$89.84
Use 95921 for cardiovagal parasympathetic assessment; use 95922 for adrenergic sympathetic assessment.
On this page
CMS RVU26D · Effective 2026-10-01
95922 Autonomic testing Medicare reimbursement rates in Wyoming
Reports testing of sympathetic adrenergic autonomic function, such as blood pressure and heart-rate responses during Valsalva maneuver or head-up tilt. Compare 95922 office and facility rates across CMS payment localities in Wyoming.
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 95922 in Wyoming?
Wyoming 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
$90.75
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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.
Neurologic testing
About 95922: Adrenergic autonomic function testing
Reports testing of sympathetic adrenergic autonomic function, such as blood pressure and heart-rate responses during Valsalva maneuver or head-up tilt.
This service assesses the sympathetic adrenergic part of autonomic control, including how blood pressure and heart-rate measures respond to maneuvers such as Valsalva or head-up tilt. Neurologists and clinicians in autonomic laboratories commonly use it when evaluating symptoms such as orthostatic intolerance, fainting, or suspected autonomic neuropathy. The test may be performed in an office or facility setting using monitoring equipment and trained staff.
Select 95922 when the documented testing evaluates adrenergic function, rather than cardiovagal function alone or sudomotor function. The record should identify the maneuvers or measurements performed and support the clinical reason for testing. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional work, modifier TC for the technical service, or neither modifier for the global service.
CMS billing rules for 95922
- 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 RVU0.96 · 35%
- Practice expense (office) RVU1.72 · 63%
- Malpractice RVU0.05 · 2%
2.3K
Medicare services in 2024 · #2345 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.
95922 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$122.15
95923 assesses sudomotor function, whereas 95922 assesses adrenergic responses such as blood pressure and heart-rate changes.
$153.78
95924 represents combined parasympathetic and sympathetic testing with tilt. 95922 represents the adrenergic function portion when that is the service performed.
Compare 95922 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
Wyoming** →
Office / nonfacility
$90.75
Facility
Unavailable
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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 95922 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,657
- Code
- 95922
- Physician work
- 0.96
- Practice expense
- 1.72
- Malpractice
- 0.05
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 1.72 | × 1.000 | 1.7200 |
| Malpractice | 0.05 | × 0.740 | 0.0370 |
| Total RVUs | 2.7170 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$90.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1 |
| Practice expense | 1.72 | 1 |
| Malpractice | 0.05 | 0.74 |
(0.96 × 1 + 1.72 × 1 + 0.05 × 0.74) × $33.4009 = $90.75
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.
95922 billing questions
How is 95922 different from 95921?
95922 represents testing of adrenergic sympathetic function, while 95921 represents cardiovagal parasympathetic function. Choose based on the function actually tested and documented.
When should 95924 be considered instead?
95924 describes combined parasympathetic and sympathetic autonomic testing with tilt. Consider it when the performed service assesses both branches as a combined test, rather than assuming 95922 alone represents the full battery.
Which modifiers identify the professional and technical portions?
Append modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Billing without either modifier represents the global service.
What documentation supports 95922?
Document the adrenergic function assessment, the maneuvers or measurements performed, and the clinical reason for testing. The record should make clear that the service evaluated sympathetic autonomic responses.
Can 95922 be used for sudomotor testing?
No. Sudomotor function is represented by 95923; 95922 is for adrenergic function.
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.
12,65495921,,Autonomic nrv parasym inervj,A,,0.88,1.78,,1.78,NA,0.04,2.70,2.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65595921,26,Autonomic nrv parasym inervj,A,,0.88,0.41,,0.41,,0.03,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65695921,TC,Autonomic nrv parasym inervj,A,,0.00,1.37,,1.37,NA,0.01,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,65795922,,Autonomic nrv adrenrg inervj,A,,0.96,1.72,,1.72,NA,0.05,2.73,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65895922,26,Autonomic nrv adrenrg inervj,A,,0.96,0.37,,0.37,,0.04,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65995922,TC,Autonomic nrv adrenrg inervj,A,,0.00,1.35,,1.35,NA,0.01,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,66095923,,Autonomic nrv syst funj test,A,,0.88,2.74,,2.74,NA,0.05,3.67,3.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,