Otolaryngology Coding Alert

Question: Does 92512 appropriately describe "acoustic rhinometry," or should I report the test with an unlisted-procedure code?


Connecticut Subscriber


Answer: The good news is that you may report acoustic rhinometry with 92512 (Nasal function studies [e.g., rhinomanometry]), rather than an unlisted- procedure code. But insurers will probably not cover the procedure.

Reason: Payers deem acoustic rhinometry investigational. An otolaryngologist uses acoustic rhinometry to assess the geometry of the nasal cavity and nasopharynx and to evaluate nasal obstruction, states Blue Cross Blue Shield of North Carolina. "BCBSNC will not provide coverage for ... acoustic rhinometry because [it is] considered investigational."

BCBSNC also doesn't cover the nasal function study - rhinomanometry - that CPT lists as an example in 92512. 
 
An otolaryngologist performs nasal function studies, such as rhinomanometry and acoustic rhinometry, to analyze nasal resistance during breathing. The physician may use the techniques to compare decongestive antihistamines and corticosteroid action or to assess an individual prior to or following nasal surgery, states BlueCross BlueShield of Tennessee Medical Policy Manual.