Auditory Processing Disorder (APD)

Auditory Processing Testing refers to evaluation of the central, as opposed to the peripheral, auditory system. Several tests of central auditory function comprise an auditory processing test battery. These separate tests will ideally evaluate different auditory processing functions, such as auditory temporal processing, auditory pattern processing, binaural separation, binaural integration and auditory performance with degraded acoustic signals.

Auditory Brainstem Response (ABR)

There are currently two codes to report ABR.

92585 -Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive 92586 - Limited

Q: Some insurance carriers are stating that 389.10 is a wrong diagnosis code for CPT 92585 and are denying our claims for a sedated ABR. Do you have any suggestions for a diagnosis code?

Advanced Beneficiary Notice of Non-Coverage (ABN)

The ABN (CMS – R -131) is a notice given to Medicare beneficiaries to inform them that Medicare will most likely deny the care that they are about to receive.  The ABN must be delivered in advance to give the beneficiary time to consider the options and make an informed choice.

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Acoustic Reflex Testing

Q: Several codes include acoustic reflex testing. Could you provide an overview of those codes and how they should be billed?

A: The following procedure codes are used in middle ear measurements:

AT Reports Coding and Reimbursement Survey Results

Aylward and Caine (2008) report on the Academy's Coding and Reimbursement Committee survey with regard to training on coding and reimbursement issues. 267 audiology students from 29 AuD programs responded to the survey. Ninety-nine percent of the student respondents were enrolled in residential programs (i.e., not distance-ed) with roughly equal representation across 1st, 2nd, 3rd, and 4th years of doctoral study. Of the respondents, 19% had completed a formal course addressing coding and reimbursement.

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