$67.77
Choose 92517 for the cervical muscle response and 92518 for the ocular response; these are different VEMP recording sites.
On this page
CMS RVU26D · Effective 2026-10-01
92517 VEMP testing Medicare reimbursement rates in Arkansas
Cervical VEMP testing records sound-evoked neck muscle responses to assess vestibular reflex pathways, with interpretation and a report. Compare 92517 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 92517 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$66.56
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$32.42
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vestibular testing
About 92517: Cervical vestibular evoked myogenic potential testing
Cervical VEMP testing records sound-evoked neck muscle responses to assess vestibular reflex pathways, with interpretation and a report.
Cervical vestibular evoked myogenic potential (VEMP) testing measures a reflex response to sound. The patient activates the sternocleidomastoid muscle while electrodes record its response to acoustic stimulation. The findings help assess vestibular pathways associated with the saccule and inferior vestibular nerve. Audiologists and otolaryngology teams commonly use the test when evaluating patients with dizziness or suspected vestibular dysfunction in an audiology or specialty clinic.
Report 92517 for the cervical VEMP service, including interpretation and report. The record should identify the cervical test performed and include the recorded findings and clinical interpretation. CMS prices this code as bilateral, so modifier 50 does not increase payment. When both cervical and ocular VEMP testing are performed, distinguish the combined service from cervical testing alone when selecting the code.
CMS billing rules for 92517
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.78 · 35%
- Practice expense (office) RVU1.40 · 64%
- Malpractice RVU0.02 · 1%
8.5K
Medicare services in 2024 · #1561 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.
92517 compared with similar codes
Office rates for Arkansas, from the same CMS release.
Compare 92517 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$66.56
Facility
$32.42
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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 92517 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
11,784
- Code
- 92517
- Physician work
- 0.78
- Practice expense
- 1.40
- Malpractice
- 0.02
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 1.40 | × 0.859 | 1.2026 |
| Malpractice | 0.02 | × 0.515 | 0.0103 |
| Total RVUs | 1.9929 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$66.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 1.4 | 0.859 |
| Malpractice | 0.02 | 0.515 |
(0.78 × 1 + 1.4 × 0.859 + 0.02 × 0.515) × $33.4009 = $66.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 0.21 | 0.859 |
| Malpractice | 0.02 | 0.515 |
(0.78 × 1 + 0.21 × 0.859 + 0.02 × 0.515) × $33.4009 = $32.42
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.
92517 billing questions
How does 92517 differ from 92518?
92517 is for cervical VEMP testing, which records a neck muscle response. 92518 is for ocular VEMP testing, which records an eye-muscle response.
When is 92519 used instead?
Use 92519 when both cervical and ocular VEMP testing are performed. It represents the combined testing service, rather than cervical testing alone.
Should modifier 50 be appended?
CMS prices 92517 as bilateral, and modifier 50 does not increase payment.
Is interpretation included in 92517?
Yes. The service includes interpretation and a report, so the record should support the test findings and the interpreting clinician’s conclusions.
How is 92517 different from a caloric vestibular test?
92517 measures cervical muscle responses to sound stimulation. A caloric test, such as 92533, evaluates vestibular responses to thermal stimulation of the ear.
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.
11,78192511,,Nasopharyngoscopy,A,,0.59,2.84,,0.35,,0.04,3.47,0.98,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
11,78292512,,Nasal function studies,A,,0.54,1.37,,0.12,,0.04,1.95,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78392516,,Facial nerve function test,A,,0.42,1.80,,0.11,,0.03,2.25,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78492517,,Vemp test i&r cervical,A,,0.78,1.40,,0.21,,0.02,2.20,1.01,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78592518,,Vemp test i&r ocular,A,,0.78,1.43,,0.22,,0.04,2.25,1.04,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78692519,,Vemp tst i&r cervical&ocular,A,,1.17,2.32,,0.33,,0.03,3.52,1.53,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78792520,,Laryngeal function studies,A,,0.73,1.97,,0.22,,0.02,2.72,0.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541