![]() The -52 modifier can be used for reduced services (e.g.General coding instructions indicate that, at times, it may be appropriate to append modifiers to services billed on a claim.If you are performing the testing on one ear, it may be appropriate to use a reduced service modifier (-52) to indicate that the entire procedure was not completed. Most audiology CPT codes (with the exception of VRA) are valued based on the procedure being performed on both ears. ![]() In other words, what type of testing technique was used to obtain your clinical findings? Choose the CPT code that best represents the procedure that was performed.What are some general principles of correct coding and billing for pediatric testing? The procedure(s) included in the description are used to assess the value of that code. Each code has a description of the procedure or group of procedures that are included with the code. It is helpful to include other secondary diagnosis codes that will help paint a clear clinical picture of why the test(s) are being performed.Ĭurrent Procedural Terminology (CPT®) codes (developed and maintained by the American Medical Association) are five-digit codes that designate a distinct test or therapeutic procedure.In the case of a normal result, the next choice would be to choose a diagnosis code that reflects the reason for the referral and/or the chief presenting complaint.Code for the result of the diagnostic test.What ICD code do you report when results are normal?Ĭoding for diagnostic tests should be consistent with the following guidelines: transitioned from ICD-9-CM (9th Revision) in October 2015 and is currently using the ICD-10-CM (10th Revision). ![]() The ICD-CM (Clinical Modification) is the version of ICD that is used in the United States. The International Classification of Diseases (ICD) codes are numeric or alpha-numeric codes that are used to classify a diagnosis. ![]()
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