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92551 and well child check

  1. #1
    Default 92551 and well child check
    Exam Training Packages
    is it appropriate to bill the 92551, screening test, pure tone, air only with the child's yearly well check?

  2. Default
    Our office will bill this code in a sick visit if the ears are tested.

  3. #3
    Location
    Kansas City Chapter
    Posts
    33
    Default
    Hearing and vision screens provided as part of the well visit are reported separately. CPT guidelines outline that "screening tests identified with specific CPT codes are reported separately" from the preventive medicine codes.

    We bill these in addition to the well visit codes.

  4. #4
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    Quote Originally Posted by KERRIEA View Post
    Hearing and vision screens provided as part of the well visit are reported separately. CPT guidelines outline that "screening tests identified with specific CPT codes are reported separately" from the preventive medicine codes.

    We bill these in addition to the well visit codes.
    It's important to point out that although CPT guidelines may allow for separate reporting, many commercial payers' coverage criteria doesn't allow separate payment. (Visual acuity screenings also tend to deny). Check your contracts to see if it's something that you're able to bill, before sending any appeals. Hope that helps!

  5. #5
    Default
    I agree, we do bill separately. Some insurances pay in full others pay very little or nothing at all. Its an additional code to the sick or wcc visit.

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