CPT - Current Procedural Terminology

CPT - Current Procedural Terminology

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CODING AND REIMBURSEMENT | Auditory Function Evaluation and Computerized Dynamic Posturography: Codes and Payment Rates for 2020

In late 2018, the American Academy of Audiology, in collaboration with the American-Speech-Language-Hearing Association (ASHA), the American Academy of Neurology (AAN), and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) surveyed the auditory function evaluation and computerized dynamic posturography codes at the request of the Centers for Medicare and Medicaid Services (CMS).  

A description of the new and revised codes follows: 

Topic(s): auditory function evaluation, computerized dynamic posturography, american academy of audiology, American Speech-Language-Hearing Association (ASHA), American Academy of Neurology (AAN), American Academy Otoringology-Head and Neck Surgery (AAO-HNS), Centers for Medicare and Medicaid Services (CMS), CPT - Current Procedural Terminology, Relative Value Update Committee (RUC), American Medical Association (AMA), Health Care Professionals Advisory Committee (HCPAC)

Audiology Today Sept/Oct 2019…What’s Inside This Issue?

Take a look at the table of contents and delve into these online articles, which you can now easily search by topic, title, or author. 

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2020 OPPS Rule: Audiology Impacts

2020 Final APCs for Audiology Codes: APC assignments, status indicators, and reimbursement amounts for audiology codes. 

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CODING AND REIMBURSEMENT | When and Why to Modify

Billing modifiers were created to provide additional information to the payer about the performed procedure(s) and help describe and/or qualify the services provided. There are common modifiers used by commercial payers and the Centers for Medicare and Medicaid Services (CMS), that indicate to the payer that the services provided have been altered in a way that is different than the ascribed definition of the billing code. For example, a modifier should be used when all of the tests in a bundled code were not performed or when only one ear was tested.

Topic(s): Centers for Medicare and Medicaid Services (CMS), Medicare, Advance Beneficiary Notice (ABN), CPT - Current Procedural Terminology, Coding, Reimbursement, Practice Management, Patient care, Treatment

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Medicare, Hearing Care, and Audiology: Data-Driven Perspectives

For the public at large, Medicare evokes the concept of a health insurance plan for the aged or retired population. Created in 1965 to provide a safety net for older individuals who faced substantial medical problems, the benefits available to Medicare beneficiaries are generally more limited than those available through private health insurance plans. Medicare has four parts (Medicare.com, 2018) as summarized in Table 1.  

Topic(s): CPT - Current Procedural Terminology, Medicaid, Medicare, Coding, Reimbursement, Practice Management

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CODING AND REIMBURSEMENT | Demystifying CPT Code 92700

There are Current Procedural Terminology (CPT) codes for almost every audiology procedure that exists. It is important to use the code that most accurately represents the audiologic procedure or service provided, which is often very straightforward.  

Topic(s): Audiologist, Bone-Anchored Hearing Devices (BHADs), Bone-Conduction Implant (BCI), cervical vestibular-evoked myogenic potential (cVEMP), speech-in-noise, Tinnitus, saccade, Practice Management, Coding, Reimbursement, Compliance, CPT - Current Procedural Terminology

New and Revised Codes for Contralateral Routing Hearing Aids Available in 2019

CMS made significant revisions for contralateral routing hearing aid codes commonly known as CROS/BiCROS hearing devices (V5170 – V5240) effective January 1, 2019. The changes include the addition of 9 new codes and the revisions of 4 existing codes. The changes are an attempt to more accurately describe the current hearing aid technology used to treat patients with Single Sided Deafness and also patients with some degree of hearing loss in one ear and an unaidable hearing loss on the other side. 

Private Practice, Bundling/Unbundling, and CPT Codes: Interview with Elizabeth Protti-Patterson, AuD

Douglas L. Academy, AuD, spoke with Dr. Protti-Patterson about private practice, bundling/unbundling, CPT codes, speech-in-noise tests, professional multi-tiered service packages, and more.

Academy: Good morning, Liz. Thanks for sharing your time with me!

Patterson: Hi, Doug. Always a joy to speak with you.

Academy: How long have you been in practice, Liz?

Patterson: Well, it's been about 30 years. Seems hard to believe!

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