CMS Issues Final 2021 Hospital Outpatient Prospective Payment System Rule

Tables 1-6 see below for APC assignments, status indicators, and reimbursement amounts for audiology codes.  An “S” status indicator denotes a “Separate APC Payment” where regardless of services performed on the same date of service, the CPT code is paid at the APC rate.

Photo collage of diverse group of people with hearing loss

Some Observations on ‘Normal’ Hearing and Hearing Loss

What is ‘Normal’ Hearing?

Ask an audiologist what “normal” hearing is and, not surprisingly, you will get a variety of responses (Figure 1). Certainly, normal pure-tone threshold sensitivity does not rule out hearing difficulty or the presence of auditory pathology, including cochlear and auditory neural peripheral or central deficits. Further, a number of non-auditory factors can contribute to a patient’s perceived hearing difficulty (e.g., cognitive capacity, attention, medications, etc.). 

Topic(s): Hearing Loss, Normal Hearing, audiology, Audiometry