Medicine (June 2004)

June 2004 page 10c Coding Consultation:Questions and Answers Medicine, 92568 (Q&A) Question How would you report an acoustic reflex test (ie, 92568) when only one ear is tested? AMA Comment As stated in the CPT guidelines for audiologic function tests, “All descriptors refer to testing both ears. Use the modifier 52 if a test is applied to one ear instead of two ears.” Therefore, if only one ear is tested, then code 92568, Acoustic reflex testing, would be reported appended by modifier 52, Reduced services. Medicine (June 2004). CPT® Assistant. 2004; June 2004 page 10c ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This June 2004 Coding Consultation Q&A from Medicine/CPT Assistant addresses audiologic function testing guidance in a single-ear scenario. It is intended for coding professionals, auditors, and clinicians who need to understand the general CPT framework discussed in the article and the type of modifier guidance referenced.

Why This Topic Matters

Audiology and other bilateral tests can require special reporting treatment when the service is not performed on both sides. This article matters because it highlights the kind of CPT guidance coders may need to review when documenting reduced or unilateral services.

Article Sections

  1. Coding Consultation: Questions and Answers

    A question-and-answer discussion focused on audiologic function testing and the related CPT guidance. The section explains the general scenario addressed in the article and the type of reporting issue involved.

What You Will Learn

  • The article’s topic within CPT audiology-related coding guidance
  • How a unilateral testing scenario is discussed in a Q&A format
  • Where modifier-related guidance is referenced in the CPT framework
  • Why bilateral test descriptors can affect reporting review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Audiology practices
  • Billing staff
  • Compliance professionals

Codes Discussed

Modifiers Discussed


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