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See a sample rate comparisonCPT 92541 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.
Spontaneous Nystagmus Test In, Spontaneous Nystagmus Test Including Gaze And Fixationnystagmus With Recording Spontaneous Nystagmus Test Including Gaze And Fixation
| 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 GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.72 national non-facility rate (2026) · View Medicare rates for 92541 |
| Medicaid Fee Schedule | $21.87 median of the 8 states in the free preview · View Medicaid rates for 92541 |
National average reimbursement for CPT 92541 by major payers:
$35.39
$43.17
$41.04
$47.11
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CPT 92541
5 of 25 sample ratesHigher to lower in this preview
Kavita Thakkar
Pediatric Faculty Foundation In
$111.62Published rateJamie Evans
Loyola University Medical Center
$40.43Published rateLauren Schumacher
$26.81Published rateLuda Sorin
Osf Multi-Specialty Group
$8.06Published rateAshley Boyle
Town Center Orthopaedic Associates, P.C.
$4.66Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92541 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92541 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 92541 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 |
|---|---|---|
| 92540-CPT | Low | Basic Vestibular Evaluation, Basic Vestibular Evaluation Includes Spontaneous Nystagmus Test With Eccentric Gaze Fixation Nystagmus With Recording Positional Nystagmus Test Minimum Of 4 Positions With Recording Optokinetic Nystagmus Test Bidirectional Foveal And Peripheral Stimulation With Recording And Oscillating Tracking Test With Recording |
| 92541-CPT | Low | Spontaneous Nystagmus Test In, Spontaneous Nystagmus Test Including Gaze And Fixationnystagmus With Recording Spontaneous Nystagmus Test Including Gaze And Fixation |
| 92542-CPT | Low | Positional Nystagmus Test Min, Positional Nystagmus Test Minimum Of 4 Positionswithrecording Positional Nystagmus Test Minimum Of 4 Positions With |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92541. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92541 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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