92537 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 92537

Payer coverage policies that name 92537

92537 appears in 8 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaAttention Deficit/Hyperactivity Disorder (0426)
EEG theta/beta power ratio, Gut microbiota profile, polygenic risk score, evaluation of kynurenine pathway
not covered (range 92537-92538)Jul 7, 2026payer document
AetnaChronic Vertigo (0238)covered if criteria are metApr 23, 2026payer document
AnthemVestibular Function Testing (CG-MED-94)covered if criteria are metFeb 19, 2026payer document
Blue Cross & Blue Shield of Rhode IslandVestibular Function Testscovered if criteria are metMar 4, 2026payer document
Blue Cross Blue Shield of MassachusettsVestibular Function Testing (024)listed, no stancepayer document
Blue Cross NCVestibular Function Testing
ENG/VNG Testing Batteries
listed, no stanceFeb 1, 2026payer document
Blue Shield of California| Vestibular Function Testing (2.01.104)listed, no stancepayer document
BlueCross BlueShield of South CarolinaVestibular Function Testing (CAM 201104)listed, no stance (range 92537-92547)Dec 1, 2025payer document

Medicaid fee-for-service

  • AZ: $101.17 (outpatient_hospital), effective Oct 1, 2021
  • CO: $7.01 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $22.73 (hearing), effective Apr 6, 2026
  • IL: $25.59 (audiology), effective Jan 1, 2026
  • IN: $6.47 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $20.57 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $31.70 (audiology), effective Jan 1, 2016
  • LA: $11.69 (professional), effective Jan 1, 2016
  • MA: $22.93 (physician_medicine), effective May 1, 2024
  • MS: $25.98 (comprehensive), effective Jul 1, 2026
  • ND: $9.76 (physician), effective Aug 1, 2026
  • NE: $44.96 (physician, non-facility), effective Jul 1, 2026
  • NY: $26.02 (hearing_aid, facility), effective Jul 1, 2026
  • OH: $36.19 (physician), effective Jan 1, 2024
  • OK: $7.50 (physician, non-facility), effective Jul 1, 2026
  • TX: $6.95 (audiologist, Audiologist, non-facility), effective Mar 1, 2026
  • VA: $34.14 (medical, facility), effective Jul 1, 2026
  • VT: $99.91 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $18.15 (neurodevelopmental_centers, facility), effective Jul 1, 2026
  • WY: $56.91 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.