$70.61
92517 reports cervical VEMP testing; 92518 reports ocular VEMP testing. Select the code for the response pathway tested.
On this page
CMS RVU26D · Effective 2026-10-01
92518 VEMP testing Medicare reimbursement rates in Utah
Reports ocular VEMP testing with interpretation to assess vestibular function when a clinician needs information from the eye-muscle response pathway. Compare 92518 office and facility rates across CMS payment localities in Utah.
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 92518 in Utah?
Utah 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
$72.15
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$34.16
1 of 1 localities have a supported rate.
Payment area: Utah
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 92518: Ocular vestibular evoked myogenic potential test
Reports ocular VEMP testing with interpretation to assess vestibular function when a clinician needs information from the eye-muscle response pathway.
Ocular vestibular evoked myogenic potential testing records reflex responses from muscles around the eyes after sound or vibration stimuli. Electrodes placed beneath the eyes capture the responses, which help assess vestibular function, including the utricular pathway. Audiologists commonly perform the test in audiology or otolaryngology settings, with the findings interpreted and reported as part of the service.
Use this code when the service is ocular VEMP testing with interpretation and a report, rather than cervical VEMP alone or testing both cervical and ocular responses. The record should identify the test performed and include the measured responses, interpretation, and report. CMS pricing treats this code as bilateral; modifier 50 does not increase payment.
CMS billing rules for 92518
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.78 · 35%
- Practice expense (office) RVU1.43 · 64%
- Malpractice RVU0.04 · 2%
228
Medicare services in 2024 · #4209 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.
92518 compared with similar codes
Office rates for Utah, from the same CMS release.
$112.82
92519 is for testing both cervical and ocular VEMP responses. Use 92518 when the reported VEMP service is ocular only.
$100.23
92540 represents a basic vestibular evaluation, not ocular VEMP testing. Choose based on the evaluation actually performed and reported.
Compare 92518 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
Utah →
Office / nonfacility
$72.15
Facility
$34.16
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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 92518 in Utah.
PPRRVU2026_Oct_nonQPP.csv
11,785
- Code
- 92518
- Physician work
- 0.78
- Practice expense
- 1.43
- Malpractice
- 0.04
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 1.43 | × 0.940 | 1.3442 |
| Malpractice | 0.04 | × 0.898 | 0.0359 |
| Total RVUs | 2.1601 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$72.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 1.43 | 0.94 |
| Malpractice | 0.04 | 0.898 |
(0.78 × 1 + 1.43 × 0.94 + 0.04 × 0.898) × $33.4009 = $72.15
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 0.22 | 0.94 |
| Malpractice | 0.04 | 0.898 |
(0.78 × 1 + 0.22 × 0.94 + 0.04 × 0.898) × $33.4009 = $34.16
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.
92518 billing questions
How does this differ from 92517?
92518 is for ocular VEMP testing. Use 92517 for cervical VEMP testing.
When is 92519 the better choice?
Use 92519 when both cervical and ocular VEMP testing are performed and interpreted. This code covers ocular testing only.
Does the code include interpretation and a report?
Yes. The service includes ocular VEMP testing, interpretation, and reporting; document the recorded responses and clinical interpretation.
Should modifier 50 be added for testing both sides?
CMS pricing treats 92518 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 92518?
Document that ocular VEMP testing was performed, the responses obtained, and the interpretation and report. Distinguish ocular testing from cervical-only or combined testing.
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.
11,78292512,,Nasal function studies,A,,0.54,1.37,,0.12,,0.04,1.95,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78392516,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985