Procedure Code Table

CPT or HCPCS Procedure Code : 61596

Short Description: Transcochlear approach

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code :69210

Short Description: Removal impacted cerumen (separate)

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 76977

Short Description: Us bone density measure

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 78020

Short Description: Thyroid met uptake

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 78206

Short Description: Liver image (3d) with flow

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 78494

Short Description: Heart image spect

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code :78496

Short Description: Heart first pass add-on

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 78588

Short Description: Perfusion lung image

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92502

Short Description: Otolaryngologic examination under genera

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92504

Short Description: Binocular microscopy (separate diagnosti

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92507

Short Description:Speech/hearing therapy

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92508

Short Description: Treat speech language - group

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92511

Short Description: Nasopharyngoscopy with endoscope (separa)

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92512

Short Description: Nasal function studies, eg, rhinomanomet 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92516

Short Description: Facial nerve function studies

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92531

Short Description: Spontaneous nystagmus, including gaze

Covered Benefit : No

Prior Authorization Needed: -

CPT or HCPCS Procedure Code : 92532

Short Description: Positional nystagmus test

Covered Benefit : No

Prior Authorization Needed: -

CPT or HCPCS Procedure Code : 92533

Short Description: Caloric vestibular test, each irrigation

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92534

Short Description: Optokinetic nystagmus test

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92540

Short Description: Basic vestibular evaluation

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92541

Short Description:Spontaneous nystagmus test, including ga 

Covered Benefit : Yes

Prior Authorization Needed: No.

CPT or HCPCS Procedure Code : 92542

Short Description:Positional nystagmus test, minimum of 4

Covered Benefit : Yes

Prior Authorization Needed: No