How To Use CPT Code 92547

CPT 92547 describes the use of additional vertical electrodes during a vestibular function test with recording to assess nystagmus. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92547?

CPT 92547 can be used to describe the use of additional vertical electrodes during a vestibular function test with recording. This code is used when the provider places these electrodes around the eye to measure vertical nystagmus, which is an abnormal involuntary movement of the eye. The movement can be side to side, up and down, or in circles, and it indicates a problem with the areas of the brain that control eye movements.

2. Official Description

The official description of CPT code 92547 is: ‘Use of vertical electrodes (List separately in addition to code for primary procedure).’ This code should be used in conjunction with primary procedure codes 92540-92546. It should not be reported with code 92270.

3. Procedure

1. During a vestibular function test with recording, the provider places additional vertical electrodes around the eye.
2. These electrodes are used to measure vertical nystagmus, which is an abnormal involuntary movement of the eye.
3. The provider assesses the rhythmical movement of the eyes, which has fast and slow components.
4. The movement can be observed as the eyes move from side to side, up and down, or around in circles.
5. The provider records the results of the test for further analysis and diagnosis.

4. Qualifying circumstances

CPT 92547 is used when the provider adds vertical electrodes during one or more vestibular function tests (92541-92546). It should not be reported alone or as an add-on to any code other than 92541-92546. Modifier 51 should not be appended for multiple procedures; instead, the appropriate number of units should be reported.

5. When to use CPT code 92547

CPT code 92547 should be used when the provider adds vertical electrodes during a vestibular function test with recording. It should not be reported without the primary procedure codes 92541-92546. This code is used to capture the additional work involved in assessing vertical nystagmus.

6. Documentation requirements

To support a claim for CPT 92547, the provider must document the following information:

• The primary procedure code (92541-92546) performed
• The use of vertical electrodes during the test
• The date and duration of the test
• The results of the test, including any abnormalities observed
• The provider’s signature

7. Billing guidelines

When billing for CPT 92547, ensure that the provider has performed one or more vestibular function tests (92541-92546) and has added vertical electrodes during the test. Do not report this code with any other code except for the primary procedure codes. Modifier 51 should not be used for multiple procedures; instead, report the appropriate number of units.

8. Historical information

CPT 92547 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a vestibular function test with recording and adds vertical electrodes to assess nystagmus in a patient with suspected inner ear dysfunction.
2. During a vestibular function test with recording, a provider uses additional vertical electrodes to measure vertical nystagmus in a patient with balance problems.
3. A patient undergoes a vestibular function test with recording, and the provider adds vertical electrodes to evaluate abnormal eye movements.
4. During a vestibular function test with recording, a provider places vertical electrodes to assess nystagmus in a patient with dizziness and vertigo.
5. A provider performs a vestibular function test with recording and uses additional vertical electrodes to measure vertical eye movements in a patient with a history of head trauma.
6. During a vestibular function test with recording, a provider adds vertical electrodes to evaluate nystagmus in a patient with Meniere’s disease.
7. A patient undergoes a vestibular function test with recording, and the provider uses vertical electrodes to assess abnormal eye movements related to a vestibular disorder.
8. During a vestibular function test with recording, a provider places additional vertical electrodes to measure vertical nystagmus in a patient with a suspected vestibular migraine.
9. A provider performs a vestibular function test with recording and adds vertical electrodes to evaluate abnormal eye movements in a patient with a history of vestibular schwannoma.
10. During a vestibular function test with recording, a provider uses vertical electrodes to assess nystagmus in a patient with a recent episode of labyrinthitis.