June 2009 page 10a
Questions and Answers:Medicine/Special Otorhinolaryngologic Services
Question: Should modifier 52, Reduced services, be
appended to code 92568 if all of the frequencies of standard acoustic
reflex testing are not tested (eg, 500, 1000, and 2000 Hz are completed but 4000 Hz is
not)? Or should modifier 52 be reported only if ipsilateral testing is performed?
Answer: Code 92568, Acoustic reflex testing;
threshold, represents four test conditions: two contralateral stimulations (right ear
and left ear) and two ipsilateral stimulations (right ear and left ear). In acoustic
reflex testing, the perception of sound is compared to a reflex...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This short CPT Assistant article addresses a coding question within special otorhinolaryngologic services and focuses on reporting incomplete acoustic reflex testing. It is useful for coders and billing staff who work with audiology/ENT procedures and modifier reporting in CPT. The article explains the general circumstances under which the testing scenario is considered incomplete and the broader modifier guidance associated with that situation.
Why This Topic Matters
Accurate reporting of otorhinolaryngologic testing services depends on recognizing when a procedure is fully completed versus partially performed. This article helps readers identify the topic, the relevant CPT procedure code, and the modifier discussed so they can review the full guidance in context.
Article Sections
Questions and Answers: Medicine/Special Otorhinolaryngologic Services
A Q&A discussion centered on a coding question involving acoustic reflex testing within otorhinolaryngologic services. The section presents the scenario and the associated modifier guidance at a high level.
What You Will Learn
The general reporting issue addressed for special otorhinolaryngologic services
How the article frames incomplete acoustic reflex testing scenarios
The broader context for reduced services modifier use in this Q&A
Which CPT procedure code is discussed in the article
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