Changes to ICD-10 Codes Announced for October 1, 2017

No Significant Changes to Audiology Specific Codes

Cochlear Implant Billing

Question: What is the most appropriate CPT code to use for electrically evoked compound action potential (ECAP) measures, e.g. neural response telemetry (NRT), neural respond imaging (NRI), Auditory Nerve Response Telemetry (ART)?

Changes to ICD-10 Codes Announced for October 1, 2016

The Centers for Medicare and Medicaid Services (CMS) released the 2017 ICD-10 CM files. This includes the addition of 1,943 new codes and 422 revisions. These updates are set to take effect on October 1, 2016. Audiologists will see the addition of a number of new codes, including those specifically addressing "restricted hearing on the contralateral side" for conductive, sensorineural, and mixed hearing loss. The preliminary list of new and revised codes is below.

CMS Updates Audiology Code List to Include New Caloric CPT Codes 92537 and 92538

Effective January 1, 2016, CPT codes 92537 and 92538 replaced CPT code 92543 (Caloric vestibular test, each irrigation, with recording).

Novitas Revises Medicare LCD for Vestibular and Audiologic Function Studies (L35007): Adds ICD-10 Codes for Conductive Hearing Loss and Dizziness and Giddiness (R42)

In late 2015, the Academy received reports from audiologists reporting denials for pertinent and appropriate ICD-10 codes that supported medical necessity for the audiology procedure codes being billed.  Upon further research, the Academy discovered that the

National Correct Coding Initiative (CCI) Edits for Audiology Procedures

CMS developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment in Part B claims. The tables below detail CCI edits related to audiology, and have been prepared based on the complete list of edits published on CMS's CCI Web site. The edits contained in the following tables apply to both Medicare Part B and Medicaid services.

New Vestibular Caloric Testing Codes and Payment Rates for 2016

In late 2014, the American Academy of Audiology and the American-Speech-Language-Hearing Association (ASHA) worked in collaboration with the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and the American Academy of Neurology (AAN) to survey two new Current Procedural Terminology (CPT) codes to describe vestibular caloric testing. These two new CPT codes, 92537 and 92538, will replace CPT code 92543 (Caloric vestibular test, each irrigation, with recording) beginning in 2016. A description of the new codes is as follows:

Institute of Medicine, Evidence-Based Practice, and Unbundling: Interview with Stephanie Sjoblad, AuD

Douglas L. Beck, AuD, spoke with Dr. Sjoblad about itemized billing, the Audiology Patient Care Act, limited license physician status, and more.

Academy: Hi, Stephanie! Thanks for taking the time to speak with me this morning. I know you're at the University of North Carolina (UNC), Chapel Hill, and you've been there about 16 years or so?

Sjoblad: Yes. That's right. I am a clinical associate professor and clinic director for the UNC Hearing & Communication Center (UNC-HCC).

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ICD-10 Codes and More: Interview with John Burns, Certified Professional Coder

Douglas L. Beck, AuD, speaks with Burns about Medicare, Congress, ICD-9, ICD-10, ICD-11, and more.

Beck: Hi, John. I know you have many unusual and interesting credentials and training with regard to billing and coding. As such, let's start by briefly reviewing your qualifications as a billing and coding expert?

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