CPT Code 92526

Data Updated for Q4 2018

CPT Code: 92526

Description: Treatment of swallowing dysfunction and/or oral function for feeding

Status Code

A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation


Global Days

XXX
The global concept does not apply to the code.


Medicare RUVs and Fees

Work RVU – 1.34
Malpractice RVU – 0.05
Facility RVU – 1.04
Non-Facility RVU – 1.04
Facility Total RVU – 2.43
Non-Facility Total RVU – 2.43

Medicare National Facility Total Payment – $87.48
Medicare National Non-Facility Total Payment – $87.48


Bundling Information

Includes

36591, 36592, 92511, 92520, 97032, 97110, 97112, 97127, 97150, 97530, 97532, 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99211, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99261, 99262, 99263, 99271, 99272, 99273, 99274, 99275, 99291, 99292, 99301, 99302, 99303, 99311, 99312, 99313, 99321, 99322, 99323, 99331, 99332, 99333, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99354, 99355, 99356, 99357, G0270, G0271, G0283, G0515


Included In

G0153, G0161


Mutually Exclusive

No Mutually Exclusive Edits for this Code


If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.



Related CPT Codes

CPT Code Description
92502 Otolaryngologic examination under general anesthesia
92502 Otolaryngologic examination under general anesthesia
92504 Binocular microscopy (separate diagnostic procedure)
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual
92508 Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals
92511 Nasopharyngoscopy with endoscope (separate procedure)
92512 Nasal function studies (eg, rhinomanometry)
92516 Facial nerve function studies (eg, electroneuronography)
92520 Laryngeal function studies (ie, aerodynamic testing and acoustic testing)
92521 Evaluation of speech fluency (eg, stuttering, cluttering)
92522 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria);
92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)
92524 Behavioral and qualitative analysis of voice and resonance
92526 Treatment of swallowing dysfunction and/or oral function for feeding
92531 Spontaneous nystagmus, including gaze
92532 Positional nystagmus test
92533 Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests)
92534 Optokinetic nystagmus test
92537 Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)
92538 Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations)
92540 Basic 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
92541 Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording
92542 Positional nystagmus test, minimum of 4 positions, 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
92547 Use of vertical electrodes (List separately in addition to code for primary procedure)
92548 Computerized dynamic posturography
92550 Tympanometry and reflex threshold measurements
92551 Screening test, pure tone, air only
92552 Pure tone audiometry (threshold); air only
92553 Pure tone audiometry (threshold); air and bone
92555 Speech audiometry threshold;
92556 Speech audiometry threshold; with speech recognition
92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)
92558 Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis
92559 Audiometric testing of groups
92560 Bekesy audiometry; screening
92561 Bekesy audiometry; diagnostic
92562 Loudness balance test, alternate binaural or monaural
92563 Tone decay test
92564 Short increment sensitivity index (SISI)
92565 Stenger test, pure tone
92567 Tympanometry (impedance testing)
92568 Acoustic reflex testing, threshold
92570 Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing
92571 Filtered speech test
92572 Staggered spondaic word test
92575 Sensorineural acuity level test
92576 Synthetic sentence identification test
92577 Stenger test, speech
92579 Visual reinforcement audiometry (VRA)
92582 Conditioning play audiometry
92583 Select picture audiometry
92584 Electrocochleography
92585 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive
92586 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited
92587 Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and report
92588 Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report
92590 Hearing aid examination and selection; monaural
92591 Hearing aid examination and selection; binaural
92592 Hearing aid check; monaural
92593 Hearing aid check; binaural
92594 Electroacoustic evaluation for hearing aid; monaural
92595 Electroacoustic evaluation for hearing aid; binaural
92596 Ear protector attenuation measurements
92597 Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech


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Scott Painter has extensive experience with medical coding information. He is one of the original developers of CodingToday.com and continues to be responsible for all the development, data acquisition and quality control. He believes that correct coding and documentation is one of the cornerstones of quality patient care. His mission is simple: using technology and data to help physicians and staff maximize their reimbursement and save time and money.