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See a sample rate comparisonCPT 92548 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.
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
| 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 | $47.43 national non-facility rate (2026) · View Medicare rates for 92548 |
| Medicaid Fee Schedule | $68.925 median of the 8 states in the free preview · View Medicaid rates for 92548 |
National average reimbursement for CPT 92548 by major payers:
$69.58
$96.85
$85.49
$107.75
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CPT 92548
5 of 25 sample ratesHigher to lower in this preview
Lubov Romantseva
Pediatric Faculty Foundation In
$249.94Published rateKelli Keller
Edward Health Ventures
$113.41Published rateDavid Sholtes
Rush University Medical Center
$64.04Published rateRubeena Mian
Presence Behavioral Health
$44.43Published rateSyed Khan
$22.77Published rate
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See a sample payer proposalCPT 92548 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92548 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 92548 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 |
|---|---|---|
| 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 |
| 92549-CPT | Low | Cdp Sot 6 Cond W I R Mct Adt, 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 With Motor Control Test Mct And Adaptation Test Adt |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92548. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92548 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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