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,
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