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Billing for Canalith Repositioning Procedure

Richard Gans, PhD

April 18, 2005

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Question

I am trying to find out the best CPT code for the canalith repositioning procedure. Is there a code that can be used for insurance reimbursement?

Answer

There are presently no AMA CPT codes for any vestibular treatments including the canalith repositioning procedure. Physical Therapists bill by using other codes through extrapolation, i.e. neuromuscular re-education etc. They are paid in 15 minute units of anywhere from $18-25. You may want to simply charge for the procedure. If they are Medicare get an ABN signed. Check with your billing/coding person for details.

Richard Gans, Ph.D. is the founder and executive director of The American Institute of Balance; one of the country's largest balance disorders treatment centers. He received his Ph.D. from The Ohio State University in Auditory and Vestibular Physiology. Dr. Gans has been a leader in the development of vestibular evaluation and rehabilitation techniques. He has presented or published over 100 programs and papers in the area of equilibrium disorders and is a frequent lecturer at national and state meetings. Dr. Gans is the author of several books including, Vestibular Rehabilitation: Protocols and Programs and is completing VOG/VNG: A Clinical Workbook published by Singular/Thomson Learning. He is adjunct professor at the University of South Florida and Nova Southeastern University. He teaches vestibular and balance courses for three distant Au.D. programs including University of Florida, Arizona School of Health Sciences and Pennsylvania College of Optometry-School of Audiology.


richard gans

Richard Gans, PhD

founder and executive director of The American Institute of Balance

Dr. Gans is the founder and executive director of The American Institute of Balance;one of the country’s lardest balance disorders treatment centers.  He received his Ph.D. from The Ohio State University in Auditory and Vestibular Physiology.  Dr. Gans has been a leader in the development of vestibular evaluation and rehabilitation techniques.  He has presented or published over 100 programs and papers in the area of equilibrium disorders and is a frequent lecturer at national and state meetings.  Dr. Gans is the author of several books including, Vestibular Rehabilitation: Protocols and Progrms and is completing VOG/VNG: A Clinical Workbook published by Singular/Thomson Learning.  He is adjunct professor at the University of South Florida and Nova Southeastern University.  He teaches vestibular and balbnce courses for three distant Au.D. programs including University of Florida, Arizona School of Health Sciences and Pennsylvania College of Optometry-School of Audiology.


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