Billing code 92544: Vestibular testMedicare rate & RVUs in Nevada
This vestibular test records eye movements as a patient watches a moving visual pattern, helping characterize optokinetic responses during evaluation of dizziness or imbalance.
Medicare pays $17.60 for 92544 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 92544 covers
The patient watches a moving visual pattern while a clinician observes or records the resulting rhythmic eye movements. The test examines how the eyes respond to visual motion and can help characterize oculomotor and vestibular function in patients evaluated for vertigo, imbalance, or suspected vestibular dysfunction. Audiologists and otolaryngology practices commonly perform it in a vestibular testing setting.
Report 92544 when optokinetic stimulation is performed as an individual test; distinguish it from smooth-pursuit tracking, which evaluates eye movement while following a target. Record the test performed and findings, including the patient’s eye-movement response to the visual stimulus. Medicare recognizes professional and technical components: use modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. When the defined basic vestibular evaluation is reported with 92540, its component tests are not separately unbundled.
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.
92544 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $17.60 | Unavailable |
How the 92544 rate is calculated
Each of 92544’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92544
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.26Practice expense 0.25Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92544
The CMS indicators that decide how 92544 is paid alongside other services.
CMS payment indicators · 92544
Vestibular test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92544 without 26 · national office
$17.70
Vestibular test
92544-26 · Professional component
$14.03
Pays only the interpretation and report.
92544 compared with similar codes
Compare codes
92544 vs 92545 vs 92541 vs 92542 vs 92540: national Medicare rates
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How to choose
- 92545Vestibular test
- Choose 92544 for eye movements elicited by a moving visual field. Choose 92545 when testing the patient’s ability to track an oscillating target.
- 92541Nystagmus test
- 92541 evaluates spontaneous nystagmus, including with gaze and fixation conditions; 92544 evaluates the response to visual motion.
- 92542Positional nystagmus
- 92542 evaluates nystagmus associated with positional changes. 92544 uses a moving visual stimulus rather than a positional maneuver.
- 92540Vestibular evaluation
- 92540 represents the defined basic vestibular evaluation, which includes optokinetic testing among its component tests. Use 92544 for the individual optokinetic test when it is not part of that evaluation.
92544 billing questions
What does this test measure?
It assesses the eye movements produced when the patient views a moving visual pattern. The response helps characterize visual-motion and vestibular-related function.
How is 92544 different from the oscillating tracking test?
92544 evaluates eye movements in response to a moving visual field. The oscillating tracking test, 92545, assesses the patient’s ability to follow a moving target.
Can 92544 be reported separately with 92540?
No. The basic vestibular evaluation represented by 92540 includes the optokinetic test as one of its component tests; do not separately unbundle 92544 from that evaluation.
Which modifiers identify the test components?
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.
What documentation supports reporting 92544?
Document that optokinetic visual stimulation was performed and record the observed or recorded eye-movement response. The record should distinguish this stimulus-response test from smooth-pursuit tracking.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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