This section provides coding information and resources, such as billing templates, guidance on modifier usage, Medically Unlikely Edits and the National Correct Coding Initiative, to make sure that you correctly follow current procedures. You will also find answers to your most Frequently Asked Coding-Related Questions. An additional resource for addressing coding questions is the regular column in Audiology Today. A compilation of the coding articles from 2017-2021 is available for reference.
Have additional coding, reimbursement, or compliance questions? E-mail the Academy’s reimbursement mailbox. By submitting questions to the centralized mailbox, the Academy’s Coding and Reimbursement Committee (CRC) is able to review and discuss all inquiries posed to the Academy. This allows the CRC to research responses, identify trends in coding and reimbursement, develop coding and reimbursement resources, and engage in advocacy with payers regarding policies.
The American Academy of Audiology (Academy) and the American Speech-Language-Hearing Association (ASHA) are pleased to announce the publication of seven new Current Procedural Terminology (CPT ®) codes for auditory-evoked potentials (AEP) and vestibular-evoked myogenic potential (VEMP) services. The American Medical Association (AMA) CPT Editorial Panel approved these codes for implementation on January 1, 2021.
On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued an interim final regulation that states that, all professionals who are able to bill Medicare for their professional services will be considered eligible telehealth providers for the duration of the COVID-19 public health emergency. Though not named specifically in the CMS Fact Sheet or Press Release, it is our interpretation of the regulation that audiologists are considered eligible providers of telehealth services.
April 3, 2020: As COVID-19 continues to impact individuals across the United States, the Department of Health and Human Services, state and local agencies, and commercial insurance programs are creating new and revised regulations/guidance regarding telehealth payment policies.
Audiologists are beginning to employ creative solutions to assist their patients while mitigating the risk of further transmission of the virus. Some former face-to-face visits are now being handled via telephone, video, and/or remote connection to hearing aid devices. Many audiologists are wondering if these remote services can be billed and reimbursed. This guide will help you understand options that are available to audiologists at the present time.
News and Information
- OMB updates Advance Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131 (new form mandatory, effective August 31, 2020)
- New and Revised Codes for Contralateral Routing Hearing Aids Available in 2019
- Correct Coding Initiative General Information