92532
No office ratePositional nystagmus test
Use 92542 for positional nystagmus testing with recording; use 92532 when the test is performed without recording.
On this page
CMS RVU26D · Effective 2026-10-01
92542 Positional nystagmus Medicare reimbursement rates in Pennsylvania
Reports recorded observation of involuntary eye movements during positional maneuvers, helping evaluate dizziness and suspected vestibular disorders such as benign paroxysmal positional vertigo. Compare 92542 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 92542 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
$27.37–$29.30
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 92542: Recorded positional nystagmus test
Reports recorded observation of involuntary eye movements during positional maneuvers, helping evaluate dizziness and suspected vestibular disorders such as benign paroxysmal positional vertigo.
For this test, the clinician changes the patient’s head or body position and observes and records resulting nystagmus, or involuntary rhythmic eye movement. It is commonly performed by an audiologist or an ear, nose, and throat specialist as part of an evaluation for dizziness, vertigo, or suspected positional vestibular dysfunction. The recorded findings help characterize whether eye movements are triggered by position and support the broader clinical assessment; this test alone does not establish a diagnosis such as benign paroxysmal positional vertigo.
Report 92542 when positional testing is performed with recording. The record should identify the maneuvers or positions tested, document the observed eye movements and relevant findings, and support the interpretation. The related unrecorded test is 92532. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. When the positional test is included in the broader basic vestibular evaluation reported with 92540, do not separately report it as an additional service.
CMS billing rules for 92542
- 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 RVU0.47 · 55%
- Practice expense (office) RVU0.36 · 42%
- Malpractice RVU0.02 · 2%
14.4K
Medicare services in 2024 · #1279 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.
92542 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$23.78–$25.53
92541 evaluates spontaneous nystagmus, rather than eye movements elicited by changing the patient’s position.
$99.07–$106.77
92540 represents a broader basic vestibular evaluation that includes positional nystagmus testing. Do not separately report 92542 for that included service.
Compare 92542 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
$29.30
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$27.37
Facility
Unavailable
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92542 billing questions
How does 92542 differ from 92532?
Both describe positional nystagmus testing, but 92542 is the recorded service and 92532 is the unrecorded service. The documentation should support which version was performed.
Can 92542 be billed with 92540?
The basic vestibular evaluation reported with 92540 includes positional nystagmus testing. Do not separately report 92542 for that included test.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 92542?
Document the positional maneuvers performed, the recorded eye movements and findings, and the interpretation. The record should support that positional testing was performed with recording.
Can spontaneous nystagmus testing also be reported?
92541 describes spontaneous nystagmus testing, a different test from position-provoked nystagmus. It may be reported for a separately performed service when supported by the record and not included in a broader evaluation.
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.
11,80692541,,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
11,81092542,26,Positional nystagmus test,A,,0.47,0.25,,0.25,,0.01,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81192542,TC,Positional nystagmus test,A,,0.00,0.11,,0.11,NA,0.01,0.12,0.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,81292544,,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