$18.15–$19.60
Use 92545 for eye movements recorded while following an oscillating target; 92544 evaluates optokinetic responses to a moving visual field.
On this page
CMS RVU26D · Effective 2026-10-01
92545 Vestibular test Medicare reimbursement rates in Massachusetts
Reports recorded eye movements as a patient follows an oscillating visual target during evaluation of dizziness or suspected vestibular dysfunction. Compare 92545 office and facility rates across CMS payment localities in Massachusetts.
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 92545 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$17.12–$18.51
2 of 2 localities have a supported rate.
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.
Vestibular testing
About 92545: Oscillating visual tracking test
Reports recorded eye movements as a patient follows an oscillating visual target during evaluation of dizziness or suspected vestibular dysfunction.
This vestibular test records eye movements while the patient follows a target moving back and forth. It assesses smooth visual tracking and related oculomotor function in patients with dizziness, vertigo, or imbalance. Audiologists and vestibular laboratory staff commonly perform it as part of an ENG or VNG evaluation; a qualified clinician reviews the recorded responses and documents the findings.
Report the service when the oscillating-target tracking test is performed, rather than substituting a test that measures responses to a moving visual field or chair rotation. Documentation should identify the test performed, the recorded eye-movement responses, and the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without a modifier represents the global service.
CMS billing rules for 92545
- 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 RVU0.24 · 48%
- Practice expense (office) RVU0.24 · 48%
- Malpractice RVU0.02 · 4%
4.2K
Medicare services in 2024 · #1984 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.
92545 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$141.14–$158.98
Use 92545 for visual tracking of an oscillating target. Code 92546 evaluates responses during sinusoidal rotational chair testing.
$107.06–$115.97
Code 92540 describes a basic vestibular evaluation that includes oscillating tracking testing; 92545 identifies the tracking test itself.
Compare 92545 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$18.51
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$17.12
Facility
Unavailable
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92545 billing questions
How is this different from the optokinetic nystagmus test?
This test records eye movements as the patient follows an oscillating target. The optokinetic test evaluates the response to a moving visual field.
How is this different from sinusoidal rotational testing?
Oscillating tracking uses a visual target to assess eye movements. Sinusoidal rotational testing evaluates responses while the patient undergoes chair rotation.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Is this test included in the basic vestibular evaluation?
The basic vestibular evaluation, code 92540, includes oscillating tracking testing. Do not separately report the same test as though it were a distinct additional service.
What documentation supports reporting this test?
Document that the patient underwent oscillating-target tracking, the eye-movement responses recorded, and the interpretation. The record should distinguish this procedure from visual-field motion or rotational testing.
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.
11,81292544,,Optokinetic nystagmus test,A,,0.26,0.25,,0.25,NA,0.02,0.53,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81392544,26,Optokinetic nystagmus test,A,,0.26,0.15,,0.15,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81492544,TC,Optokinetic nystagmus test,A,,0.00,0.10,,0.10,NA,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,81592545,,Oscillating tracking test,A,,0.24,0.24,,0.24,NA,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81692545,26,Oscillating tracking test,A,,0.24,0.14,,0.14,,0.01,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81792545,TC,Oscillating tracking test,A,,0.00,0.10,,0.10,NA,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,81892546,,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