AAPC - Back to school
Results 1 to 2 of 2

Thread: New Audiologist

  1. #1

    Question New Audiologist

    AAPC: Back to School
    We have an audiologist joining our one physician ENT/Allergy Immunology/Facial Plastics practice.

    Am totally lost about credentialling/billing guidelines for audiologist services.

    re: Medicare/audiologist billing, commercial carriers, etc.

    Obviously I want to be compliant.

    Any other coders out ther who have been "in my shoes"?

  2. #2


    Check the CME website. There are new policies going into effect in October re: audiologist needing to have their own NPI #


    Audiologists Billing Medicare

    April 29, 2008

    As of October 1, 2008, Audiologists must report their NPI on claims for diagnostic test services. Currently some audiologists are reporting under the physician’s NPI rather than their own NPI.

    On February 29, 2008, the Centers for Medicare and Medicaid Services (CMS) issued Change Request 5717 titled “Update to Audiology Policies”. Transmittal 1470 of that change request provided clarifications to the Medicare Claims Processing Manual (Pub. 100-02). In Pub 100-02, Chapter 12, Section 30.3, the manual instructions state, “. . . the audiologist’s NPI is required on all claims for services furnished by audiologists.” Use of the NPI in the primary identifier field on a claim requires Medicare enrollment.

    Note that CMS is instructing contractors to, prior to October 1, 2008, continue to process claims without the NPI of the audiologist. All other instructions in Change Request 5717 remain unchanged.

    CMS will require the use of the NPI on claims for diagnostic test services furnished by audiologists on or after October 1, 2008. Audiologists are encouraged to obtain an NPI and enroll as soon as possible.

Similar Threads

  1. Billing for Audiologist
    By angela.burke9 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-17-2015, 01:48 PM
  2. Audiologist
    By nbohm in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-29-2012, 01:40 PM
  3. Audiologist Coder needs help!
    By Tessnd in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 02-11-2011, 08:59 PM
  4. audiologist
    By Earnose in forum ENT/Otolaryngology
    Replies: 5
    Last Post: 02-09-2010, 11:47 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.