How To Use CPT Code 92584

CPT 92584 describes the procedure of electrocochleography, which involves stimulating sound waves in the inner ear and measuring the electrical signals generated by the nervous system. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92584?

CPT 92584 is used to describe the procedure of electrocochleography, which involves the stimulation of sound waves in the inner ear and the measurement of electrical signals generated by the nervous system. This procedure helps in identifying inner ear disorders and is performed by a healthcare provider.

2. Official Description

The official description of CPT code 92584 is: ‘Electrocochleography, recording of electrical signals from within the inner ear in response to sound stimuli.’

3. Procedure

  1. The healthcare provider prepares the patient and administers anesthesia to the area.
  2. An electrode is placed in the patient’s inner ear through the tympanic membrane.
  3. Sound signals are introduced into the ear canal.
  4. The provider records the variation in electrical activity by the cochlea in response to the sound stimuli.

4. Qualifying circumstances

CPT 92584 is performed when there is a need to assess the electrical signals generated by the inner ear in response to sound stimuli. This procedure is used to identify inner ear disorders and is typically performed by a healthcare provider who specializes in audiology or otolaryngology.

5. When to use CPT code 92584

CPT code 92584 should be used when a healthcare provider performs electrocochleography to record electrical signals from within the inner ear in response to sound stimuli. This code is appropriate when assessing the function of the cochlea and identifying inner ear disorders.

6. Documentation requirements

To support a claim for CPT 92584, the healthcare provider must document the following information:

  • Reason for performing electrocochleography
  • Details of the procedure, including the placement of the electrode and the introduction of sound stimuli
  • Results of the electrocochleography, including any abnormalities or findings
  • Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 92584, ensure that the procedure is performed by a qualified healthcare provider and that the documentation requirements are met. Modifier 26 should not be appended to this code, as it represents the technical component only. This procedure includes testing of both ears, and modifier 52 should be used if the test is applied to one ear instead of both.

8. Historical information

CPT 92584 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. Audiologist performing electrocochleography to assess the electrical signals generated by the inner ear in response to sound stimuli for a patient with suspected Meniere’s disease.
  2. Otolaryngologist conducting electrocochleography to evaluate the function of the cochlea in a patient with sudden hearing loss.
  3. Healthcare provider performing electrocochleography to identify inner ear disorders in a patient with tinnitus.
  4. Audiologist using electrocochleography to assess the electrical activity in the inner ear of a patient with balance problems.
  5. Otolaryngologist performing electrocochleography to evaluate the function of the cochlea in a patient with congenital hearing loss.
  6. Healthcare provider conducting electrocochleography to assess the electrical signals generated by the inner ear in response to sound stimuli for a patient with auditory neuropathy.
  7. Audiologist using electrocochleography to evaluate the function of the cochlea in a patient with noise-induced hearing loss.
  8. Otolaryngologist performing electrocochleography to identify inner ear disorders in a patient with vertigo.
  9. Healthcare provider conducting electrocochleography to assess the electrical activity in the inner ear of a patient with a history of ototoxic medication use.
  10. Audiologist using electrocochleography to evaluate the function of the cochlea in a patient with a family history of hearing loss.

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