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See a sample rate comparisonCPT 95992 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.
Motion Treatment For Dizziness, The Canalith Reposition Procedure Is A Series Of Head And Body Movements. When Debris Collect In The Inner Ear Dizziness Can Result. This Procedure Moves The Debris Out Of The Ear.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $40.75 national non-facility rate (2026) · View Medicare rates for 95992 |
| Medicaid Fee Schedule | $34.22 median of the 7 states in the free preview · View Medicaid rates for 95992 |
National average reimbursement for CPT 95992 by major payers:
$56.07
$56.21
$57.33
$60.09
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CPT 95992
5 of 25 sample ratesHigher to lower in this preview
Tracy Binius
Fairview Health Services
$131.25Published rateMary Fahrmeier
$88.37Published rateAftab Poshni
Horizons Behavioral Health LLC
$75.76Published rateIunia Dadarlat
Arnett Clinic LLC
$50.70Published rateJessica Ortega
Town Center Orthopaedic Associates, P.C.
$34.65Published rate
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See a sample payer proposalCPT 95992 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95992 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular 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 95992 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 |
|---|---|---|
| 95992-CPT | Low | Motion Treatment For Dizziness, The Canalith Reposition Procedure Is A Series Of Head And Body Movements. When Debris Collect In The Inner Ear Dizziness Can Result. This Procedure Moves The Debris Out Of The Ear. |
| 95999-CPT | Moderate | Unlisted Neurological Or Neuromuscular Diagnos Proc, Unlisted Neurological Or Neuromuscular Diagnostic Procedure |
| 96000-CPT | Low | Analysis Of Body Movement, A Complete Analysis Of How The Body Is Moving Based On Statistical Analysis Of Video Recorded Information. The Analysis May Look At A Particular Area Of The Body. |
| 96001-CPT | Low | Analysis Of Body Movement, A Complete Analysis Of How The Body Is Moving Based On Statistical Analysis Of Video Recorded Information. The Analysis May Look At A Particular Area Of The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95992. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95992 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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Frequently Asked Questions
Medicare and Medicaid rates are government-set reimbursement amounts, while private insurance rates are negotiated between healthcare providers and insurance companies.
CPT 95992 is used by healthcare providers to document and receive reimbursement for visits involving moderate-level medical decision-making, often including multiple diagnoses or prescription management. It also represents a Canalith Repositioning Procedure(S).