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See a sample rate comparisonCPT 92537 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.
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)
| 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 | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $39.41 national non-facility rate (2026) · View Medicare rates for 92537 |
| Medicaid Fee Schedule | $32.125 median of the 8 states in the free preview · View Medicaid rates for 92537 |
National average reimbursement for CPT 92537 by major payers:
$46.15
$53.25
$53.14
$72.34
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CPT 92537
5 of 25 sample ratesHigher to lower in this preview
Jennifer Kurth
$95.22Published rateSigita Plioplys
$61.27Published rateJamie Evans
$19.48Published rateCezary Dudzinski
Northwestern Memorial Healthcare
$15.25Published rateKristin Whitley
Town Center Orthopaedic Associates, P.C.
$8.95Published rate
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See a sample payer proposalCPT 92537 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92537 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 92537 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 |
|---|---|---|
| 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) |
| 92538-CPT | Low | Diag Ear/Nose/Throat Proc, Caloric Vestibular Test With Recording Bilateral; Bithermal (Ie One Warm And One Cool Irrigation In 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 92537. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92537 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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