Otolaryngology Coding Alert

Reader Questions:

Watch What You Submit With +92547

Question: Medicare has started denying our claims with five units of 92547, stating that we can only bill one unit. What is the reason for this change? 

Missouri Subscriber

Answer:  The denial might be because of whatever other codes you’re also reporting on the claim. CPT® guidelines state that you can only bill add-on code +92547 (Use of vertical electrodes [List separately in addition to code for primary procedure]) with codes 92540-92546 for vestibular, nystagmus, and oscillating tracking tests. If you include +92547 with any other CPT® code, the payer will deny your claim.

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Otolaryngology Coding Alert

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