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CMS RVU26D · Effective 2026-10-01

92542 in Wyoming**

Office / nonfacility

$28.22

Base rate per service

Facility setting

Not available in this setting

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.

Vestibular testing

About 92542: Recorded positional nystagmus test

Reports recorded observation of involuntary eye movements during positional maneuvers, helping evaluate dizziness and suspected vestibular disorders such as benign paroxysmal positional vertigo.

For this test, the clinician changes the patient’s head or body position and observes and records resulting nystagmus, or involuntary rhythmic eye movement. It is commonly performed by an audiologist or an ear, nose, and throat specialist as part of an evaluation for dizziness, vertigo, or suspected positional vestibular dysfunction. The recorded findings help characterize whether eye movements are triggered by position and support the broader clinical assessment; this test alone does not establish a diagnosis such as benign paroxysmal positional vertigo.

Report 92542 when positional testing is performed with recording. The record should identify the maneuvers or positions tested, document the observed eye movements and relevant findings, and support the interpretation. The related unrecorded test is 92532. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. When the positional test is included in the broader basic vestibular evaluation reported with 92540, do not separately report it as an additional service.

CMS billing rules for 92542

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.47 · 55%
  • Practice expense (office) RVU0.36 · 42%
  • Malpractice RVU0.02 · 2%

14.4K

Medicare services in 2024 · #1279 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.

92542 compared with similar codes

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

92532

Positional nystagmus test

No office rate

Use 92542 for positional nystagmus testing with recording; use 92532 when the test is performed without recording.

92541

Nystagmus test

Spontaneous, with recording

$24.54

92541 evaluates spontaneous nystagmus, rather than eye movements elicited by changing the patient’s position.

92540

Vestibular evaluation

Basic test battery

$103.37

92540 represents a broader basic vestibular evaluation that includes positional nystagmus testing. Do not separately report 92542 for that included service.

The same code, a different location

How does Wyoming** compare?

92542 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $28.22

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

    $31.01

    $2.79 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $31.45

    $3.23 higher than Wyoming**

  4. Miami

    $29.91

    $1.69 higher than Wyoming**

  5. Chicago

    $29.43

    $1.21 higher than Wyoming**

  6. Manhattan

    $31.73

    $3.51 higher than Wyoming**

  7. Alaska*

    $36.72

    $8.50 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, 92542 ranges from $26.37 in Arkansas to $36.72 in Alaska*. 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 · 92542

    Office

    $26.60

    Facility

    Unavailable

    $1.62 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 92542

    Office

    $26.37

    Facility

    Unavailable

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

  • Arizona

    Arizona · 92542

    Office

    $27.92

    Facility

    Unavailable

    $0.30 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 92542

    Office

    $29.58

    Facility

    Unavailable

    $1.36 higher than Wyoming** for the office setting.

  • Chico

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • El Centro

    California · 92542

    Office

    $29.51

    Facility

    Unavailable

    $1.29 higher than Wyoming** for the office setting.

  • Fresno

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Madera

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Merced

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Modesto

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Napa

    California · 92542

    Office

    $32.87

    Facility

    Unavailable

    $4.65 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92542

    Office

    $30.77

    Facility

    Unavailable

    $2.55 higher than Wyoming** for the office setting.

  • Redding

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92542

    Office

    $29.73

    Facility

    Unavailable

    $1.51 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92542

    Office

    $30.61

    Facility

    Unavailable

    $2.39 higher than Wyoming** for the office setting.

  • Salinas

    California · 92542

    Office

    $30.48

    Facility

    Unavailable

    $2.26 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92542

    Office

    $30.91

    Facility

    Unavailable

    $2.69 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92542

    Office

    $34.45

    Facility

    Unavailable

    $6.23 higher than Wyoming** for the office setting.

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

    California · 92542

    Office

    $34.43

    Facility

    Unavailable

    $6.21 higher than Wyoming** for the office setting.

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

    California · 92542

    Office

    $35.12

    Facility

    Unavailable

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

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

    California · 92542

    Office

    $35.03

    Facility

    Unavailable

    $6.81 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92542

    Office

    $30.02

    Facility

    Unavailable

    $1.80 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 92542

    Office

    $31.00

    Facility

    Unavailable

    $2.78 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 92542

    Office

    $30.52

    Facility

    Unavailable

    $2.30 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 92542

    Office

    $31.29

    Facility

    Unavailable

    $3.07 higher than Wyoming** for the office setting.

  • Stockton

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Vallejo

    California · 92542

    Office

    $32.84

    Facility

    Unavailable

    $4.62 higher than Wyoming** for the office setting.

  • Visalia

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Yuba City

    California · 92542

    Office

    $29.50

    Facility

    Unavailable

    $1.28 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 92542

    Office

    $29.20

    Facility

    Unavailable

    $0.98 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 92542

    Office

    $29.77

    Facility

    Unavailable

    $1.55 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 92542

    Office

    $28.26

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 92542

    Office

    $29.09

    Facility

    Unavailable

    $0.87 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 92542

    Office

    $28.20

    Facility

    Unavailable

    $0.02 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 92542

    Office

    $28.76

    Facility

    Unavailable

    $0.54 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 92542

    Office

    $27.22

    Facility

    Unavailable

    $1.00 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 92542

    Office

    $29.76

    Facility

    Unavailable

    $1.54 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 92542

    Office

    $26.97

    Facility

    Unavailable

    $1.25 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 92542

    Office

    $27.08

    Facility

    Unavailable

    $1.14 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 92542

    Office

    $28.11

    Facility

    Unavailable

    $0.11 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 92542

    Office

    $27.72

    Facility

    Unavailable

    $0.50 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 92542

    Office

    $29.34

    Facility

    Unavailable

    $1.12 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 92542

    Office

    $27.17

    Facility

    Unavailable

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

  • Kansas

    Kansas · 92542

    Office

    $26.91

    Facility

    Unavailable

    $1.31 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 92542

    Office

    $27.00

    Facility

    Unavailable

    $1.22 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 92542

    Office

    $27.77

    Facility

    Unavailable

    $0.45 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 92542

    Office

    $26.98

    Facility

    Unavailable

    $1.24 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 92542

    Office

    $31.29

    Facility

    Unavailable

    $3.07 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92542

    Office

    $29.14

    Facility

    Unavailable

    $0.92 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92542

    Office

    $29.68

    Facility

    Unavailable

    $1.46 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 92542

    Office

    $28.64

    Facility

    Unavailable

    $0.42 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 92542

    Office

    $27.18

    Facility

    Unavailable

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

  • Southern Maine

    Maine · 92542

    Office

    $28.04

    Facility

    Unavailable

    $0.18 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 92542

    Office

    $28.43

    Facility

    Unavailable

    $0.21 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 92542

    Office

    $27.43

    Facility

    Unavailable

    $0.79 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 92542

    Office

    $28.27

    Facility

    Unavailable

    $0.05 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 92542

    Office

    $27.64

    Facility

    Unavailable

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

  • Metropolitan St. Louis

    Missouri · 92542

    Office

    $27.81

    Facility

    Unavailable

    $0.41 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 92542

    Office

    $26.71

    Facility

    Unavailable

    $1.51 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 92542

    Office

    $26.55

    Facility

    Unavailable

    $1.67 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 92542

    Office

    $28.39

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 92542

    Office

    $27.34

    Facility

    Unavailable

    $0.88 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 92542

    Office

    $27.99

    Facility

    Unavailable

    $0.23 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 92542

    Office

    $27.05

    Facility

    Unavailable

    $1.17 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 92542

    Office

    $28.80

    Facility

    Unavailable

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

  • Northern Nj

    New Jersey · 92542

    Office

    $31.35

    Facility

    Unavailable

    $3.13 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 92542

    Office

    $30.19

    Facility

    Unavailable

    $1.97 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 92542

    Office

    $27.53

    Facility

    Unavailable

    $0.69 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 92542

    Office

    $28.29

    Facility

    Unavailable

    $0.07 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92542

    Office

    $32.24

    Facility

    Unavailable

    $4.02 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92542

    Office

    $30.38

    Facility

    Unavailable

    $2.16 higher than Wyoming** for the office setting.

  • Queens

    New York · 92542

    Office

    $31.88

    Facility

    Unavailable

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

  • Rest Of New York

    New York · 92542

    Office

    $27.59

    Facility

    Unavailable

    $0.63 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 92542

    Office

    $27.35

    Facility

    Unavailable

    $0.87 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 92542

    Office

    $26.96

    Facility

    Unavailable

    $1.26 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 92542

    Office

    $29.81

    Facility

    Unavailable

    $1.59 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 92542

    Office

    $28.14

    Facility

    Unavailable

    $0.08 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92542

    Office

    $29.30

    Facility

    Unavailable

    $1.08 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92542

    Office

    $27.37

    Facility

    Unavailable

    $0.85 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 92542

    Office

    $28.51

    Facility

    Unavailable

    $0.29 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 92542

    Office

    $29.01

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 92542

    Office

    $27.38

    Facility

    Unavailable

    $0.84 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 92542

    Office

    $27.95

    Facility

    Unavailable

    $0.27 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 92542

    Office

    $26.99

    Facility

    Unavailable

    $1.23 lower than Wyoming** for the office setting.

  • Austin

    Texas · 92542

    Office

    $29.04

    Facility

    Unavailable

    $0.82 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 92542

    Office

    $27.26

    Facility

    Unavailable

    $0.96 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 92542

    Office

    $28.26

    Facility

    Unavailable

    $0.04 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 92542

    Office

    $28.39

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 92542

    Office

    $28.28

    Facility

    Unavailable

    $0.06 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 92542

    Office

    $28.32

    Facility

    Unavailable

    $0.10 higher than Wyoming** for the office setting.

  • Houston

    Texas · 92542

    Office

    $28.68

    Facility

    Unavailable

    $0.46 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 92542

    Office

    $27.71

    Facility

    Unavailable

    $0.51 lower than Wyoming** for the office setting.

  • Utah

    Utah · 92542

    Office

    $27.60

    Facility

    Unavailable

    $0.62 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 92542

    Office

    $27.99

    Facility

    Unavailable

    $0.23 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92542

    Office

    $28.51

    Facility

    Unavailable

    $0.29 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 92542

    Office

    $27.94

    Facility

    Unavailable

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

  • Rest Of Washington

    Washington · 92542

    Office

    $29.07

    Facility

    Unavailable

    $0.85 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 92542

    Office

    $31.78

    Facility

    Unavailable

    $3.56 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 92542

    Office

    $27.42

    Facility

    Unavailable

    $0.80 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 92542

    Office

    $27.10

    Facility

    Unavailable

    $1.12 lower than Wyoming** for the office setting.

See how rates vary across the country

92542 · 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.

$26.37

$36.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$36.721
AL$26.601
AR$26.371
AZ$27.921
CA$29.50–$35.1229
CO$29.201
CT$29.771
DC$31.451
DE$28.261
FL$28.20–$29.913
GA$27.22–$28.762
GU$29.761
HI$29.761
IA$26.971
ID$27.081
IL$27.72–$29.434
IN$27.171
KS$26.911
KY$27.001
LA$26.98–$27.772
MA$29.14–$31.292
MD$28.64–$31.453
ME$27.18–$28.042
MI$27.43–$28.432
MN$28.271
MO$26.71–$27.813
MS$26.551
MT$28.391
NC$27.341
ND$27.991
NE$27.051
NH$28.801
NJ$30.19–$31.352
NM$27.531
NV$28.291
NY$27.59–$32.245
OH$27.351
OK$26.961
OR$28.14–$29.812
PA$27.37–$29.302
PR$28.511
RI$29.011
SC$27.381
SD$27.951
TN$26.991
TX$27.26–$29.048
UT$27.601
VA$27.99–$31.452
VI$28.511
VT$27.941
WA$29.07–$31.782
WI$27.421
WV$27.101
WY$28.221

Explore 92542 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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92542 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$31.04

$28.22 × 110% = $31.04

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 92542 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

11,809

Code
92542
Physician work
0.47
Practice expense
0.36
Malpractice
0.02

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 92542 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.47× 1.0000.4700
Practice expense0.36× 1.0000.3600
Malpractice0.02× 0.7400.0148
Total RVUs0.8448
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$28.22

Open 92542 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.471
Practice expense0.361
Malpractice0.020.74

(0.47 × 1 + 0.36 × 1 + 0.02 × 0.74) × $33.4009 = $28.22

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

92542 · Office / nonfacility

$28.22

Effective 2026-10-01

The base rate is $0.57 higher than on 2025-10-01, moving from $27.65 to $28.22 (2.1%).

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

    $27.65changed to$28.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.48 changed to 0.47
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $27.65

    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$28.22Not available in this settingRVU26D
2026-07-01$28.22Not available in this settingRVU26C
2026-04-01$28.22Not available in this settingRVU26B
2026-01-01$28.22Not available in this settingRVU26A
2025-10-01$27.65Not available in this settingRVU25D
2025-07-01$27.65Not available in this settingRVU25C
2025-04-01$27.65Not available in this settingRVU25B
2025-01-01$27.65Not available in this settingRVU25A

92542 billing questions

How does 92542 differ from 92532?

Both describe positional nystagmus testing, but 92542 is the recorded service and 92532 is the unrecorded service. The documentation should support which version was performed.

Can 92542 be billed with 92540?

The basic vestibular evaluation reported with 92540 includes positional nystagmus testing. Do not separately report 92542 for that included test.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 92542?

Document the positional maneuvers performed, the recorded eye movements and findings, and the interpretation. The record should support that positional testing was performed with recording.

Can spontaneous nystagmus testing also be reported?

92541 describes spontaneous nystagmus testing, a different test from position-provoked nystagmus. It may be reported for a separately performed service when supported by the record and not included in a broader evaluation.

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 92542PPRRVU2026_Oct_nonQPP.csv, line 11,809 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet