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CMS RVU26D · Effective 2026-10-01

92549 Dynamic posturography Medicare reimbursement rates in California

Reports computerized balance testing that combines six sensory organization conditions with motor control and adaptation tests during vestibular evaluation. Compare 92549 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 92549 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

$65.84–$80.04

29 of 29 localities have a supported rate.

Lowest: Chico

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $14.20 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.

Find 92549 in your payment locality →

Where 92549 pays more and less in California

29 payment localities

$65.84 to $80.04

$65.84$72.94$80.04
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Vestibular testing

About 92549: Comprehensive computerized dynamic posturography

Reports computerized balance testing that combines six sensory organization conditions with motor control and adaptation tests during vestibular evaluation.

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.

CMS billing rules for 92549

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 RVU0.85 · 45%
  • Practice expense (office) RVU1.00 · 53%
  • Malpractice RVU0.02 · 1%

4K

Medicare services in 2024 · #2002 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.

92549 compared with similar codes

Office rates for California, from the same CMS release.

92548

Posturography

Six-condition sensory organization

$49.89–$60.58

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

92540

Vestibular evaluation

Basic test battery

$109.26–$132.51

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

92546

Rotational test

Sinusoidal chair rotation

$146.23–$190.09

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

Compare 92549 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

92549 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield

Office

$65.94

Facility

Unavailable
Chico

Office

$65.84

Facility

Unavailable
El Centro

Office

$65.84

Facility

Unavailable
Fresno

Office

$65.84

Facility

Unavailable
Hanford-Corcoran

Office

$65.84

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$69.51

Facility

Unavailable
Madera

Office

$65.84

Facility

Unavailable
Merced

Office

$65.84

Facility

Unavailable
Modesto

Office

$65.84

Facility

Unavailable
Napa

Office

$74.54

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$69.08

Facility

Unavailable
Redding

Office

$65.84

Facility

Unavailable
Rest Of California

Office

$65.84

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$66.08

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$68.62

Facility

Unavailable
Salinas

Office

$68.34

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$69.55

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$78.49

Facility

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

Office

$78.47

Facility

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

Office

$80.04

Facility

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

Office

$79.94

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$67.28

Facility

Unavailable
Santa Cruz-Watsonville

Office

$69.93

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$68.49

Facility

Unavailable
Santa Rosa-Petaluma

Office

$70.62

Facility

Unavailable
Stockton

Office

$65.84

Facility

Unavailable
Vallejo

Office

$74.51

Facility

Unavailable
Visalia

Office

$65.84

Facility

Unavailable
Yuba City

Office

$65.84

Facility

Unavailable

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92549 billing questions

When should 92549 be chosen instead of 92548?

Use 92549 when the six-condition sensory organization testing is performed with both motor control and adaptation testing. Use 92548 when the service includes the six-condition sensory organization test without those additional tests.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.

What documentation supports reporting 92549?

Document the sensory organization, motor control, and adaptation testing performed, along with the results and interpretation. The record should support that the reported service included all three components.

Is 92549 reported per test condition or per component?

The code represents the combined service, including the six sensory organization conditions and the motor control and adaptation tests. Do not treat each condition or included test as a separate unit of 92549.

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 92549PPRRVU2026_Oct_nonQPP.csv, line 11,825 (RVU26D)