CPT Code For Audiology

CPT Code	Official CPT Description	Uses
69209	Removal of impacted cerumen using irrigation / lavage, unilateral	This is used to report removal of impacted (cannot see clinically significant portions of the tympanic membrane) cerumen using irrigation and/or lavage. Medicare will not reimburse independent audiologists for this procedure but patients may be charged privately for removal of impacted cerumen. This is a unilateral code.  If the procedure is performed bilaterally you must add the ‐50 (bilateral procedure) modifier to the claim.
69210	Removal impacted cerumen using instrumentation, unilateral	This is used to report removal of impacted (cannot see clinically significant portions of the tympanic membrane) cerumen using instrumentation other than irrigation/lavage such as curettes and/or alligator clips; Medicare will not reimburse independent audiologists for this procedure but patients may be charged privately for removal of impacted cerumen. This is a unilateral code.  If the procedure is performed bilaterally you must add the ‐50 (bilateral procedure) modifier to the claim.
92516	Facial nerve function studies (eg, electroneurography)	This code is used to bill for electroneurography (ENoG)
92531	Spontaneous nystagmus test, including gaze, without recording.	This code is used to perform any spontaneous or gaze testing, without recording (just visualization). Medicare does not cover this procedure.
92532	Positional nystagmus test, without recording	This code is used when you perform any form of positional testing, such as a Hallpike Maneuver, without recording (just visualization).  Medicare does not cover this procedure.
92537	Caloric vestibular test with recording, bilateral, bi‐thermal (i.e.one warm and one cool irrigation in each ear for a total of four irrigations)	This code is for bilateral, bi‐thermal (four irrigations total) caloric testing.  This code should not be billed as multiple units. If three irrigations are completed, a ‐52 (reduced services) modifier should be added.  If more than four irrigations are completed, a ‐22 (increased procedural service) modifier should be added to the claim.
92538	Caloric vestibular test with recording, bilateral, mono‐thermal (i.e.one irrigation in each ear for a total of two irrigations)	This code is for bilateral, mono‐thermal (two irrigations total) caloric testing. This code should not be billed as multiple units. If one irrigation is completed, a ‐52 (reduced services) modifier should be added to the claim.
92540	Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording	This bundled code is used to bill for codes 92545, 92542, 92544, and 92545 when they are performed on the same patient on the same date of service. 92537/8  are  not  included  in  this  bundle  and  should  be billed separately.
92541	Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording	Spontaneous nystagmus portion of the common ENG/VNG test protocol; if billed with either 92542, 92544 and/or 92545 (two or three of the 92540 codes) add the ‐59 (distinct procedural service) modifier to the claim.

92542	Positional nystagmus test, minimum of 4 positions, with recording	Positional portion of the common ENG/VNG test protocol, including all positions and the Hallpike maneuver; if billed with either 92541, 92544 and/or 92545 (two or three of the 92540 codes) add the ‐59 (distinct procedural service) modifier to the claim.
92544	Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording	Optokinetic portion of the common ENG/VNG test protocol; if billed with either 92541, 92542 and/or 92545 (two or three of the 92540 codes) add ‐59 modifier to the claim.
92545	Oscillating tracking test, with recording	Tracking portion of the common ENG/VNG test protocol; if billed with either 92541, 92542 and/or 92544 (two or three of the 92540 codes) add ‐59 modifier to the claim.
92546	Sinusoidal vertical axis rotational testing	Rotation chair testing; requires special equipment; commonly used to verify bilateral caloric weaknesses; supply documentation supporting medical necessity if claim denied.
92547	Use of vertical electrodes (List separately in addition to code for primary procedure) (Use 92547 in conjunction with codes 92541‐ 92546) (For unlisted vestibular tests, use 92700)	This is an add‐on code; it can be added to codes 92537, 92538, 92540, 92541, 92542, 92544, 92545, and/or 92546 if vertical electrodes are used and add diagnostic value to the procedure. This code is inappropriate for use as part of a VNG test battery when billing Medicare (except in Florida)
92548	Computerized dynamic posturography	Requires special equipment; commonly used for malingerers or as part of a vestibular rehabilitation program; supply documentation supporting medical necessity if claim denied

TAGS: audiology cpt codes, cpt code 92587, cpt code 92546, 92537 cpt, cpt code 92552, cpt code for middle ear catheterization, cpt code for speech evaluation, cpt code for nasal function study, cpt 92585,