code. CMS payment facts supplied for this code do not specify additional payment-rule details.

Where the value comes from

  • Work RVU0.42 · 19%
  • Practice expense (office) RVU1.80 · 80%
  • Malpractice RVU0.03 · 1%

269

Medicare services in 2024 · #4080 by national volume

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.

92516 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

95867

Needle EMG

Cranial nerve muscles, one side

$106.87

Use 95867 for needle EMG of cranial nerve-supplied muscles on one side. Use 92516 for the facial nerve function assessment rather than the needle EMG itself.

95868

Needle EMG

Bilateral cranial nerve muscles

$128.74

Use 95868 for needle EMG of cranial nerve-supplied muscles on both sides. It is an electrodiagnostic service, not the facial nerve function assessment represented by 92516.

92517

VEMP testing

Cervical response

$73.31

92517 evaluates cervical vestibular evoked myogenic responses. It assesses vestibular function, whereas 92516 evaluates facial nerve motor function.

The same code, a different location

How does Wyoming** compare?

92516 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $74.89

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $86.39

    $11.50 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $86.72

    $11.83 higher than Wyoming**

  4. Miami

    $79.15

    $4.26 higher than Wyoming**

  5. Chicago

    $76.85

    $1.96 higher than Wyoming**

  6. Manhattan

    $86.38

    $11.49 higher than Wyoming**

  7. Alaska*

    $85.62

    $10.73 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92516 ranges from $66.19 in Arkansas to $102.80 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 92516

    Office

    $67.20

    Facility

    $17.81

    $7.69 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 92516

    Office

    $66.19

    Facility

    $17.70

    $8.70 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 92516

    Office

    $73.14

    Facility

    $18.45

    $1.75 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 92516

    Office

    $80.80

    Facility

    $18.93

    $5.91 higher than Wyoming** for the office setting.

  • Chico

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • El Centro

    California · 92516

    Office

    $80.70

    Facility

    $18.84

    $5.81 higher than Wyoming** for the office setting.

  • Fresno

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Madera

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Merced

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Modesto

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Napa

    California · 92516

    Office

    $94.66

    Facility

    $20.26

    $19.77 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92516

    Office

    $86.11

    Facility

    $19.39

    $11.22 higher than Wyoming** for the office setting.

  • Redding

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92516

    Office

    $81.03

    Facility

    $19.16

    $6.14 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92516

    Office

    $84.99

    Facility

    $19.34

    $10.10 higher than Wyoming** for the office setting.

  • Salinas

    California · 92516

    Office

    $84.68

    Facility

    $19.26

    $9.79 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92516

    Office

    $86.90

    Facility

    $19.39

    $12.01 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92516

    Office

    $100.59

    Facility

    $21.00

    $25.70 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92516

    Office

    $100.56

    Facility

    $20.97

    $25.67 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92516

    Office

    $102.80

    Facility

    $21.41

    $27.91 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92516

    Office

    $102.66

    Facility

    $21.27

    $27.77 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92516

    Office

    $83.28

    Facility

    $18.99

    $8.39 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 92516

    Office

    $87.91

    Facility

    $19.32

    $13.02 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 92516

    Office

    $85.06

    Facility

    $19.24

    $10.17 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 92516

    Office

    $88.82

    Facility

    $19.50

    $13.93 higher than Wyoming** for the office setting.

  • Stockton

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Vallejo

    California · 92516

    Office

    $94.61

    Facility

    $20.21

    $19.72 higher than Wyoming** for the office setting.

  • Visalia

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Yuba City

    California · 92516

    Office

    $80.70

    Facility

    $18.83

    $5.81 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 92516

    Office

    $78.95

    Facility

    $18.89

    $4.06 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 92516

    Office

    $80.27

    Facility

    $19.48

    $5.38 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 92516

    Office

    $74.40

    Facility

    $18.63

    $0.49 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 92516

    Office

    $76.74

    Facility

    $19.56

    $1.85 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 92516

    Office

    $73.01

    Facility

    $19.05

    $1.88 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 92516

    Office

    $76.36

    Facility

    $19.01

    $1.47 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 92516

    Office

    $68.85

    Facility

    $18.50

    $6.04 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 92516

    Office

    $82.97

    Facility

    $18.79

    $8.08 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 92516

    Office

    $69.44

    Facility

    $17.79

    $5.45 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 92516

    Office

    $69.81

    Facility

    $17.88

    $5.08 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 92516

    Office

    $71.36

    Facility

    $19.43

    $3.53 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 92516

    Office

    $70.49

    Facility

    $18.95

    $4.40 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 92516

    Office

    $77.65

    Facility

    $19.68

    $2.76 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 92516

    Office

    $70.25

    Facility

    $17.92

    $4.64 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 92516

    Office

    $68.88

    Facility

    $17.85

    $6.01 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 92516

    Office

    $68.39

    Facility

    $18.21

    $6.50 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 92516

    Office

    $71.74

    Facility

    $18.62

    $3.15 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 92516

    Office

    $68.20

    Facility

    $18.24

    $6.69 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 92516

    Office

    $87.28

    Facility

    $19.88

    $12.39 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92516

    Office

    $78.36

    Facility

    $18.92

    $3.47 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92516

    Office

    $80.00

    Facility

    $19.43

    $5.11 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 92516

    Office

    $75.93

    Facility

    $18.81

    $1.04 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 92516

    Office

    $69.96

    Facility

    $18.03

    $4.93 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 92516

    Office

    $74.24

    Facility

    $18.30

    $0.65 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 92516

    Office

    $73.74

    Facility

    $19.26

    $1.15 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 92516

    Office

    $70.05

    Facility

    $18.51

    $4.84 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 92516

    Office

    $76.19

    Facility

    $18.11

    $1.30 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 92516

    Office

    $71.46

    Facility

    $18.46

    $3.43 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 92516

    Office

    $72.27

    Facility

    $18.53

    $2.62 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 92516

    Office

    $66.83

    Facility

    $18.17

    $8.06 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 92516

    Office

    $66.53

    Facility

    $17.93

    $8.36 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 92516

    Office

    $75.15

    Facility

    $18.70

    $0.26 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 92516

    Office

    $70.76

    Facility

    $18.10

    $4.13 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 92516

    Office

    $74.56

    Facility

    $18.11

    $0.33 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 92516

    Office

    $69.90

    Facility

    $17.80

    $4.99 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 92516

    Office

    $77.49

    Facility

    $18.73

    $2.60 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 92516

    Office

    $85.72

    Facility

    $20.24

    $10.83 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 92516

    Office

    $81.34

    Facility

    $19.70

    $6.45 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 92516

    Office

    $70.36

    Facility

    $18.60

    $4.53 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 92516

    Office

    $75.04

    Facility

    $18.54

    $0.15 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92516

    Office

    $88.27

    Facility

    $21.16

    $13.38 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92516

    Office

    $81.71

    Facility

    $19.90

    $6.82 higher than Wyoming** for the office setting.

  • Queens

    New York · 92516

    Office

    $87.43

    Facility

    $20.71

    $12.54 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 92516

    Office

    $71.85

    Facility

    $18.22

    $3.04 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 92516

    Office

    $69.93

    Facility

    $18.39

    $4.96 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 92516

    Office

    $68.50

    Facility

    $18.09

    $6.39 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 92516

    Office

    $81.79

    Facility

    $19.08

    $6.90 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 92516

    Office

    $74.61

    Facility

    $18.39

    $0.28 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92516

    Office

    $78.06

    Facility

    $19.30

    $3.17 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92516

    Office

    $70.17

    Facility

    $18.35

    $4.72 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 92516

    Office

    $75.80

    Facility

    $18.73

    $0.91 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 92516

    Office

    $77.29

    Facility

    $18.98

    $2.40 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 92516

    Office

    $70.43

    Facility

    $18.27

    $4.46 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 92516

    Office

    $74.49

    Facility

    $18.04

    $0.40 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 92516

    Office

    $69.22

    Facility

    $17.91

    $5.67 lower than Wyoming** for the office setting.

  • Austin

    Texas · 92516

    Office

    $78.55

    Facility

    $18.83

    $3.66 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 92516

    Office

    $69.67

    Facility

    $18.30

    $5.22 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 92516

    Office

    $74.50

    Facility

    $18.56

    $0.39 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 92516

    Office

    $74.90

    Facility

    $18.67

    $0.01 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 92516

    Office

    $74.31

    Facility

    $18.65

    $0.58 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 92516

    Office

    $74.67

    Facility

    $18.62

    $0.22 lower than Wyoming** for the office setting.

  • Houston

    Texas · 92516

    Office

    $75.22

    Facility

    $19.17

    $0.33 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 92516

    Office

    $71.99

    Facility

    $18.42

    $2.90 lower than Wyoming** for the office setting.

  • Utah

    Utah · 92516

    Office

    $71.44

    Facility

    $18.38

    $3.45 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 92516

    Office

    $73.84

    Facility

    $18.35

    $1.05 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92516

    Office

    $75.80

    Facility

    $18.73

    $0.91 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 92516

    Office

    $74.06

    Facility

    $18.17

    $0.83 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 92516

    Office

    $78.28

    Facility

    $18.84

    $3.39 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 92516

    Office

    $89.32

    Facility

    $20.06

    $14.43 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 92516

    Office

    $71.93

    Facility

    $17.86

    $2.96 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 92516

    Office

    $67.71

    Facility

    $18.66

    $7.18 lower than Wyoming** for the office setting.

See how rates vary across the country

92516 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$66.19

$91.75

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$85.621
AL$67.201
AR$66.191
AZ$73.141
CA$80.70–$102.8029
CO$78.951
CT$80.271
DC$86.721
DE$74.401
FL$73.01–$79.153
GA$68.85–$76.362
GU$82.971
HI$82.971
IA$69.441
ID$69.811
IL$70.49–$77.654
IN$70.251
KS$68.881
KY$68.391
LA$68.20–$71.742
MA$78.36–$87.282
MD$75.93–$86.723
ME$69.96–$74.242
MI$70.05–$73.742
MN$76.191
MO$66.83–$72.273
MS$66.531
MT$75.151
NC$70.761
ND$74.561
NE$69.901
NH$77.491
NJ$81.34–$85.722
NM$70.361
NV$75.041
NY$71.85–$88.275
OH$69.931
OK$68.501
OR$74.61–$81.792
PA$70.17–$78.062
PR$75.801
RI$77.291
SC$70.431
SD$74.491
TN$69.221
TX$69.67–$78.558
UT$71.441
VA$73.84–$86.722
VI$75.801
VT$74.061
WA$78.28–$89.322
WI$71.931
WV$67.711
WY$74.891

Explore 92516 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 92516 in Wyoming**, the physician’s office rate is $74.89 and the facility-setting rate is $18.44: a difference of $56.45.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92516 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$82.38

$74.89 × 110% = $82.38

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92516 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

11,783

Code
92516
Physician work
0.42
Practice expense
1.80
Malpractice
0.03

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 92516 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.42× 1.0000.4200
Practice expense1.80× 1.0001.8000
Malpractice0.03× 0.7400.0222
Total RVUs2.2422
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$74.89

Open 92516 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.421
Practice expense1.81
Malpractice0.030.74

(0.42 × 1 + 1.8 × 1 + 0.03 × 0.74) × $33.4009 = $74.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.421
Practice expense0.111
Malpractice0.030.74

(0.42 × 1 + 0.11 × 1 + 0.03 × 0.74) × $33.4009 = $18.44

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92516 · Office / nonfacility

$74.89

Effective 2026-10-01

The base rate is $4.63 higher than on 2025-10-01, moving from $70.26 to $74.89 (6.6%).

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

    $70.26changed to$74.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.43 changed to 0.42
    • Practice expense RVU 1.72 changed to 1.80
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $70.26

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$74.89$18.44RVU26D
2026-07-01$74.89$18.44RVU26C
2026-04-01$74.89$18.44RVU26B
2026-01-01$74.89$18.44RVU26A
2025-10-01$70.26$21.42RVU25D
2025-07-01$70.26$21.42RVU25C
2025-04-01$70.26$21.42RVU25B
2025-01-01$70.26$21.42RVU25A

92516 billing questions

When is 92516 more appropriate than an ordinary examination?

Use it for a distinct assessment of facial nerve motor function, such as evaluating facial weakness or paralysis. A brief observation of facial symmetry within a general examination alone does not describe that service.

Is 92516 the same as facial muscle needle EMG?

No. Needle EMG records electrical activity in selected muscles; 92516 represents a facial nerve function assessment. If both are performed, the documentation should distinguish the services.

What findings should the record include?

Document the clinical reason for testing, the movements or responses assessed, and the findings. Record the affected side and any observed asymmetry or weakness.

Can an ear examination be reported on the same date?

A separate otomicroscopic ear examination may be reported when it is performed and documented as a distinct service. The facial nerve assessment alone does not establish that an ear examination occurred.

Should the claim identify which side is affected?

Document the side and relevant findings in the clinical record. The supplied CMS facts do not specify a laterality modifier for this code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92516PPRRVU2026_Oct_nonQPP.csv, line 11,783 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet