CPT 92544
Global XXX ActiveOptokinetic nystagmus test
CPT 92544 Billing & Documentation Guide
CPT code 92544 (Optokinetic nystagmus test) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.26, a non-facility practice expense RVU of 0.25, and a malpractice RVU of 0.02, a total non-facility RVU of 0.53 and facility RVU of 0.53. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $18.15, though rates vary from $16.2 to $22.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92544, 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 92544 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 92544 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 92544
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.26 | 0.26 |
| Practice Expense RVU | 0.25 | 0.25 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.53 | 0.53 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92544
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 | $19.24 | $19.24 | $18.34 - $22.04 | 29 |
| Florida | $18.36 | $18.36 | $17.67 - $19.07 | 3 |
| Georgia | $17.47 | $17.47 | $16.93 - $18 | 2 |
| Illinois | $18.06 | $18.06 | $17.35 - $18.67 | 4 |
| Michigan | $17.47 | $17.47 | $17.06 - $17.87 | 2 |
| North Carolina | $16.9 | $16.9 | $16.9 - $16.9 | 1 |
| New York | $19.32 | $19.32 | $17.09 - $20.41 | 5 |
| Ohio | $16.98 | $16.98 | $16.98 - $16.98 | 1 |
| Pennsylvania | $17.66 | $17.66 | $16.98 - $18.33 | 2 |
| Texas | $17.57 | $17.57 | $16.9 - $18.13 | 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 92544
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92544 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 |
| 92534 | Column 1 (primary), can be billed with modifier | 9 | HCPCS/CPT procedure code definition |
| 92541 | Column 1 (primary), can be billed with modifier | 9 | More extensive procedure |
| 92545 | Column 1 (primary), can be billed with modifier | Yes | 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 |
Frequently Asked Questions, CPT 92544
What does CPT code 92544 mean? +
CPT code 92544 represents: Optokinetic nystagmus test. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92544? +
The 2026 Medicare national average non-facility payment for CPT 92544 is $18.15. Rates range from $16.2 to $22.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92544? +
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 92544? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team