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See a sample rate comparisonCPT 92547 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.
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| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.02 national non-facility rate (2026) · View Medicare rates for 92547 |
| Medicaid Fee Schedule | $9.005 median of the 8 states in the free preview · View Medicaid rates for 92547 |
National average reimbursement for CPT 92547 by major payers:
$12.17
$10.98
$10.94
$15.48
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CPT 92547
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$63.04Published rateDeborah Cano
Howard Brown Health Center
$17.54Published rateMalcolm Vandrevala
Advocate Health And Hospitals Corporation
$14.90Published rateAqeel Khan
Presence Healthcare Services
$11.98Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$6.06Published rate
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See a sample payer proposalCPT 92547 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92547 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 92547 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 |
|---|---|---|
| 92546-CPT | Low | Torsion Swing Test With Recording |
| 92547-CPT | Low | Use Of Vertical Electrodes (Li, Use Of Vertical Electrodes (List Separately In Addition Tocode For Primary Procedure) Use Of Vertical Electrodes (List Separately In Addition To |
| 92548-CPT | Low | Cdp Sot 6 Cond W I R, Computerized Dynamic Posturography Sensory Organization Test Cdp Sot 6 Conditions Ie Eyes Open Eyes Closed Visual Sway Platform Sway Eyes Closed Platform Sway Platform And Visual Sway Including Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92547. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92547 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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