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Eustachian Tube Dysfunction Testing

Cindy Posted Tue 20th of September, 2016 16:17:21 PM
What code would be used for this test. It is actually a series of three tympanograms. This involves completing a baseline tympanogram, followed by wet swallow while the tympanic memberane is under positive pressure. After the swallow a second tympanogram is done. Finally, a third tympanogram is taken after the patient completes a valsalva maneuver.
SuperCoder Answered Wed 21st of September, 2016 07:43:34 AM

Hi,

In the procedure mentioned above, thr physician is measuring the functioning of the middle ear by varying the pressure of air presented to the ear. He then identifies the pressure at which maximum transmission of sound occurs by varying the pressure in the external ear canal. Finally, he measures the pressure and compares it to normal values by the readings on the tympanogram.

Based, on the information provided, the most appropriate CPT seems to be CPT 92567, Tympanometry (impedance testing).

Hope this Helps.

Thanks.

 

Cindy Posted Wed 21st of September, 2016 12:01:01 PM
This code only allows for one test, as noted above this is a series of three tests, But 92567 allows payment for the pressure reading only and not the additional tests. Can you please revist this and research to see what would be the appropriate code, would you use an unlisted code and submit the records? Reimbursement for 92567 would only pay for one of the tests.
SuperCoder Answered Wed 21st of September, 2016 23:27:13 PM

Hi,

For the above mentioned procedure, billing with unlisted CPT code 92700, can be helpful. Please check youe documentation once, before billing. Also, it would be best if you could arrange the name of the test done by the physician, as it will help us to give you the most appropriate CPT.

Hope this helps.

Thanks.

Cindy Posted Thu 22nd of September, 2016 11:24:25 AM
I apologize, I thought I had put this in the wording, It is called a Eustachian Tube dysfunction test, will this help? would this still be an unlisted and send the records? This is what I was leaning towards since I cannot find an appropriate code. thank you Cindy
SuperCoder Answered Thu 22nd of September, 2016 23:16:33 PM

Hi,

Since the name of the test is not specific, it will be difficult to find exact CPT for it. Hence, in this case, we will go with an unlisted code only.

Hope this helps.

Thanks.

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