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FIRST TIME BILLING VNG TESTS SEE EXAMPLE

Yvette Posted Thu 05th of November, 2009 17:51:10 PM

92541 X1 UNIT
92542 X1
92543 X4
92544 X1
92545 X1
92546 X1
92547 X1
92548 X1

WOULD THIS BE THE CORRECT WAY TO BILL?

SuperCoder Answered Fri 06th of November, 2009 08:26:41 AM

As a general rule of thumb, remember that for 92541, 92542, 92544 and 92545, you’ll reach your billing limit at one unit per patient visit. Cpt 92543 can be billed max of 4 unit, CPT 92546 can be billed once or thrice depending upon the payer (e.g.Medicare, will determine that only one unit per visit is appropriate, while others, such as northwest carrier Fortress, allow you to bill for each velocity per direction, up to three units per direction). Cpt 92547 can be billed multiple times, but that doesn’t mean you’ll always be paid, depending upon the equipment it can be billed 4 to 5 times and CPT 92548 is to be billed with one units per patient visit.

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