$25.69–$30.71
92541 reports spontaneous nystagmus testing; 92547 reports the technical use of vertical electrodes when that test is performed.
On this page
CMS RVU26D · Effective 2026-10-01
92547 Vertical electrodes Medicare reimbursement rates in California
Reports the technical use of vertical electrodes to record eye movements during qualifying vestibular testing, alongside the associated primary test. Compare 92547 office and facility rates across CMS payment localities in California.
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 92547 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$12.08–$15.89
29 of 29 localities have a supported rate.
Lowest: Bakersfield
Highest: San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
A spread of $3.81 per service.
Facility setting
No supported rate
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.
Where 92547 pays more and less in California
29 payment localities
$12.08 to $15.89
Vestibular testing
About 92547: Vertical electrode vestibular recording
Reports the technical use of vertical electrodes to record eye movements during qualifying vestibular testing, alongside the associated primary test.
This add-on represents the technical use of vertical electrodes to capture vertical eye movements during vestibular testing, such as electronystagmography. Audiologists and other qualified clinicians may perform the recording in an audiology or vestibular laboratory, often as part of an evaluation for dizziness, vertigo, or balance problems. It supplements a vestibular test; it is not the interpretation of the recorded findings.
Report 92547 only with an associated primary vestibular procedure when vertical electrodes were used, and document the recording method and the test performed. It is a technical-component-only code, so a separate code covers interpretation. CMS treats it as an add-on paid within the primary procedure’s global period. Examples of associated tests include spontaneous or positional nystagmus testing, optokinetic or tracking testing, and sinusoidal rotational testing.
CMS billing rules for 92547
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.33 · 100%
- Malpractice RVU0.00 · 0%
23K
Medicare services in 2024 · #1090 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.
92547 compared with similar codes
Office rates for California, from the same CMS release.
$29.50–$35.12
92542 reports positional nystagmus testing. 92547 is an add-on for vertical-electrode recording, not a substitute for the positional test.
$146.23–$190.09
92546 reports sinusoidal rotational vestibular testing. 92547 may accompany it when vertical electrodes are used for recording.
$109.26–$132.51
92540 represents a basic vestibular evaluation; 92547 is a technical add-on for vertical-electrode recording during an associated test.
Compare 92547 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $12.08 | Facility Unavailable |
| Chico | Office $12.08 | Facility Unavailable |
| El Centro | Office $12.08 | Facility Unavailable |
| Fresno | Office $12.08 | Facility Unavailable |
| Hanford-Corcoran | Office $12.08 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $13.04 | Facility Unavailable |
| Madera | Office $12.08 | Facility Unavailable |
| Merced | Office $12.08 | Facility Unavailable |
| Modesto | Office $12.08 | Facility Unavailable |
| Napa | Office $14.53 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $13.03 | Facility Unavailable |
| Redding | Office $12.08 | Facility Unavailable |
| Rest Of California | Office $12.08 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $12.08 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $12.82 | Facility Unavailable |
| Salinas | Office $12.77 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $13.18 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $15.54 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $15.54 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $15.89 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $15.89 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $12.55 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $13.39 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $12.85 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $13.54 | Facility Unavailable |
| Stockton | Office $12.08 | Facility Unavailable |
| Vallejo | Office $14.53 | Facility Unavailable |
| Visalia | Office $12.08 | Facility Unavailable |
| Yuba City | Office $12.08 | Facility Unavailable |
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92547 billing questions
When should 92547 be reported?
Report it when vertical electrodes are used to record eye movements during an associated vestibular test. It must be billed with a qualifying primary procedure.
Is 92547 an interpretation code?
No. It represents the technical service; a separate code covers interpretation.
Which vestibular tests may be paired with 92547?
It may accompany tests such as spontaneous or positional nystagmus testing, optokinetic or oscillating tracking testing, and sinusoidal rotational testing when vertical electrodes are used.
How is 92547 different from 92541 or 92542?
Those codes describe specific nystagmus tests. 92547 reports the additional technical use of vertical electrodes during an associated test.
What documentation supports 92547?
Document the primary vestibular test and that vertical electrodes were used for the recording. The code covers the technical service, not interpretation.
Can 92547 be billed by itself?
No. CMS classifies it as an add-on code billed only with a primary procedure, with payment within that procedure’s global period.
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.
11,81892546,,Sinusoidal rotational test,A,,0.28,3.72,,3.72,NA,0.03,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81992546,26,Sinusoidal rotational test,A,,0.28,0.15,,0.15,,0.01,0.44,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,82092546,TC,Sinusoidal rotational test,A,,0.00,3.57,,3.57,NA,0.02,3.59,3.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,82192547,,Supplemental electrical test,A,,0.00,0.33,,0.33,NA,0.00,0.33,0.33,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,82292548,,Cdp-sot 6 cond w/i&r,A,,0.65,0.75,,0.75,NA,0.02,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,82392548,26,Cdp-sot 6 cond w/i&r,A,,0.65,0.33,,0.33,,0.01,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,82492548,TC,Cdp-sot 6 cond w/i&r,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00