Practice and Advocacy
Coding for Vertical Electrodes
Q: How do you code for the use of verticalelectrodes in vestibular function tests?(CPT Code +92547: use of vertical electrodes(List separately in addition to code for primaryprocedure))
A: On February 1, 2005, new guidelines became available to report this CPT code. Previously,the AMA CPT Assistant advised that add-on code+92547 should be reported once per day,regardless of the number of vestibular function tests performed (CPT codes 92541-92546) and/or the number of electrodes placed.
The AMA CPT Coding Assistant recommends the appropriateness of reporting CPT code +92547multiple times per day, based on the number of primary procedures performed. The number of units billed with +92547 should reflect the number of vestibular function test performed during the encounter.
Example of CMS 1500 Claim Form data for which vertical electrodes were used with all tests in the battery:
Note: You do not need (+) appended to CPT Code 92547 when billing the insurer.
Reviewed June 2009
Reviewed July 2006
A: On February 1, 2005, new guidelines became available to report this CPT code. Previously,the AMA CPT Assistant advised that add-on code+92547 should be reported once per day,regardless of the number of vestibular function tests performed (CPT codes 92541-92546) and/or the number of electrodes placed.
The AMA CPT Coding Assistant recommends the appropriateness of reporting CPT code +92547multiple times per day, based on the number of primary procedures performed. The number of units billed with +92547 should reflect the number of vestibular function test performed during the encounter.
Example of CMS 1500 Claim Form data for which vertical electrodes were used with all tests in the battery:
| DOS | POS | EMG | CPT/HCPCS | MOD | DX | CHARGE | UNITS |
| 2/1/2009 | 11 | 92541 | 51 | 386 | 1 | ||
| 2/2/2009 | 11 | 92542 | 51 | 386 | 1 | ||
| 2/3/2009 | 11 | 92543 | 51 | 386 | 4 | ||
| 2/4/2009 | 11 | 92544 | 51 | 386 | 1 | ||
| 2/5/2009 | 11 | 92547 | 51 | 386 | 7 |
Note: You do not need (+) appended to CPT Code 92547 when billing the insurer.
Reviewed June 2009
Reviewed July 2006
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