Canalith Repositioning
The canalith repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV), a condition in which there is brief, but intense, episodes of dizziness that occur when one moves the head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance (vestibular labyrinth). BPPV occurs when tiny particles called otoconia in one part of the inner ear break loose and fall into the canals of the inner ear.
Canalith repositioning (95992 Canalith repositioning procedure(s) (e.g. Epley maneuver, Semont maneuver), per day) involves therapeutic maneuvering of the patient?s body and head, using gravity to redeposit the calcium crystal debris in the semicircular canal system, for treatment of vertigo. The procedure may be furnished by a physician or a therapist under a therapy plan of care, with modifier GP Services delivered under an outpatient physical therapy plan of care appended, or by a physician outside of a therapy plan of care (without modifier GP).
Code 95992 is a designated ?sometimes therapy? code and is not subject to multiple procedure payment reduction rules. You may report 95992 only once, per day, without regard to the time required to perform the procedure.