# CPT 92542: Positional Nystagmus Test

Medicare CPT 92542 pays $28.39 in a non-facility setting and $28.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $26.37 in Arkansas to $36.72 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/92542-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $28.39 |
| National facility | $28.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $36.72 | $36.72 |
| District of Columbia | $31.45 | $31.45 |
| California | $30.85 | $30.85 |
| New Jersey | $30.77 | $30.77 |
| New York | $30.76 | $30.76 |
| Washington | $30.43 | $30.43 |
| Massachusetts | $30.22 | $30.22 |
| Connecticut | $29.77 | $29.77 |
| Hawaii | $29.76 | $29.76 |
| Colorado | $29.20 | $29.20 |
| Maryland | $29.16 | $29.16 |
| Florida | $29.07 | $29.07 |
| Rhode Island | $29.01 | $29.01 |
| Oregon | $28.98 | $28.98 |
| New Hampshire | $28.80 | $28.80 |
| Illinois | $28.65 | $28.65 |
| Puerto Rico | $28.51 | $28.51 |
| Virgin Islands | $28.51 | $28.51 |
| Montana | $28.39 | $28.39 |
| Pennsylvania | $28.34 | $28.34 |
| Nevada | $28.29 | $28.29 |
| Minnesota | $28.27 | $28.27 |
| Delaware | $28.26 | $28.26 |
| Texas | $28.24 | $28.24 |
| Wyoming | $28.22 | $28.22 |
| Georgia | $27.99 | $27.99 |
| North Dakota | $27.99 | $27.99 |
| Virginia | $27.99 | $27.99 |
| South Dakota | $27.95 | $27.95 |
| Vermont | $27.94 | $27.94 |
| Michigan | $27.93 | $27.93 |
| Arizona | $27.92 | $27.92 |
| Maine | $27.61 | $27.61 |
| Utah | $27.60 | $27.60 |
| New Mexico | $27.53 | $27.53 |
| Wisconsin | $27.42 | $27.42 |
| Missouri | $27.39 | $27.39 |
| Louisiana | $27.38 | $27.38 |
| South Carolina | $27.38 | $27.38 |
| Ohio | $27.35 | $27.35 |
| North Carolina | $27.34 | $27.34 |
| Indiana | $27.17 | $27.17 |
| West Virginia | $27.10 | $27.10 |
| Idaho | $27.08 | $27.08 |
| Nebraska | $27.05 | $27.05 |
| Kentucky | $27.00 | $27.00 |
| Tennessee | $26.99 | $26.99 |
| Iowa | $26.97 | $26.97 |
| Oklahoma | $26.96 | $26.96 |
| Kansas | $26.91 | $26.91 |
| Alabama | $26.60 | $26.60 |
| Mississippi | $26.55 | $26.55 |
| Arkansas | $26.37 | $26.37 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92542 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules