95921 addresses parasympathetic cardiovagal function; 95924 is for combined parasympathetic and sympathetic adrenergic assessment with tilt-table testing.
On this page
CMS RVU26D · Effective 2026-10-01
95924 Autonomic testing Medicare reimbursement rates in Oklahoma
Report 95924 for combined parasympathetic and sympathetic adrenergic autonomic assessment using tilt-table testing with continuous monitoring in patients evaluated for suspected autonomic dysfunction. Compare 95924 office and facility rates across CMS payment localities in Oklahoma.
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 95924 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$143.89
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
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.
Autonomic testing
About 95924: Combined autonomic function testing with tilt
Report 95924 for combined parasympathetic and sympathetic adrenergic autonomic assessment using tilt-table testing with continuous monitoring in patients evaluated for suspected autonomic dysfunction.
This service evaluates both parasympathetic (cardiovagal) and sympathetic adrenergic responses during a tilt-table protocol. Testing can include continuous blood pressure and heart-rate monitoring during maneuvers such as Valsalva and deep breathing, along with the tilt response. Neurology or autonomic-disorders services commonly perform it for patients with findings such as unexplained syncope, orthostatic symptoms, or suspected autonomic neuropathy. A physician or qualified health professional interprets the physiologic responses.
Select this code when the performed protocol assesses both parasympathetic and sympathetic adrenergic function with tilt-table testing, rather than testing only one autonomic function or a different modality. The record should identify the maneuvers performed, monitoring and measurements obtained, and interpretation of the responses. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no modifier when billing the global service.
CMS billing rules for 95924
- 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 RVU1.73 · 37%
- Practice expense (office) RVU2.80 · 60%
- Malpractice RVU0.10 · 2%
22.7K
Medicare services in 2024 · #1093 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.
95924 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
95922 addresses sympathetic adrenergic function alone; 95924 represents a combined autonomic assessment that includes tilt-table testing.
95923 is used for sudomotor assessment, such as testing sweat-related autonomic function. It is not the combined tilt-table cardiovagal and adrenergic service.
95919 is quantitative pupillometry. It evaluates pupillary responses rather than the combined tilt-table autonomic responses reported with 95924.
Compare 95924 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.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$143.89
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95924 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
12,663
- Code
- 95924
- Physician work
- 1.73
- Practice expense
- 2.80
- Malpractice
- 0.10
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.73 | × 1.000 | 1.7300 |
| Practice expense | 2.80 | × 0.893 | 2.5004 |
| Malpractice | 0.10 | × 0.777 | 0.0777 |
| Total RVUs | 4.3081 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$143.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.73 | 1 |
| Practice expense | 2.8 | 0.893 |
| Malpractice | 0.1 | 0.777 |
(1.73 × 1 + 2.8 × 0.893 + 0.1 × 0.777) × $33.4009 = $143.89
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
95924 billing questions
When should 95924 be selected instead of 95921 or 95922?
Use 95924 for combined parasympathetic and sympathetic adrenergic assessment that includes tilt-table testing. Codes 95921 and 95922 describe testing focused on the respective autonomic function.
Does 95924 include sudomotor testing?
The service represented by 95924 is combined parasympathetic and sympathetic adrenergic testing with tilt-table assessment. Sudomotor testing is a distinct autonomic testing modality represented by 95923.
How should the professional and technical portions be billed?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.
What documentation supports reporting 95924?
Document the tilt-table protocol, the parasympathetic and sympathetic adrenergic responses assessed, the monitoring and measurements obtained, and the interpretation.
Can 95921 or 95922 also be reported for the same testing?
Choose 95924 when the combined tilt-table protocol is performed. The record should make clear which distinct testing services were performed before reporting additional autonomic testing codes.
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.
