Question
Is V5010 the same as 92557 and can they be billed on the same date?
Answer
Yes and no and here's why: 92557 is contained within V5010. A V5010 is the audiogram as you would find for a 57, but V5010 goes further to include additional measures that are necessary for the assessment of a hearing aid selection. That would include MCL, UCL, loudness growth functions, anything like that that's necessary in order for you to make the determination, Number one: Is the patient a candidate? Number two: What restrictions am I facing in the selection of a hearing aid? Number three: What do I have to watch out for once I actually put a hearing aid on this individual?
So, they are similar but not quite the same in that V5010 is more expansive than 57, and no, they may not be billed on the same date of service simply because that would be double billing for the audiogram. V5010 by the way is used primarily by Medicaid whereas 92557 is also used by Medicaid but for a medical evaluation audiogram whereas V5010 is oriented specifically to the preparation for hearing aid selection.
Robert Fifer, Ph.D., is the Director of Audiology and Speech-Language Pathology for the Mailman Center for Child Development at the University of Miami School of Medicine. He is also an Audiology Online Contributing Editor in the area of Coding and Billing. He is the ASHA representative to the American Medical Association's Health Care Professions Advisory Committee for the Relative Value Utilization Committee in addition to being ASHA's representative to the AMA's Practice Expense Advisory Committee.
Editor's Note - The above is a partial transcript from the Coding and Billing QNA Live e-Seminar that was conducted on Audiology Online on June 27, 2007. (The recorded version is available here - Also the complete edited transcript is available here. The format of the session was different from most traditional presentations as we solicited questions ahead of time and also solicited questions during the event and had Dr. Fifer focus on answering those questions during the live session. We have published the transcript from the seminar in a semi-rough format to preserve the live feel from the session and to accelerate the publication timeline of this information to the Audiology Online readers. Submitted questions are bolded, followed by Dr. Fifer's response. Dr. Fifer is a frequent Contributing Editor for Audiology Online in this area, look for additional Coding and Billing QNA sessions on our home page in the near future. - Paul Dybala, Ph.D. - Editor
