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Codes 92541-92548

  1. #1
    Default Codes 92541-92548
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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
    [I]Rhonda L. Long, CPC
    The Paxton Clinic
    227 N. Market St.
    Paxton, IL 60957
    217-379-4840[/I]

  2. #2
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    Stuart Sailfish Chapter
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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.
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    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. Smile
    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.

  4. #4
    Default
    Thank you so much for all the info. That will help me.
    [I]Rhonda L. Long, CPC
    The Paxton Clinic
    227 N. Market St.
    Paxton, IL 60957
    217-379-4840[/I]

  5. Default
    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

  6. #6
    Default
    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

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

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

  9. Default 92541-92545
    Quote Originally Posted by nilamdesale View Post
    Hi,
    Can anybody help me for coding for 92541-92545 Series, its continuously getting denials for 92542,92543,92544. Thanks in advance

  10. Default
    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.
    Last edited by catharinen; 10-14-2015 at 01:55 PM.

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