Which codes cannot be reported with Evaluation and Management services in Vestibular Function Tests Without Electrical Recording?

The correct response identifies that codes 92531 and 92532 cannot be reported in conjunction with Evaluation and Management (E/M) services when it comes to vestibular function tests without electrical recording.

Codes 92531 and 92532 refer specifically to auditory function tests that assess the vestibular system and are considered part of the diagnostic process. E/M services are characterized as comprehensive assessments that account for the patient's overall condition, medical history, and the time or complexity involved in the visit. When vestibular function tests are performed, they typically cover areas already assessed in an E/M service; hence, reporting them simultaneously would create redundancy in billing. Therefore, E/M services and these specific vestibular function test codes are mutually exclusive when it comes to reporting on the same day for the same conditions.

This guidance ensures accurate billing and compliance with coding guidelines, preventing any potential claims denials due to overlapping services that do not distinctly justify separate documentation and billing.