Results 1 to 4 of 4

Thread: cpt 92541 & 92542

  1. #1

    Unhappy cpt 92541 & 92542

    I just recently started having Medicare down code my ENG testing, normally i would code the 92541 with 3 units and 92542 with 2 units. Medicare is only paying for 1 unit and wants me to appeal why there are 3 units for the 1st and 2 units for the 2nd code. Is anyone having this problem? When i ask the audiologist why they are coded this way no one can answer that for me, they just say that it is routine. Can someone help me?

  2. #2
    Join Date
    Apr 2007
    Location
    Stuart Sailfish Chapter
    Posts
    836

    Default

    the ENG testing codes 92541 and 92542 should only be 1 unit.
    92543 x4. ???

    who told you that you should be billing units for the other two?
    Candice Fenildo, CPC, CPMA, CPB, CENTC
    2013 - 2017 AAPC Chapter Association Board of Directors, 2015 Vice-Chair
    Region 4-Florida, Georgia, Alabama, Tennessee, Puerto Rico, Bahamas

    Candice.Ruffing@aapcca.org
    772-342-6976

    There's nothing stronger than the heart of a volunteer

    Past President AAPC Stuart Sailfish Chapter
    Past Education Officer AAPC Stuart Sailfish Chapter
    Past Secretary AAPC Stuart Sailfish Chapter


  3. #3

    Default

    the audiologists. but they could never tell me why, which i thought was strange.

  4. #4
    Join Date
    Apr 2007
    Location
    Stuart Sailfish Chapter
    Posts
    836

    Smile

    If you subscribe to the audiology coding alerts.it is very specific on which codes to use. the AAO-HNS has a grid as well.
    Candice Fenildo, CPC, CPMA, CPB, CENTC
    2013 - 2017 AAPC Chapter Association Board of Directors, 2015 Vice-Chair
    Region 4-Florida, Georgia, Alabama, Tennessee, Puerto Rico, Bahamas

    Candice.Ruffing@aapcca.org
    772-342-6976

    There's nothing stronger than the heart of a volunteer

    Past President AAPC Stuart Sailfish Chapter
    Past Education Officer AAPC Stuart Sailfish Chapter
    Past Secretary AAPC Stuart Sailfish Chapter


Similar Threads

  1. Codes 92541-92548
    By falconfans in forum ENT/Otolaryngology
    Replies: 9
    Last Post: 10-14-2015, 01:52 PM
  2. 92542 billing
    By Lori Carroll in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 06-11-2014, 02:59 PM
  3. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-09-2012, 12:44 AM
  4. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-22-2009, 12:33 AM
  5. Codes 92541-92548
    By falconfans in forum ENT/Otolaryngology
    Replies: 2
    Last Post: 06-12-2008, 03:19 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •