vestibular evaluation

vestibular evaluation

Photo of an older man receiving vestibular testing

Revolutionize Vestibular Testing: New Ways to Assess Patients with Central Disorders

The patient journey for vestibular assessment can be a lengthy process. A 2011 survey by the Vestibular Disorders Association (VEDA) states that, on average, patients consult four to five doctors before receiving a diagnosis. Furthermore, it takes an average of three to five years for a person with a vestibular disorder to receive a diagnosis (VEDA, 2011). By applying new testing techniques, clinicians can scale down their workflow and obtain an accurate diagnosis in less time.

Topic(s): Encephalopathy, vestibular schwannoma, vestibular migraine (VM), Vestibular, vestibular evaluation

Vestibular Testing Safety: COVID-19 and Beyond

All recommendations are made with the best current information and in the context of a multifaceted safety program. When a variety of safety measures are put in place our chance of protecting our patients and colleagues increases.

All safety recommendations assume that

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COVID-19: Considerations for Treatments Using Quinine Derivatives and Other Ototoxic Compounds

Hydroxychloroquine was recently approved by the U.S. Food and Drug Administration (FDA) for emergency use to treat adults and adolescents with COVID-19.

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Vestibular Evaluation and Rehabilitation: A Team Approach for Audiologists and Physical Therapists

Dizziness and imbalance are complex and, often, multifactorial conditions that require skilled evaluation, sometimes by multiple health-care providers. 

As audiologists, our role is largely diagnostic in nature. We are able to perform a variety of tests to help identify or rule out the site of lesion. Working in a collaborative team with physical therapists who are specifically trained in vestibular rehabilitation provides a comprehensive and dynamic approach to treating these patients.

Topic(s): vestibular evaluation, vestibular disorders, therapy

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Alternatives to (Not Substitutes for) Caloric Testing

The standard electronystagmography/videonystagmography (ENG/VNG) exam, first described 80 years ago, has been around for about 60 years. The recording techniques have improved, but the tests are the same. Our understanding of vestibular function and methods to evaluate the vestibular ocular reflex (VOR) also have improved, but our profession still relies primarily on VNG testing to determine vestibular function. Let’s take a critical look at this standard of care.

Topic(s): vestibular disorders, vestibular evaluation, Vertigo, vng, videonystagmography

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CODING AND REIMBURSEMENT | Billing and Coding the Vestibular Evaluation

The vestibular evaluation can include a number of different procedures, and coding for these evaluations can often be confusing. There are several current procedural terminology (CPT®) codes that should be considered when completing your evaluation.

Topic(s): Coding, Reimbursement, Balance/Vestibular, Audio-vestibular/Audiovestibular, vestibular evaluation, dix-hallpike maneuver, positional nystagmus test, caloric irrigation, cervical vestibular-evoked myogenic potential (cVEMP), optokinetic nystagmus test, oscillating tracking test, spontaneous nystagmus test, sinusoidal vertical axis rotation testing, computerized dynamic posturography

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Publication Issue: Audiology Today January/February 2018