Question
What is the best way to bill for VEMP? Colleagues have told me that they use a code for a similar procedure such as ABR.
Answer
VEMPs should be billed using 92700 (unlisted otorhinological item or service). A copy of the report of the testing should be included with the claim, as well as document outlining a description of the procedure, the clinical utility of the procedure, the time required to complete the procedure, skills required of the tester, equipment required, the benefit to the patient and your Usual and Customary fee.
As claims with 92700 are individually reviewed, an Advanced Beneficiary Notice (ABN) should be completed as a required notification and, following, the -GA modifier should be added to the claim. Payment for this procedure can and should be collected at the date of service.
