Otolaryngology Coding Alert

Question: I am trying figure out the best CPT^® codes to use for a Dix-Hallpike test and Epley/Canalith repositioning. We used to file 92700 with two units for a bilateral Dix-Hallpike test and three units for a bilateral Epley. Our new computer system doesn’t allow us to use this code. How should we handle claims for these procedures?

Pennsylvania Subscriber

Answer: CPT^® does not include a code for VEMP (vestibular evoked potential), so you should submit 92700 (Unlisted otorhinolaryngological service or procedure) with an explanation of your provider’s work. Code 95992 (Canalith repositioning procedure[s], [e.g. Epley maneuver, Semont maneuver], per day) is correct for canalith repositioning, but remember that the service must now be performed by a therapist or a provider and is not payable to an audiologist. These codes are not paid in multiple units. They are only coded and billed as one unit.

Take note: Some coders might consider 92532 (Positional nystagmus test) for the Dix-Hallpike with 95992, but that is not appropriate for this situation. Both codes represent stand-alone procedures and must be billed alone instead of with an E/M service.