Question
In patients suspect for BPPV I do a video assisted Dix-Hallpike to confirm BPPV and to document the findings. The patient is scheduled to return for repositioning on another day. Can I charge for the video recorded Dix-Hallpike using the positional codes from the VNG battery?
Answer
Yes, you can bill using the positional code (CPT code 92542) as this code is the Dix-Hallpike maneuver. One of the general rules of the AMA is that they cannot use proper names as part of the descriptor for a CPT code. Rather, the code "title" describes what the procedure does - hence, "Positional nystagmus test, minimum of 4 positions, with recording."
Robert C. Fifer, Ph.D. is currently the Director of Audiology and Speech-Language Pathology at the Mailman Center for Child Development, Department of Pediatrics, University of Miami School of Medicine. Dr. Fifer is the President of the Florida Association of Speech-Language Pathologists and Audiologists, a member of ASHA's Health Care Economics Committee, and the ASHA representative to the American Medical Association's Health Care Professions Advisory Committee for the Relative Value Utilization Committee in addition to being ASHA's representative to the AMA's Practice Expense Advisory Committee.
Robert C. Fifer, PhD
Director of Audiology and Speech Language Pathology at the Mailman Center for Child Development at the University of Miami
Robert C. Fifer, Ph.D. is Director of Audiology and Speech Language Pathology at the Mailman Center for Child Development at the University of Miami. Dr. Fifer represents ASHA on the AQC.
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