As of January 1, physical therapists (PTs) should bill for canalith repositioning using CPT code 95992 based on a change in the 2011 Physician Fee Schedule Final Rule.
In 2009, the Centers for Medicare and Medicaid Services (CMS) introduced CPT code 95992 (Canalith repositioning procedure(s) [eg, Epley maneuver, Semont maneuver] per day), to be used by physicians and therapists to report canalith repositioning. However, the agency assigned the code a bundled status because it believed that canalith repositioning would be paid through the evaluation and management (E/M) service that it would accompany. Because therapists do not bill E/M service codes, CMS subsequently issued guidance instructing therapists to bill using the 97112 code when providing canalith repositioning services. In the 2010 Physician Fee Schedule Final Rule, CMS changed the status of 95992 from bundled to "not recognized for payment under Medicare." Due to feedback from the provider community encouraging CMS to reconsider its decision, the agency changed the status of 95992 in CY 2011 once again to make it "active," allowing PTs to submit for payment for canalith repositioning using 95992.
APTA has updated its Medicare physician fee schedule calculator to include CPT code 95992