CPT 92537
Global XXX ActiveCaloric vstblr test w/rec
CPT 92537 Billing & Documentation Guide
CPT code 92537 (Caloric vstblr test w/rec) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.59, a non-facility practice expense RVU of 0.57, and a malpractice RVU of 0.02, a total non-facility RVU of 1.18 and facility RVU of 1.18. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $40.55, though rates vary from $36.4 to $50.2 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92537, 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 92537 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 92537 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 92537
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.59 | 0.59 |
| Practice Expense RVU | 0.57 | 0.57 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.18 | 1.18 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92537
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 | $43.3 | $43.3 | $41.27 - $49.69 | 29 |
| Florida | $40.11 | $40.11 | $38.91 - $41.22 | 3 |
| Georgia | $38.7 | $38.7 | $37.49 - $39.91 | 2 |
| Illinois | $39.45 | $39.45 | $38.13 - $40.58 | 4 |
| Michigan | $38.52 | $38.52 | $37.84 - $39.2 | 2 |
| North Carolina | $37.9 | $37.9 | $37.9 - $37.9 | 1 |
| New York | $42.79 | $42.79 | $38.26 - $44.85 | 5 |
| Ohio | $37.76 | $37.76 | $37.76 - $37.76 | 1 |
| Pennsylvania | $39.25 | $39.25 | $37.82 - $40.68 | 2 |
| Texas | $39.18 | $39.18 | $37.65 - $40.48 | 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 92537
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92537 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 |
| 69209 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 69210 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 92538 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99446 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99449 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 92537
What does CPT code 92537 mean? +
CPT code 92537 represents: Caloric vstblr test w/rec. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92537? +
The 2026 Medicare national average non-facility payment for CPT 92537 is $40.55. Rates range from $36.4 to $50.2 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92537? +
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 92537? +
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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