CPT 95992
Global XXX ActiveCanalith repositioning proc
CPT 95992 Billing & Documentation Guide
CPT code 95992 (Canalith repositioning proc) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.73, a non-facility practice expense RVU of 0.47, and a malpractice RVU of 0.02, a total non-facility RVU of 1.22 and facility RVU of 0.89. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $41.84, though rates vary from $38.21 to $53.66 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95992, 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 95992 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 95992 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 95992
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.73 | 0.73 |
| Practice Expense RVU | 0.47 | 0.14 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.22 | 0.89 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95992
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 | $44.19 | $31.15 | $42.36 - $50.06 | 29 |
| Florida | $41.43 | $30.38 | $40.39 - $42.41 | 3 |
| Georgia | $40.2 | $29.68 | $39.18 - $41.21 | 2 |
| Illinois | $40.91 | $30.27 | $39.76 - $41.86 | 4 |
| Michigan | $40.07 | $29.72 | $39.47 - $40.66 | 2 |
| North Carolina | $39.46 | $29.17 | $39.46 - $39.46 | 1 |
| New York | $43.96 | $31.66 | $39.77 - $45.85 | 5 |
| Ohio | $39.39 | $29.33 | $39.39 - $39.39 | 1 |
| Pennsylvania | $40.7 | $29.9 | $39.43 - $41.96 | 2 |
| Texas | $40.59 | $29.74 | $39.29 - $41.63 | 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 95992
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95992 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 |
| 92531 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 92532 | 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 |
| 97110 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 97110 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 97112 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 97112 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 97140 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 95992
What does CPT code 95992 mean? +
CPT code 95992 represents: Canalith repositioning proc. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95992? +
The 2026 Medicare national average non-facility payment for CPT 95992 is $41.84. Rates range from $38.21 to $53.66 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95992? +
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 95992? +
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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