92531
No office rateSpontaneous nystagmus study
Both address spontaneous nystagmus, but 92541 is the recorded assessment. Choose 92531 when the corresponding study is performed without recording.
On this page
CMS RVU26D · Effective 2026-10-01
92541 Nystagmus test Medicare reimbursement rates in Pennsylvania
Reports recorded assessment of spontaneous and gaze-related nystagmus during vestibular testing, often used to evaluate patients with dizziness or balance symptoms. Compare 92541 office and facility rates across CMS payment localities in Pennsylvania.
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 92541 in Pennsylvania?
Pennsylvania 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
$23.78–$25.53
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 92541: Recorded spontaneous nystagmus test
Reports recorded assessment of spontaneous and gaze-related nystagmus during vestibular testing, often used to evaluate patients with dizziness or balance symptoms.
This vestibular test records involuntary eye movements that occur spontaneously and during gaze assessment. Audiologists, otolaryngologists, and other clinicians performing vestibular evaluations may use electronystagmography or videonystagmography equipment in an audiology clinic, ENT practice, or vestibular laboratory. Results can help characterize eye-movement findings in patients evaluated for dizziness, vertigo, or imbalance.
Report 92541 for the recorded spontaneous nystagmus assessment, including gaze; documentation should identify the test performed and its recorded findings. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for interpretation, modifier TC for the technical service, or neither modifier for the global service. The recorded assessment differs from a basic vestibular evaluation code that represents a defined combination of tests.
CMS billing rules for 92541
- 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 RVU0.39 · 53%
- Practice expense (office) RVU0.33 · 45%
- Malpractice RVU0.02 · 3%
11.4K
Medicare services in 2024 · #1408 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.
92541 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$27.37–$29.30
92542 evaluates nystagmus associated with changes in position and includes a minimum of four positions. 92541 assesses spontaneous nystagmus, including gaze.
$99.07–$106.77
92540 represents a basic vestibular evaluation comprising several specified tests. 92541 identifies the recorded spontaneous nystagmus assessment alone.
Compare 92541 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 Philadelphia →
Office / nonfacility
$25.53
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$23.78
Facility
Unavailable
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92541 billing questions
How does 92541 differ from 92531?
92541 describes the spontaneous and gaze assessment with recording. The 92531 code is the nearby option for the corresponding study without recording.
When should 92540 be considered instead?
92540 represents a basic vestibular evaluation that includes spontaneous nystagmus, positional nystagmus, optokinetic nystagmus, and oscillating tracking tests. Use 92541 for the individual recorded spontaneous nystagmus assessment.
Which modifier identifies interpretation?
Append modifier 26 when billing only the professional interpretation. Modifier TC identifies the technical service, and billing without either modifier represents the global service.
What should the record support?
Document that spontaneous and gaze-related eye movements were assessed and recorded, along with the findings and the interpretation when the professional component is billed.
Is this the positional nystagmus test?
No. 92541 addresses spontaneous nystagmus, including gaze assessment; 92542 is the recorded positional nystagmus test.
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.
11,80392540,,Basic vestibular evaluation,A,,1.46,1.62,,1.62,NA,0.02,3.10,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,80492540,26,Basic vestibular evaluation,A,,1.46,0.76,,0.76,,0.01,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,80592540,TC,Basic vestibular evaluation,A,,0.00,0.86,,0.86,NA,0.01,0.87,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,80692541,,Spontaneous nystagmus test,A,,0.39,0.33,,0.33,NA,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,80792541,26,Spontaneous nystagmus test,A,,0.39,0.21,,0.21,,0.01,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,80892541,TC,Spontaneous nystagmus test,A,,0.00,0.12,,0.12,NA,0.01,0.13,0.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,80992542,,Positional nystagmus test,A,,0.47,0.36,,0.36,NA,0.02,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00