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See a sample rate comparisonCPT 92534 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 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GN - Services delivered under an outpatient speech language pathology plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92534 |
| Medicaid Fee Schedule | $13.49 median of the 8 states in the free preview · View Medicaid rates for 92534 |
National average reimbursement for CPT 92534 by major payers:
$24.07
$28.29
$22.24
$32.07
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CPT 92534
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$127.30Published rateVinod Alluri
Loyola University Medical Center
$36.68Published rateMegan Ginsburg
Advocate Health And Hospitals Corporation
$32.97Published rateTrilok Shah
In Touch Physicians LLC
$23.78Published rateClint Anthony
District Medical Group Inc
$15.36Published rate
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See a sample payer proposalCPT 92534 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92534 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 92534 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 |
|---|---|---|
| 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). |
| 92537-CPT | Low | Caloric Vestibular Test With R, Caloric Vestibular Test With Recording Bilateralbithermal (Ie One Warm And One Cool Irrigation I N Each Ear For A Total Of Four Irrigations) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92534. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92534 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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