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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 20 - Urgent Care Facility |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments GN - Services delivered under an outpatient speech language pathology plan of care U5 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92533 |
| Medicaid Fee Schedule | $18.12 median of the 8 states in the free preview · View Medicaid rates for 92533 |
National average reimbursement for CPT 92533 by major payers:

$31.86

$37.13

$30.84

$45.32
Choose a payer to see a sample of rates for CPT 92533.
P. Daniel Le Grange
Abby Fredrickson
Kelly Rhodes
Riverside Health System
Douglas Nordli
Saint Anthony Health Affiliates
Stephanie Hernandez
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Rate Benchmarking
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See a sample payer proposalCPT 92533 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92533 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 92533 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 |
|---|---|---|
| 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 |
| 92534-CPT | Low | Test Or Eye Exam For Nystagmus, Observation Of The Eyes Or Other Testing For Nystagmus (Uncontrolled Rapid Movement Of The Eyeballs). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92533. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92533 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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