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VNG billing in Pennsylvania

We do VNG’s in our office and we bill….
92540-1 unit
92537-4 units
92546-59
92546-59, 76
92547
92547-59, 76

All used to pay, but now we are having denials that 92537 should only be 1 unit when we do warm/cold in both ears (4) and see denials for 92546 and 92547. Medicare is the biggest payer we see deny. Can anyone PLEASE help breakdown how Medicare wants these billed to them. I called and what I was told is they basically only allow 1 unit per code, so it would be 92540, 92537, 92546 and 92547 all at 1 unit. Please help!

Medical Billing and Coding Forum