CPT code 95992: Canalith repositioning2026 Medicare rate & RVUs in Washington
A clinician uses a positional maneuver to treat benign paroxysmal positional vertigo by moving displaced inner-ear particles out of a symptomatic canal.
Medicare pays $41.74–$45.41 for 95992 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95992 covers
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.
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.
Where 95992 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $41.74 | $30.13 |
| Seattle (King Cnty) | $45.41 | $31.89 |
How the 95992 rate is calculated
Each of 95992’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95992
RVUs × geographic indexes × conversion factor
Work0.73
0.73 RVUs× 1.000 GPCI
Practice expense0.47
0.47 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.2200
Conversion factor
$33.4009
Medicare rate
$40.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95992
95992 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95992
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$40.75
- Non-facility (office)
- $40.75
- Facility
- $29.73
Higher because the practice carries its own overhead.
95992 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92542Positional nystagmus
- 92542 is a diagnostic positional nystagmus test; 95992 is the therapeutic maneuver used to reposition canaliths.
- 97112Neuromuscular reeducation
- 97112 describes neuromuscular reeducation, such as separately performed balance or coordination training. It does not describe the canalith repositioning maneuver itself.
- 92540Vestibular evaluation
- 92540 represents a basic vestibular evaluation, while 95992 describes treatment of BPPV with a repositioning maneuver.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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