$15.93–$17.11
Choose 92544 for eye movements elicited by a moving visual field. Choose 92545 when testing the patient’s ability to track an oscillating target.
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CMS RVU26D · Effective 2026-10-01
92544 Vestibular test Medicare reimbursement rates in Texas
This vestibular test records eye movements as a patient watches a moving visual pattern, helping characterize optokinetic responses during evaluation of dizziness or imbalance. Compare 92544 office and facility rates across CMS payment localities in Texas.
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 92544 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$16.90–$18.13
8 of 8 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.
Where 92544 pays more and less in Texas
8 payment localities
$16.90 to $18.13
Vestibular testing
About 92544: Optokinetic nystagmus assessment
This vestibular test records eye movements as a patient watches a moving visual pattern, helping characterize optokinetic responses during evaluation of dizziness or imbalance.
The patient watches a moving visual pattern while a clinician observes or records the resulting rhythmic eye movements. The test examines how the eyes respond to visual motion and can help characterize oculomotor and vestibular function in patients evaluated for vertigo, imbalance, or suspected vestibular dysfunction. Audiologists and otolaryngology practices commonly perform it in a vestibular testing setting.
Report 92544 when optokinetic stimulation is performed as an individual test; distinguish it from smooth-pursuit tracking, which evaluates eye movement while following a target. Record the test performed and findings, including the patient’s eye-movement response to the visual stimulus. Medicare recognizes professional and technical components: use modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. When the defined basic vestibular evaluation is reported with 92540, its component tests are not separately unbundled.
CMS billing rules for 92544
- 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 RVU0.26 · 49%
- Practice expense (office) RVU0.25 · 47%
- Malpractice RVU0.02 · 4%
3.2K
Medicare services in 2024 · #2124 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.
92544 compared with similar codes
Office rates for Texas, from the same CMS release.
$23.68–$25.31
92541 evaluates spontaneous nystagmus, including with gaze and fixation conditions; 92544 evaluates the response to visual motion.
$27.26–$29.04
92542 evaluates nystagmus associated with positional changes. 92544 uses a moving visual stimulus rather than a positional maneuver.
$98.63–$106.70
92540 represents the defined basic vestibular evaluation, which includes optokinetic testing among its component tests. Use 92544 for the individual optokinetic test when it is not part of that evaluation.
Compare 92544 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $18.13 | Facility Unavailable |
| Beaumont | Office $16.90 | Facility Unavailable |
| Brazoria | Office $17.55 | Facility Unavailable |
| Dallas | Office $17.65 | Facility Unavailable |
| Fort Worth | Office $17.58 | Facility Unavailable |
| Galveston | Office $17.60 | Facility Unavailable |
| Houston | Office $17.96 | Facility Unavailable |
| Rest Of Texas | Office $17.21 | Facility Unavailable |
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92544 billing questions
What does this test measure?
It assesses the eye movements produced when the patient views a moving visual pattern. The response helps characterize visual-motion and vestibular-related function.
How is 92544 different from the oscillating tracking test?
92544 evaluates eye movements in response to a moving visual field. The oscillating tracking test, 92545, assesses the patient’s ability to follow a moving target.
Can 92544 be reported separately with 92540?
No. The basic vestibular evaluation represented by 92540 includes the optokinetic test as one of its component tests; do not separately unbundle 92544 from that evaluation.
Which modifiers identify the test components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 92544?
Document that optokinetic visual stimulation was performed and record the observed or recorded eye-movement response. The record should distinguish this stimulus-response test from smooth-pursuit tracking.
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.
11,80992542,,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
11,81392544,26,Optokinetic nystagmus test,A,,0.26,0.15,,0.15,,0.01,0.42,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,81492544,TC,Optokinetic nystagmus test,A,,0.00,0.10,,0.10,NA,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,81592545,,Oscillating tracking test,A,,0.24,0.24,,0.24,NA,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00