$75.45
92517 covers cervical VEMP testing alone. Choose 92519 when both cervical and ocular responses are tested and interpreted.
On this page
CMS RVU26D · Effective 2026-10-01
92519 VEMP testing Medicare reimbursement rates in Rhode Island
Reports vestibular evoked myogenic potential testing of both cervical and ocular responses, with interpretation and a report, for evaluation of vestibular function. Compare 92519 office and facility rates across CMS payment localities in Rhode Island.
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 92519 in Rhode Island?
Rhode Island 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
$120.76
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$52.10
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 92519: Combined cervical and ocular VEMP testing
Reports vestibular evoked myogenic potential testing of both cervical and ocular responses, with interpretation and a report, for evaluation of vestibular function.
Vestibular evoked myogenic potential testing records muscle responses to sound or vibration stimuli to assess vestibular pathways. This code covers both cervical VEMP, recorded from neck muscles, and ocular VEMP, recorded beneath the eyes. Audiologists and otolaryngology practices commonly perform the test as part of an evaluation for dizziness, imbalance, or suspected vestibular dysfunction, using surface electrodes and a controlled stimulus protocol.
Report this code when both cervical and ocular VEMP testing are performed and interpreted, with a report documenting the protocols, recorded responses, and clinical interpretation. Use 92517 for cervical testing alone or 92518 for ocular testing alone. CMS prices 92519 as a bilateral service, so modifier 50 does not increase payment. The record should support that both test types were completed; testing only one type does not support the combined code.
CMS billing rules for 92519
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.17 · 33%
- Practice expense (office) RVU2.32 · 66%
- Malpractice RVU0.03 · 1%
7K
Medicare services in 2024 · #1657 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.
92519 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$77.08
92518 covers ocular VEMP testing alone. Choose 92519 when cervical testing is also performed.
$106.18
92540 describes a basic vestibular evaluation; 92519 is specifically for combined cervical and ocular VEMP testing.
92533
No office rateCaloric vestibular test
92533 is caloric vestibular testing, which assesses vestibular function using a different test method from VEMP.
Compare 92519 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
Rhode Island →
Office / nonfacility
$120.76
Facility
$52.10
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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 92519 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,786
- Code
- 92519
- Physician work
- 1.17
- Practice expense
- 2.32
- Malpractice
- 0.03
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.019 | 1.1922 |
| Practice expense | 2.32 | × 1.033 | 2.3966 |
| Malpractice | 0.03 | × 0.892 | 0.0268 |
| Total RVUs | 3.6155 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$120.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.019 |
| Practice expense | 2.32 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(1.17 × 1.019 + 2.32 × 1.033 + 0.03 × 0.892) × $33.4009 = $120.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.019 |
| Practice expense | 0.33 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(1.17 × 1.019 + 0.33 × 1.033 + 0.03 × 0.892) × $33.4009 = $52.10
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.
92519 billing questions
When should 92519 be used instead of 92517 or 92518?
Use 92519 when both cervical and ocular VEMP testing are performed and interpreted. Use 92517 for cervical testing alone or 92518 for ocular testing alone.
Does modifier 50 increase payment for 92519?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting the combined service?
Document that both cervical and ocular responses were tested, the protocols and findings, and the interpretation and report.
Can 92519 be reported when only one VEMP test type was completed?
No. The combined code requires both cervical and ocular testing; report the applicable single-test code when only one type is performed.
Is 92519 the same as a basic vestibular evaluation?
No. 92519 describes cervical and ocular VEMP testing, while 92540 represents a basic vestibular evaluation with a different scope.
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.
11,78392516,,Facial nerve function test,A,,0.42,1.80,,0.11,,0.03,2.25,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78492517,,Vemp test i&r cervical,A,,0.78,1.40,,0.21,,0.02,2.20,1.01,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78592518,,Vemp test i&r ocular,A,,0.78,1.43,,0.22,,0.04,2.25,1.04,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78692519,,Vemp tst i&r cervical&ocular,A,,1.17,2.32,,0.33,,0.03,3.52,1.53,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,78792520,,Laryngeal function studies,A,,0.73,1.97,,0.22,,0.02,2.72,0.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78892521,,Evaluation of speech fluency,A,,2.24,1.74,,1.74,NA,0.01,3.99,3.99,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78992522,,Evaluate speech production,A,,1.92,1.39,,1.39,NA,0.04,3.35,3.35,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537