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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $75.15 national non-facility rate (2026) · View Medicare rates for 92518 |
| Medicaid Fee Schedule | $59.585 median of the 8 states in the free preview · View Medicaid rates for 92518 |
National average reimbursement for CPT 92518 by major payers:

$94.33

$106.04

$91.59

$83.56
Choose a payer to see a sample of rates for CPT 92518.
Mark Wainwright
The Association Of Chrmc And University Physicians
David Banayan
Loyola University Medical Center
Jamie Evans
Loyola University Medical Center
Elizabeth Mirkin
Mount Sinai Community Foundation
Bluesky Telepsych
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Rate Benchmarking
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See a sample payer proposalCPT 92518 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92518 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92518 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92517-CPT | Low | Vestibular Evoked Myogenic Potential Testing W/ In, Vestibular Evoked Myogenic Potential (Vemp) Testing With Interpretation And Report; Cervical (Cvemp) |
| 92518-CPT | Low | Vestibular Evoked Myogenic Potential Testing W/Int, Vestibular Evoked Myogenic Potential (Vemp) Testing With Interpretation And Report; Ocular (Ovemp) |
| 92519-CPT | Low | Vestibular Evoked Myogenic Potential Test W/ Inter, Vestibular Evoked Myogenic Potential (Vemp) Testing With Interpretation And Report; Cervical (Cvemp) And Ocular (Ovemp) |
| 92520-CPT | Low | Laryngeal Funct Studie (Ie Aerodynamic Tsting & Acoustic Testi, Laryngeal Function Studies (Ie Aerodynamic Testing And Acoustic Testi |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92518. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92518 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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