New and Revised CPT Codes For 2016

Audiology

Effective January 1, 2016

New CPT Codes

92537 Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear for a total of four irrigations)
(Do not report 92537 in conjunction with 92270, 92538)
(For three irrigations, use modifier -52)
(For monothermal caloric vestibular testing, use 92538)

92538 Caloric vestibular test with recording, bilateral; monothermal (i.e., one irrigation in each ear for a total of two irrigations)
(Do not report 92538 in conjunction with 92270, 92537)
(For one irrigation, use modifier -52)
(For bithermal caloric vestibular testing, use 92537)

Note: CPT codes 92537 and 92538 may not be billed more than once on the same date of service. To report more irrigations than indicated in each code, consider using the modifier -22 to indicate an increased service. In those circumstances, audiologists should be prepared to provide justification for the increased service and why it was needed.

Deleted CPT Codes

92543 Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests), with recording

Note: 92543 is replaced with CPT codes 92537 and 92538 (see new codes above)

Revised CPT Codes

No audiology codes have been revised for 2016.

See also:

ASHA Corporate Partners