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Codes 92543, 92547 allow multiple billings while 92542, 92545 With some ENG tests taking one unit while others allowing multiple units, otolaryngology coders have a tough time keeping 92541-92547's billing rules straight. Break down each code and you will be applying the correct number of units to your claims in no time. Bill 92542 only one time Even though a positional nystagmus test involves multiple positions, you should code per test, not per position. As CPT's 92542 descriptor states, "Positional nystagmus test, minimum of four positions, with recording" you should never bill 92542 as more than one unit. Tip: If the test involves fewer than four positions, you may use 92542 with modifier 52 (Reduced services). Positions may include supine with the head extended dorsally, left and right; and sitting. Report 92543 per Irrigation However, you may bill multiple units of 92543 (Caloric vestibular test, each irrigation [binaural, bithermal stimulation constitutes four tests], with recording). In this test, the audiologist irrigates the ear with warm and then cold water. If she carries out the irrigation on each side (binaural) with duel temperatures (bithermal), she...more
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