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CMS RVU26D · Effective 2026-10-01

92512 Nasal function test Medicare reimbursement rates in Missouri

Objective nasal function testing measures airflow or resistance to assess nasal obstruction, such as when symptoms persist despite an unrevealing visual examination. Compare 92512 office and facility rates across CMS payment localities in Missouri.

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 92512 in Missouri?

Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$58.78–$62.94

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $4.16 per service.

Facility setting

$22.79–$23.19

3 of 3 localities have a supported rate.

Lowest: Rest Of Missouri

Highest: Metropolitan St. Louis

A spread of $0.40 per service.

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 92512 in your payment locality →

Where 92512 pays more and less in Missouri

3 payment localities

$58.78 to $62.94

$58.78$60.86$62.94
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Otolaryngology testing

About 92512: Nasal airflow function testing

Objective nasal function testing measures airflow or resistance to assess nasal obstruction, such as when symptoms persist despite an unrevealing visual examination.

This study evaluates how air moves through the nose, including measurements of airflow or resistance during breathing. Rhinomanometry is a typical method. Otolaryngologists and other clinicians who evaluate nasal obstruction may use it in an office or testing setting when symptoms such as persistent congestion or impaired nasal breathing call for an objective functional assessment.

Report 92512 for the nasal function study, not for visual inspection alone. The record should identify the clinical question, testing method, relevant conditions during testing, measured findings, and interpretation. These details distinguish functional measurement from nasal endoscopy or examination and support why the study was performed. Report the completed study rather than separate units for individual breaths or readings.

Where the value comes from

  • Work RVU0.54 · 28%
  • Practice expense (office) RVU1.37 · 70%
  • Malpractice RVU0.04 · 2%

3.2K

Medicare services in 2024 · #2122 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.

92512 compared with similar codes

Office rates for Missouri, from the same CMS release.

92511

Nasopharyngoscopy

Endoscopic nasopharynx exam

$102.78–$111.35

92511 reports endoscopic visualization of the nasopharynx; 92512 reports functional measurement of nasal airflow or resistance.

31231

Nasal endoscopy

Diagnostic, without sinusoscopy

$172.23–$186.09

31231 describes diagnostic nasal endoscopy, a visual examination of the nasal cavity. Use 92512 for functional nasal measurements.

92520

Laryngeal testing

Aerodynamic and acoustic measures

$81.75–$87.69

92520 concerns laryngeal function. 92512 evaluates nasal airflow or resistance, not laryngeal function.

Compare 92512 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.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

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92512 billing questions

How does 92512 differ from nasopharyngoscopy?

92512 measures nasal function, such as airflow or resistance. Nasopharyngoscopy (92511) documents endoscopic visualization of the nasopharynx.

Can 92512 be reported with nasal endoscopy?

A functional study and nasal endoscopy describe different services. When both are performed, document the measurements separately from the endoscopic findings.

What should the record include?

Document the reason for testing, the method used, the findings, and their interpretation. Include clinical context that supports evaluating nasal airflow or resistance.

Are individual readings billed as separate units?

Report the completed nasal function study, not each breath, measurement, or instrument reading as a separate unit.

Does a visual nasal examination alone support 92512?

No. The service is functional testing; visual inspection without nasal airflow or resistance measurement describes a different service.

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 92512PPRRVU2026_Oct_nonQPP.csv, line 11,782 (RVU26D)