CPT® Code 95992

The canalith repositioning procedure, as denoted by CPT® Code 95992, encompasses one or more therapeutic maneuvers aimed at alleviating vertigo, specifically benign paroxysmal positional vertigo (BPPV). This condition arises due to the presence of calcium crystal debris, known as canaliths, within the semicircular canals of the inner ear, which disrupts normal balance and spatial orientation. The primary objective of these procedures is to reposition the displaced canaliths into a neutral area of the inner ear, thereby mitigating the symptoms of vertigo. The Epley maneuver and the Semont maneuver are two commonly employed techniques within this category. The Epley maneuver involves a series of carefully orchestrated head and body positions that facilitate the movement of the canaliths. Initially, the patient is seated upright, then quickly transitioned to a supine position with the head turned towards the affected side at a 45-degree angle, allowing for observation of nystagmus, a sign of vertigo. Following this, the head is rotated to the opposite side, and the patient is turned onto their side, maintaining the head's angle. The Semont maneuver, while less frequently utilized in the United States, also begins with the patient in a sitting position and involves rapid transitions between lying on the affected side and the opposite side. These procedures may need to be repeated multiple times across several treatment sessions to achieve optimal results, and the coding for these interventions is reported on a per day basis, reflecting the frequency of the procedures performed within a single day.