Otolaryngology Coding Alert

Here's the rationale behind ENG test unit rules.With some ENG tests taking one unit and others allowing multiple units, otolaryngology coders have a hard time keeping 92541-92547's billing rules straight. Break down each code, and you'll be applying the correct number of units to your claims in no time. Bill 92542 Only OnceEven though a positional nystagmus test involves multiple positions, you should code per test, not per position. Since CPT's 92542 descriptor states, "Positional nystagmus test, minimum of four positions, with recording" you should never bill 92542 as more than one unit, says Laura Carbonaro, director of central billing operations with ENT and Allergy Associates, LLP, with offices in New York and New Jersey. Tip: If the test involves fewer than four positions, you may report 92542 with modifier 52 (Reduced services), says Debbie Abel, AuD, director of reimbursement for the American Academy of Audiology in Reston, Va., and [...]