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PQRS Measure

#261Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness
 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
92540N/AN/ABasic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording
92541N/AN/ASpontaneous nystagmus test, including gaze and fixation nystagmus, with recording
92542N/AN/APositional nystagmus test, minimum of 4 positions, with recording
92543N/AN/ACaloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests), with recording
92544N/AN/AOptokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording
92545N/AN/AOscillating tracking test, with recording
92546N/AN/ASinusoidal vertical axis rotational testing
92547N/AN/AUse of vertical electrodes (List separately in addition to code for primary procedure)
92548N/AN/AComputerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report;
92550N/AN/ATympanometry and reflex threshold measurements
92557N/AN/AComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)
92567N/AN/ATympanometry (impedance testing)
92568N/AN/AAcoustic reflex testing, threshold
92570N/AN/AAcoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing
92575N/AN/ASensorineural acuity level test

HCPCS Codes

CodeModifierPOSDescription
G8856N/AN/AReferral to a physician for an otologic evaluation performed
G8857N/AN/APatient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)
G8858N/AN/AReferral to a physician for an otologic evaluation not performed, reason not given
G8856N/AN/AReferral to a physician for an otologic evaluation performed
G8858N/AN/AReferral to a physician for an otologic evaluation not performed, reason not given

ICD9 Codes

CodeModifierPOSDescription
386.11N/AN/ABenign paroxysmal positional vertigo
780.4N/AN/ADizziness and giddiness
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPRO IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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