$26.99
92542 is a diagnostic positional nystagmus test; 95992 is the therapeutic maneuver used to reposition canaliths.
On this page
CMS RVU26D · Effective 2026-10-01
95992 Canalith repositioning Medicare reimbursement rates in Tennessee
A clinician uses a positional maneuver to treat benign paroxysmal positional vertigo by moving displaced inner-ear particles out of a symptomatic canal. Compare 95992 office and facility rates across CMS payment localities in Tennessee.
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 95992 in Tennessee?
Tennessee 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
$39.01
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
Facility setting
$28.99
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 therapy
About 95992: Canalith repositioning for positional vertigo
A clinician uses a positional maneuver to treat benign paroxysmal positional vertigo by moving displaced inner-ear particles out of a symptomatic canal.
This service treats benign paroxysmal positional vertigo (BPPV), in which displaced inner-ear particles trigger brief vertigo with changes in head position. A clinician, commonly a physical therapist or physician with vestibular training, performs a canalith repositioning maneuver such as the Epley or Semont maneuver. It is typically provided in an outpatient clinic after positional testing identifies findings consistent with BPPV.
Report 95992 once for the date of service, even when the clinician repeats or adjusts repositioning maneuvers during that visit. Documentation should identify the positional symptoms and findings, the affected side or suspected canal when known, the maneuver performed, and the patient's response. CMS assigns work, practice-expense, and malpractice RVUs to the service; the practice-expense RVU differs between office and facility settings.
Where the value comes from
- Work RVU0.73 · 60%
- Practice expense (office) RVU0.47 · 39%
- Malpractice RVU0.02 · 2%
125.5K
Medicare services in 2024 · #501 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.
95992 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$31.15
97112 describes neuromuscular reeducation, such as separately performed balance or coordination training. It does not describe the canalith repositioning maneuver itself.
$98.31
92540 represents a basic vestibular evaluation, while 95992 describes treatment of BPPV with a repositioning maneuver.
Compare 95992 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
Tennessee →
Office / nonfacility
$39.01
Facility
$28.99
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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 95992 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
12,737
- Code
- 95992
- Physician work
- 0.73
- Practice expense
- 0.47
- Malpractice
- 0.02
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 0.47 | × 0.909 | 0.4272 |
| Malpractice | 0.02 | × 0.537 | 0.0107 |
| Total RVUs | 1.1680 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$39.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.47 | 0.909 |
| Malpractice | 0.02 | 0.537 |
(0.73 × 1 + 0.47 × 0.909 + 0.02 × 0.537) × $33.4009 = $39.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 0.14 | 0.909 |
| Malpractice | 0.02 | 0.537 |
(0.73 × 1 + 0.14 × 0.909 + 0.02 × 0.537) × $33.4009 = $28.99
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.
95992 billing questions
Is 95992 reported once for each maneuver?
No. The code is reported per day, so repeated repositioning maneuvers during the same date of service do not create additional units.
How is 95992 different from positional nystagmus testing?
95992 describes treatment with a canalith repositioning maneuver. Positional nystagmus testing, such as 92542, is diagnostic assessment rather than repositioning treatment.
What documentation supports 95992?
Record positional symptoms and examination findings, the side or canal involved when identified, the maneuver performed, and the patient's response.
Can 95992 be reported with balance training?
A separately performed balance or coordination intervention may be distinct from repositioning. Document the separate skilled work rather than treating the maneuver itself as balance training.
Which clinicians commonly perform this service?
Physical therapists and physicians with vestibular training commonly perform canalith repositioning for BPPV.
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.
12,73495984,,Alys brn npgt prgrmg addl 15,A,,0.80,0.48,,0.24,,0.07,1.35,1.11,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73595990,,Spin/brain pump refil & main,A,,0.00,2.89,,2.89,NA,0.05,2.94,2.94,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73695991,,Spin/brain pump refil & main,A,,0.75,2.65,,0.19,,0.07,3.47,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73795992,,Canalith repositioning proc,A,,0.73,0.47,,0.14,,0.02,1.22,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73895999,,Unlisted neurological dx px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73996000,,Motion analysis video/3d,A,,1.76,0.30,NA,0.30,,0.05,2.11,2.11,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74096001,,Motion test w/ft press meas,A,,2.10,0.41,NA,0.41,,0.09,2.60,2.60,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780