CPT 92512
Global XXX ActiveNasal function studies
CPT 92512 Billing & Documentation Guide
CPT code 92512 (Nasal function studies) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.54, a non-facility practice expense RVU of 1.37, and a malpractice RVU of 0.04, a total non-facility RVU of 1.95 and facility RVU of 0.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $67.3, though rates vary from $58.03 to $86.72 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92512, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 92512 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 92512 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 92512
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.54 | 0.54 |
| Practice Expense RVU | 1.37 | 0.12 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 1.95 | 0.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92512
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $73.55 | $24.15 | $69.21 - $86.72 | 29 |
| Florida | $66.55 | $24.66 | $63.79 - $69.05 | 3 |
| Georgia | $63.32 | $23.49 | $60.45 - $66.19 | 2 |
| Illinois | $64.87 | $24.53 | $61.9 - $67.52 | 4 |
| Michigan | $62.89 | $23.68 | $61.32 - $64.45 | 2 |
| North Carolina | $61.58 | $22.63 | $61.58 - $61.58 | 1 |
| New York | $71.76 | $25.18 | $62.45 - $76.08 | 5 |
| Ohio | $61.16 | $23.04 | $61.16 - $61.16 | 1 |
| Pennsylvania | $64.45 | $23.56 | $61.31 - $67.59 | 2 |
| Texas | $64.43 | $23.32 | $60.92 - $67.67 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 92512
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92512 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99202 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99203 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99204 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99205 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99211 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99212 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 92512
What does CPT code 92512 mean? +
CPT code 92512 represents: Nasal function studies. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92512? +
The 2026 Medicare national average non-facility payment for CPT 92512 is $67.3. Rates range from $58.03 to $86.72 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92512? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 92512? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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