Mass Claims Adjustment Issued for CPT code 92557 Under Palmetto LCD
Palmetto GBA, the Medicare Administrative Contractor for California, Nevada, and Hawaii, issued a notification on May 10, 2012 that “claim adjustments are to be completed for Common Procedural Terminology (CPT) Code 92557 for date of service on or after February 27, 2012, concerning Vestibular Function Testing.”
This notification comes after an administrative error in processing claims for CPT code 92557 (comprehensive audiologic evaluation) under the Vestibular Function Testing (# 28314) Local Coverage Determination that went into effect on February 28, 2012.
Audiologists in this MAC area should expect to see payment for previously denied claims for 92557 in the near future. Read the Academy’s April 19, 2012 reconsideration letter advocating for Palmetto to correct this error and reverse member denials.