Otolaryngology Coding Alert

Reader Question:

Verify That Audiologist Has MD Supervision for 92540

Question: I am trying to find out what type of supervision is required when an audiologist performs a VNG (CPT® code 92540). Is direct or general supervision required for a VNG?  

Nebraska Subscriber 

Answer: An audiologist may be able to perform the technical component of 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), provided the physician is responsible for all clinical judgment and for the appropriate provision of the service. The physician should directly supervise the test.

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