CPT for ENT: Electronystagmography (ENG), Auditory Brainstem Response (ABR), and Otoacoustic Emissions

CPT for ENT: Electronystagmography (ENG), Auditory Brainstem Response (ABR), and Otoacoustic Emissions

Q: What code(s) should physicians report for the interpretation component of auditory brainstem response (ABR), Electronystagmography(ENG) and Otoacoustic Emissions (OAE) services?

A:The following CPT codes for ABR, ENG, and OAE services have separately defined technical (TC) and professional (26) components according to the AMA’s Current Procedural Terminology.

  • 92541 Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording
  • 92542 Positional nystagmus test, minimum of four (4) positions, with recording
  • 92543 Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes four (4) tests), with recording
  • 92544 Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording
  • 92545 Oscillating tracking test, with recording
  • 92546 Sinusoidal vertical axis rotational testing
  • 92548 Computerized dynamic posturography
  • 92585 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive
  • 92587 Evoked otoacoustic emission; limited (single stimulus level, either transient or distortion products)
  • 92588 Evokedotoacoustic emission; comprehensive or diagnostic evaluation (comparison of transient and/or distortion product otoacoustic emissions at multiple levels and frequencies)

You can report the professional component of the ABR using modifier 26. The audiologist (if he or she is employed by the facility) or the facility would bill the technical component using the TC modifier.

Note: If the physician or physician group owns the audiometric equipment in the office, he or she should not append any modifiers to the CPT codes. In this case, the physician or physician group is entitled to reimbursement of both the professional and technical components.

Reviewed July 2006

Reviewed June 2009

Important Disclaimer Notice (Updated 8/7/14)

CPT for ENT articles are a collaborative effort between the Academy’s team of CPT Advisors, members of the Physician Payment Policy (3P) workgroup, and health policy staff. Articles are developed to address common coding questions received by the health policy team, as well as to clarify coding changes and correct coding principles for frequently reported ENT procedures. These articles are not intended as legal, medical, or business advice and are not a guarantee of reimbursement. The information is also not meant to serve as the definitive or sole authority on billing and coding issues. The applicability of AAO-HNS billing and coding guidance for a particular procedure, must be determined by the responsible physician in light of all the circumstances presented by the individual patient. You should consult with your own advisors as well as Medicare or private carriers in making any decisions about how to bill and code particular services or procedures.