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See a sample rate comparisonCPT 92532 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Test Or Eye Exam For Nystagmus, Observation Of The Eyes Or Other Testing For Nystagmus (Uncontrolled Rapid Movement Of The Eyeballs).
| 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 GP - Services delivered under an outpatient physical therapy plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92532 |
| Medicaid Fee Schedule | $12.48 median of the 8 states in the free preview · View Medicaid rates for 92532 |
National average reimbursement for CPT 92532 by major payers:
$24.04
$25.20
$21.91
$31.02
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CPT 92532
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$103.66Published rateElton Smith
$33.40Published rateAnu Mathur
Edward Health Ventures
$29.77Published rateElton Smith
$24.00Published rateSteve Herrin
Veterans Assistance Commission C
$17.34Published rate
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See a sample payer proposalCPT 92532 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92532 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 92532 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 |
|---|---|---|
| 92531-CPT | Low | Test Or Eye Exam For Nystagmus, Observation Of The Eyes Or Other Testing For Nystagmus (Uncontrolled Rapid Movement Of The Eyeballs). |
| 92532-CPT | Low | Test Or Eye Exam For Nystagmus, Observation Of The Eyes Or Other Testing For Nystagmus (Uncontrolled Rapid Movement Of The Eyeballs). |
| 92533-CPT | Low | Caloric Vestibular Test Each, Caloric Vestibular Test Each Irrigation (Binauralbithermal Stimulation Constitutes Four Tests) Caloric Vestibular Test Each Irrigation (Binaural |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92532. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92532 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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