Here is what to keep in mind when considering ANS Testing with Tilt Tables, both procedurally and in terms of how to bill:
- Conduct sudomotor testing with the hands and feet on foot and hand plates. This portion of the test takes approximately 3 minutes.
- Once the sudomotor testing is completed, place patient on the tilt table. Make sure the BP cuff and the PPG/SpO2 sensor remain attached to the patient.
- Tilt the patient to a 45 degree angle as required by the tilt table.
- With the patient in the 45 degree tilt position, wait 2 minutes and begin the Valsalva maneuver.
- Next, complete the deep breathing test.
- Next, simultaneously tilt the table (either manually or electronically depending on which type of Tilt Table you have) to the standing position and start the standing test.
- Once you have completed this test, you are now qualified to bill for the 95922 as well as the
95921 (which can be billed for without passive tilt) and for the 95922 separately by applying a
59 modifier to separate/unbundle the two codes.
The 95924 code can also be billed separately. This CPT code incorporates both CPT codes 95921 and 95922.