Question
We are being told by our billing service that as of March 2003, Medicare no longer reimburses for 92558 or 92559. Have others found this to be true?
Answer
There is no 92558 in the 2003 CPT. I cannot find 92558 in the 1987 CPT. This may have been a local code and HIPAA eliminated the use of any procedure codes other than CPT and HCPCS Level II codes. Medicare only reimburses for diagnostic services (not screening tests) and 92559 is audiometric testing of groups - it would be difficult to argue that this procedure is diagnostic in nature and that a referral would be made for group testing under Medicare. Moreover, the 2003 Medicare Physician Fee Schedule does not list 92559. Steven C. White, PhD Director Health Care Economics and Advocacy American Speech-Language-Hearing Association
Steven C. White, PhD, CCC-A
Director of the Health Care Economics and Advocacy at the ASHA National Office.
Steven C. White, PhD, CCC-A, is the Director of the Health Care Economics and Advocacy at the ASHA National Office. White, an ASHA Fellow, is ex officio to the Health Care Economics Committee. His responsibilities include Medicare, private health insurance and Medicaid especially coding and outpatient reimbursement policies as they relate to these payers. White is the staff liaison to the American Medical Association Current Procedural Terminology Editorial Panel and the AMA Relative Value Update Committee. He has published and presented extensively on third party reimbursement. White is co-author with Janet McCarty of Health Plan Coding and Claims Guide (2005), Negotiating Health Care Contracts and Calculating Fees (2004), Appealing Health Plan Denials, and Getting Your Services Covered. White is also coauthor with Ingrida Lusis and Mark Kander of the Medicare Handbook for Audiologists (2005). White holds a PhD in audiology from Wayne State University and an MS in speech-language pathology and audiology from Ithaca College.
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/understanding-privilege-for-healthcare-professionals-36096Understanding Privilege, for Healthcare ProfessionalsSystems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUnderstanding Privilege, for Healthcare ProfessionalsSystems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.36096OnlinePT60M
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.
2https://www.audiologyonline.com/audiology-ceus/course/creating-leadership-in-audiology-through-37632Creating Leadership in Audiology Through a Mentoring CircleThere are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCreating Leadership in Audiology Through a Mentoring CircleThere are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.37632OnlinePT60M
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.
3https://www.audiologyonline.com/audiology-ceus/course/unlocking-more-time-for-patients-41986Unlocking More Time for PatientsOn busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUnlocking More Time for PatientsOn busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.41986OnlinePT60M
On busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.
4https://www.audiologyonline.com/audiology-ceus/course/core-topics-for-audiology-assistants-37123Core Topics for Audiology AssistantsThis course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCore Topics for Audiology AssistantsThis course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).37123OnlinePT180M
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).
5https://www.audiologyonline.com/audiology-ceus/course/engaging-deaf-professionals-in-ehdi-37893Engaging Deaf Professionals in the EHDI SystemThe course explores ways to draw on Deaf professionals' expertise in working with families of Deaf and hard of hearing infants and young children. A highlight of Deaf people's knowledge, experiences, expertise, and contributions in the EHDI (Early Hearing Detection and Intervention) System will be discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comEngaging Deaf Professionals in the EHDI SystemThe course explores ways to draw on Deaf professionals' expertise in working with families of Deaf and hard of hearing infants and young children. A highlight of Deaf people's knowledge, experiences, expertise, and contributions in the EHDI (Early Hearing Detection and Intervention) System will be discussed.37893OnlinePT60M
The course explores ways to draw on Deaf professionals' expertise in working with families of Deaf and hard of hearing infants and young children. A highlight of Deaf people's knowledge, experiences, expertise, and contributions in the EHDI (Early Hearing Detection and Intervention) System will be discussed.
