We have several patients whose insurance will pay for preventive hearing care. Are there specific diagnosis codes which should be used when filing these types of claims? We have been told by the carrier that our diagnosis code 388.40 is not a preventive code. I have been researching the ICD-9-CM books to find a specific code. Thanks for your help.
Answer
Yes and No. For follow-up newborn hearing screening testing, you can add the -33 modifier to the procedures performed. You can learn more about this at https://www.ama-assn.org/resources/doc/cpt/new-cpt-modifier-for-preventive-services.pdf. This only applies to newborn hearing screening. For adults, the only options are V72.19 (other exam of ears and hearing) or V80.3 (screening for ear diseases).
Kim Cavitt, AuD
Owner of Audiology Resources
Kim Cavitt, AuD was a clinical audiologist and preceptor at The Ohio State University and Northwestern University for the first ten years of her career. Since 2001, Dr. Cavitt has operated her own Audiology consulting firm, Audiology Resources, Inc. Audiology Resources, Inc. provides comprehensive operational and reimbursement consulting services to hearing healthcare clinics, providers, organizations, buying groups, and manufacturers who want to be better equipped to compete in the managed care and healthcare arenas. She currently serves on the Board of the Academy of Doctors of Audiology and the State of Illinois Speech Pathology and Audiology Licensure Board. She also serves on committees through AAA and ASHA and is an Adjunct Lecturer at Northwestern University.
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/fundamentals-of-audiology-coding-37127Fundamentals of Audiology CodingThis course discusses various coding options used by audiologists. Part one defines audiology CPT, Modifiers, HCPCS and Place of Service codes and discusses their appropriate use. Part two focuses on the basics of IC-10, the most common codes used by audiologists, and how to effectively integrate this new code set into an audiology practice.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comFundamentals of Audiology CodingThis course discusses various coding options used by audiologists. Part one defines audiology CPT, Modifiers, HCPCS and Place of Service codes and discusses their appropriate use. Part two focuses on the basics of IC-10, the most common codes used by audiologists, and how to effectively integrate this new code set into an audiology practice.37127OnlinePT180M
This course discusses various coding options used by audiologists. Part one defines audiology CPT, Modifiers, HCPCS and Place of Service codes and discusses their appropriate use. Part two focuses on the basics of IC-10, the most common codes used by audiologists, and how to effectively integrate this new code set into an audiology practice.
2https://www.audiologyonline.com/audiology-ceus/course/ethical-and-legal-requirements-audiology-30065Ethical and Legal Requirements of Audiology Practice - Staying CompliantIn this presentation, we will discuss the foundations of ethics and compliance in audiology, as well as U.S. regulations. We will explore the AAA and ASHA Codes of Ethics, state ethical guidelines contained in several state licensure laws, Medicare, HIPAA, the FDA Guidelines, Stark laws, and Anti-kickback laws and explain, in detail, how they relate to specific scenarios we encounter in audiology.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comEthical and Legal Requirements of Audiology Practice - Staying CompliantIn this presentation, we will discuss the foundations of ethics and compliance in audiology, as well as U.S. regulations. We will explore the AAA and ASHA Codes of Ethics, state ethical guidelines contained in several state licensure laws, Medicare, HIPAA, the FDA Guidelines, Stark laws, and Anti-kickback laws and explain, in detail, how they relate to specific scenarios we encounter in audiology.30065OnlinePT120M
In this presentation, we will discuss the foundations of ethics and compliance in audiology, as well as U.S. regulations. We will explore the AAA and ASHA Codes of Ethics, state ethical guidelines contained in several state licensure laws, Medicare, HIPAA, the FDA Guidelines, Stark laws, and Anti-kickback laws and explain, in detail, how they relate to specific scenarios we encounter in audiology.
3https://www.audiologyonline.com/audiology-ceus/course/2023-coding-and-reimbursement-update-382772023 Coding and Reimbursement UpdateThis course provides the annual update of coding, managed care, reimbursement and compliance issues that impact the profession of audiology. Information on the Medicare physician order changes, good faith estimates and insurance changes will be addressed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.com2023 Coding and Reimbursement UpdateThis course provides the annual update of coding, managed care, reimbursement and compliance issues that impact the profession of audiology. Information on the Medicare physician order changes, good faith estimates and insurance changes will be addressed.38277OnlinePT90M
This course provides the annual update of coding, managed care, reimbursement and compliance issues that impact the profession of audiology. Information on the Medicare physician order changes, good faith estimates and insurance changes will be addressed.
4https://www.audiologyonline.com/audiology-ceus/course/hipaa-for-allied-health-professionals-37560HIPAA for Allied Health ProfessionalsThis course reviews the foundations of HIPAA privacy, security, breach notification, and marketing requirements and guidelines as they relate to hearing healthcare. HIPAA requirements and considerations for telehealth are also covered. This introductory course is intended for new hire trainings as well as for annual review.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comHIPAA for Allied Health ProfessionalsThis course reviews the foundations of HIPAA privacy, security, breach notification, and marketing requirements and guidelines as they relate to hearing healthcare. HIPAA requirements and considerations for telehealth are also covered. This introductory course is intended for new hire trainings as well as for annual review.37560OnlinePT60M
This course reviews the foundations of HIPAA privacy, security, breach notification, and marketing requirements and guidelines as they relate to hearing healthcare. HIPAA requirements and considerations for telehealth are also covered. This introductory course is intended for new hire trainings as well as for annual review.
5https://www.audiologyonline.com/audiology-ceus/course/illinois-ethical-practice-guidance-for-42976Illinois Ethical Practice Guidance for Hearing Aid Dispensing PracticesThis course will focus on the important ethical practice issues as well as rules and regulations affecting hearing aid providers in the state of Illinois. We will address ethics as it pertains to Illinois licensure and truth in advertising legislation.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comIllinois Ethical Practice Guidance for Hearing Aid Dispensing PracticesThis course will focus on the important ethical practice issues as well as rules and regulations affecting hearing aid providers in the state of Illinois. We will address ethics as it pertains to Illinois licensure and truth in advertising legislation.42976OnlinePT60M
This course will focus on the important ethical practice issues as well as rules and regulations affecting hearing aid providers in the state of Illinois. We will address ethics as it pertains to Illinois licensure and truth in advertising legislation.
