Codes 92541-92548

falconfans

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I was wondering if anyone could help me with the above codes? I am a new
CPC and have never done any of this billing before. My doc is looking at doing
these procedures. Is there anything that I should be aware of regarding the above codes. Thanks in advance for any help that you can give!

Rhonda Long
 

Candice_Fenildo

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Those list of codes are for the VENG. it is a type of balance testing for patients that have Vertigo or Dizziness. Medicare has LCD's on these codes as well you might want to look at.
 

rimiller

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i have been billing these for a while. I learned not to long ago that the only code that can be billed in multiple units is the 92543. 92541,42,44,45 are only 1 unit.:)
 

debz

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our office bills out 92541, 92542, 92544 with 1 unit ( bcbs and medicare pay only 1 unit on 92545 & 92546) other insuranes pay for 2 units, 92543 is billed out with 4 units and 92547 is billed out with 11 units
 

falconfans

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Thanks so much for the replies. Does anyone know if you can bill 92546 with 2 units?

Thanks,
Rhonda Long
Paxton Clinic
227 N Market St
Paxton IL 60957
217 379 4864
 

debz

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here in CT our office bills 2 units on 92546 to all carriers except BCBS and medicare they will only pay 1 unit
 

nilamdesale

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Hi,
Can anybody help me for coding for 92541-92545 Series, its continuously getting denials for 92542,92543,92544. Thanks in advance
 

catharinen

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If billing 92541, 92542, 92544, and 92545 on the same day, you should use 92540 instead of billing them individually. If not performing all four codes on the same day, you can bill the individual CPT codes. In my state, Medicare will only pay for 2 the following per patient per year: 92541, 92542, 92544, 92545, 92546 if billed individually. Also, they will only pay for 4 units of 92543 within a calendar year.
 
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