Universal Medical Testing

Phone (844) 783-6722

Fax (877) 330-2021

Medical Equipment Distributor for Sudoscan, Tonomotor, Fundus Camera, Itela-Vision, VNG, PStim, ABI, Allergy & Drug Testing Equipment.

Better Balance Diagnostic Equipment

Better Balance
VNG & Vestibular Rehab Therapy System

Universal Medical Testing is a US distributor for Difra Instrumentation, a global leading manufacturer of diagnostic balance disorder technology for more than 40 years.


Now with Active Head Rotation–
Allows you to bill CPT Code 92546

Create a clear pathway for Vestibular Rehab Therapy (VRT)

The majority of dizziness patients are vestibular in nature. With Better Balance’s Difra VNG and VRT system you can effectively identify the majority of your patient’s balance-related problems and diagnose vestibular problems in less than 20 minutes. The Better Balance system is cost-efficient, user-friendly and utilizes superior technology.

Features of Difra NYSTAR I Ltd. VNG System:

1. Test spontaneous nystagmus, positional and positioning nystagmus, plus gaze nystagmus and calorics

Billable under codes: 92541, 92542, 92543 (4 units) and 92546 and 92547. Refer to optional codes below for all billable VNG codes. Now with Active Head Rotation–allows you to bill CPT Code 92546

2. Video recording and replay of tracking of the eye

3. High definition camera easily moves from left to right

4. Automatic comprehensive, customizable reports with age-dependant normative data

5. Export results over network (intranet or internet) to electronic medical records. All data is stored on the disk and can be archived automatically.

6. Multiple levels of password security for doctor, staff and HIPAA compliance

7. Reduce downtime–the manufacturer’s software engineer can easily remote access your VNG software to troubleshoot and resolve software or hardware issues

DIFRA NYSTAR I LTD. VNG SYSTEM COMPONENTS:

1. VNG (videonystagmography) interface
2. VNG (videonystagmography) goggles
3. High definition USB camera
4. 50 Hz Tracking Speed
5. 32″ monitor for effective patient stimulus
6. Caloric irrigator: cool air or water
7. Laptop computer
8. VNG software
9. Connecting cables
10. Durable carrying case for VNG goggles, interface and components
11. NOW WITH ACTIVE HEAD ROTATION—allows you to bill CPT Code 92546

DIFRA NYSTAR I LTD. VNG AND BALANCE ASSESSMENT AND VRT PLATFORM SYSTEMS:

1. VNG (videonystagmography) interface
2. VNG (videonystagmography) goggles
3. High definition USB camera
4. 50 Hz Tracking Speed
5. 32″ monitor for effective patient stimulus
6. Caloric irrigator: cool air or water
7. Balance assessment platform and VRT Therapy
8. Laptop computer
9. VNG software
10. VRT software
11. Connecting cables
12. Durable carrying case for VNG goggles, interface and components
13. NOW WITH ACTIVE HEAD ROTATION—allows you to bill CPT Code 92546

Better Balance’s complete system of equipment (13 components listed above) is fully upgradeable for diagnosing central findings

Our complete package is a modular system designed for future growth (optional modules listed below)

OPTIONAL MODULES:

Optokinetic, peripheral stimulator and oscillating tracking test with the Visiostar optokinetic module upgrade and wide screen projector. Billable under codes: 92544 and 92545 (2 units).

Active head rotation, dynamic visual activity and head impule test with Headstar goggle upgrade. Billable under code 92546.

Balance Assessment Platform and VRT Therapy

Videonystagmography (VNG) Testing Equipment

Caloric Testing: Essential Element of VNG

Universal Medical Testing offers many products designed to prevent falls and treat balance disorders. Health care professionals nationwide have found success with these cutting-edge products. For a quote or to place an order, please contact us.

Balance Assessment Platform Identifying balance disorders is crucial to preventing falls. The Better Balance platform measures vertical force and the Center of Pressure (CoP). Patients with abnormal readings are identified in just 60 seconds by comparing the patient’s results against a normative database. Further examinations for the patients with abnormal readings should be scheduled for diagnosing the exact cause of their disorder by determining a vestibular or central nervous system condition.

The platform is rugged, durable, easy to move around, set-up and operate. Each balance platform comes with data acquisition software and USB cable. The built-in 16-bit digital electronics allow you to easily acquire data using your computer’s USB port.

Physicians, physical therapists, audiologists, and geriatric specialists can now get meaningful results to identify weaknesses, to train patients with Vestibular Rehab Therapy (VRT) and to track patient progress over time.

Who are the candidates for dizziness?

Videonystagmography (VNG) Testing Equipment Videonystagmography (VNG) is the gold standard test for vestibular pathology and is reimbursed by all major insurance carriers and Medicare. The equipment includes a balance platform, computer and monitor and hardware and software for collecting and reading the data. Portable computer stands are available separately. VNG tests take about 45 minutes to complete and can be done with a technician in your practice. After receiving the first testinterpretive, a proper and accurate diagnosis and treatment plan can be devised.

On a national average, Medicare reimburses about $500 per VNG test. Secure Health, Inc. can provide all of the proper CPT and IC-9 codes for you while completing your free return on investment–clinic assessment.

DISCLAIMER: Information presented on this web site may have changed since being published. Universal Medical Testing LLC may change pricing, terms and conditions at any time without prior written notice. Please refer to your specific quote and/or invoice/bill of sale for details.

VNG, VRT and ICD-9 CODES

For your convenience, we have listed the CPT code for VNG or VRT, description and number of units below, plus common ICD-9 Codes for VNG Testing. Please refer to the AMA’s link shown (below) to find specific information for your state/area and current reimbursement rates. Please refer to our disclaimer statement below.

https://catalog.ama-assn.org/Catalog/cpt/cpt_search.jsp

VNG Codes (Videonystagmography)

92540 1 Unit (Effective January 1, 2010)
Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording. NOTE: This new code includes four component codes: 92541 (spontaneous nystagmus), 92542 (positional nystagmus), 92544 (optokinetic nystagmus), and 92545 (oscillating tracking). Do not report 92540 with any of the component codes.

92541 Refer to 92540 (1 unit with modifier after 10-1-10)
Spontaneous nystagmus test including gaze and fixation nystagmus, with recording. These nystagmus tests document and measure the inability of the eyes to maintain a static position as a result of peripheral, CNS (Central Nervous System) or congenital abnormality. The tests are conducted with the eyes open and closed and in “eyes forward” as well as “eyes right” and “eyes left” positions.

92542 Refer to 92540 (1 unit with modifier after 10-1-10)
Positional nystagmus test, minimum of four positions, with recording. These spontaneous nystagmus tests document and measure the inability of the eyes to maintain a static position when the head is in different positions. These tests are valuable in documenting and quantifying patient complaints of dizziness in certain situations or positions. They are sometimes helpful in localizing the abnormality as CNS or peripheral.

92543 4 Units
Caloric vestibular test, each irrigation (binaural bithermal stimulation constitutes four tests), with recording. The caloric tests evaluate the viability of the peripheral end organs by stimulating them with warm and cold water or air while the patient is in the dark. The resulting dizziness and nystagmus is taken as an index of the viability of the organ. This helps in evaluating the ability of the CNS to visually suppress inappropriate dizziness and nystagmus.

92544 Refer to 92540 (1 unit with modifier after 10-1-10)
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording. The optokinetic test documents and measures eye movements as the patients watches a series of targets moving simultaneously to the right and then to the left. The optokinetic mechanism is at work when the visual movement in one direction encompasses more than a single point.

92545 Refer to 92540 (2 units with modifier after 10-1-10)
Oscillating tracking test, with recording. The smooth pursuit test evaluates the ability of the patient to keep a moving visual target registered on the fovea. The patient watches a moving target as it moves back and forth in a smooth pendular fashion. The saccadic test evaluates the ability of the patient to find a moving target and tests certain CNS neural integrators. The computer computes the gain (target velocity divided by eye velocity) and compares the gain to age matched norms.

92546 2 Units
Sinusoidal vertical axis rotational testing. This is a computerized test of the Vestibulo-Ocular Reflex (VOR), the neural mechanism that keeps a visual image registered on the fovea during head movement. It evaluates the three functional components of the VOR system: the peripheral end organ, the vestibular nuclei of the brain stem and the higher central vestibular connections. The test is accomplished by having the patient (with goggles on) move their head in both the horizontal and vertical plane at increasing velocities while the VOR system measures head velocity. From this data, the computer computes three characteristics of the VOR: gain (ratio of eye velocity to head velocity, phase (the number of degrees by which the eye “misses” the target), and asymmetry (a comparison of gain moving right with gain moving left). This information is useful for evaluating patients with balance disorders. Refer to this article titled, “VAT Explanation & Justification.”

92547 1 Unit Vertical Recording

VRT Codes (Vestibular Rehabilitation Training)

95992 1 Unit per day
Canalith repositioning procedure(s) (e.g. Epley maneuver, Semant maneuver)

97110 Each 15-minute session
Therapeutic procedure 1 or more areas, each 15 minutes, therapeutic exercise to develop strength, range of motion.

97112 Each 15-minute session
Neuromuscular reeducation of movement, each 15 minutes.

97750 Each 15-minute session
Physical performance test or measurement (e.g. musculoskeletal, functional capacity) with written report, each 15 minutes.

Common ICD-9 Codes for VNG Testing

Codes/Description

386.1 Peripheral vertigo, unspecified
386.11 Benign paroxysmal positional vertigo
386.12 Vestibular neuronitis
386.19 Other peripheral vertigo
386.2 Vertigo of central origin
386.3 Labyrinthitis, unspecified
386.31 Serous labyrinthitis
386.32 Circumscribed labyrinthitis
386.33 Suppurative labyrinthitis
386.34 Toxic labyrinthitis
386.35 Viral labyrinthitis
386.4 Labyrinthitis fistula, unspecified
386.41 Round window fistula
386.42 Oval window fistula
386.43 Semicircular canal fistula
386.48 Labyrinthine fistula of combined sites
386.5 Labyrinthine dysfunction, unspecified
386.51 Hyperactive labyrinth, unilateral
386.52 Hyperactive labyrinth, bilateral
386.53 Hypoactive labyrinth, unilateral
386.54 Hypoactive labyrinth, bilateral
386.55 Loss of labyrinthine reactivity, unilateral
386.56 Loss of labyrinthine reactivity, bilateral
386.58 Other forms and combinations
386.8 Other disorders of labyrinth
386.9 Unspecified vertiginous syndromes and labyrinthine disorders

DISCLAIMER: THE CONTENTS AND MATERIAL CONTAINED IN THIS BILLING AND CODING SECTION ARE SUBJECT TO CHANGE BY A VARIETY OF GOVERNMENT AGENCIES, INCLUSIVE OF MEDICARE. IT IS YOUR RESPONSIBILITY TO CONTACT ANY OF THE NECESSARY GOVERNMENT AGENCIES, EITHER LOCAL STATE AND/OR FEDERAL TO VERIFY GUIDELINES, COMPLIANCE REQUIREMENTS, FEE SCHEDULES, BILLING REQUIREMENTS AND REIMBURSEMENT AMOUNTS THAT MAY AFFECT YOUR SPECIFIC BUSINESS AND GEOGRAPHICAL AREA. THESE MATERIALS ARE PROVIDED AS A REFERENCE AND FOR INFORMATIONAL PURPOSES ONLY

 

 

 

Our Better Balance Analyzer™ Platform Objectively Tests Fall Risk

better-balance-analyzer

Create a clear pathway to medical necessity for VNG studies using the Better Balance Analyzer™.

Remove all subjectivity from your balance evaluations – use the Better Balance Analyzer™ platform for verifiable and consistent results.

Evaluate each phase of the vestibular system with the Better Balance Analyzer™ platform.

  • Eyes open on Firm surface – tests the visual, vestibular and proprioceptive inputs
  • Eyes closed on a Firm surface – tests the vestibular and proprioceptive inputs
  • Eyes open on a perturbed (foam) surface – tests the visual and vestibular inputs
  • Eyes closed on a perturbed (foam) surface – tests the vestibular inputs only

Evaluate every patient over 55 as part of a comprehensive falls prevention strategy.

  • Quick and easy test that takes just 5-10 minutes to complete
  • Excellent tool to evaluate risk of falling
  • Results are given as normal or abnormal
    • Normal – No further testing is warranted for the current year
    • Abnormal – The patient completes our 20-question survey to eliminate any cause(s) for an abnormal result like medications, vision or hearing problems, ankle, knee or hip problems plus many other potential complicating factors
  • If no complicating or contributing factors are identified by the physician then a VNG test is warranted and the prescription is written.

Better Balance™ technology is the right choice!

  • Premium VNG technology
  • Complete program: technology, support and marketing
  • Remote access technical support
  • On site training by our technician
  • Free VNG software upgrades
  • Patient education programs available
  • Several finance options

Need More Info? Fill out the form below.

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