Otolaryngology Coding Alert

Beware:

Declining RVUs Will Hit Your Audiology Codes Hard

2010 will take a toll on your audiology pay as a double-dip elimination cuts your pay on 14 codes. They are:

• 92557 -- Comprehensive audiometry threshold evaluation and speech recognition

• 92567 -- Tympanometry (impedance testing)

• 92568 -- Acoustic reflex testing, threshold

• 92579 -- Visual reinforcement audiometry (VRA)

• 92601 -- Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming

• 92602 -- ... subsequent reprogramming

• 92603 -- Diagnostic analysis of cochlear implant,age 7 years or older; with programming

• 92604 -- ... subsequent reprogramming

• 92620 -- Evaluation of central auditory function,with report; initial 60 minutes

• 92621 -- ... each additional 15 minutes

• 92625 -- Assessment of tinnitus (includes pitch, loudness matching, and masking)

• 92626 -- Evaluation of auditory rehabilitation status; first hour

• 92627 -- ...each additional 15 minutes (List separately in addition to code for primary procedure)

• 92640 -- Diagnostic analysis with programming of auditory brainstem implant, per hour.

Cause: The RBRVS Update Committee (RUC) had previously included audiology time in these codes. Originally, audiologist work was included in the work RVUs, and with the change to audiologists directly reporting their own services, payers paid the audiologist twice.

Consequently, "for all 15 codes, the associated audiologists' time was removed from the PE inputs for clinical labor," according to Patrick J Cafferty, MPAS, PA-C, American Academy of Audiologist Assistants CPT HCPAC co-chair, in "Non-Audiologist Services" at the CPT and RBRVS 2010 Annual Symposium in Chicago.

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