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Thread: cpt 92541 & 92542

  1. #1

    Unhappy cpt 92541 & 92542

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    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
    861

    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, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

  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
    861

    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, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio
    772-342-6976
    Candice.Fenildo@appcca.org

    "Nothing is stronger than the heart of a volunteer"

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