Newborn Early Hearing Detection and Intervention



International Classification of Diseases (ICD-9) coding

380.01 Acute otitis media, unspecified

380.1 Otitis externa

381.1 Chronic serous OM

381.2 Chronic mucoid OM

381.81 Dysfunction of Eustachian Tube

382.01 Acute OM with spont. rupture of the ear drum

384.2 Perforation of the TM, unspec.

385 Tympanosclerosis, involving the TM only

385.23 Discontinuity of the Ossicles

385.32 Cholesteatoma of the ME

388.31 Tinnitus, subjective

388.42 Hyperacusis

388.43 Impaired Aud. Discrim.

388.6 Otorrhea, unspec.

388.7 Otalgia, unspec.

389 Conductive Hearing Loss Unspec.

389.01 Conductive Hearing Loss External ear

389.02 Conductive Hearing Loss Tympanic Mem.

389.03 Conductive Hearing Loss Middle ear

389.1 Sensorineural Hearing Loss Unspec.

389.11 Sensorineural Hearing Loss Sensory

389.12 Sensorineural Hearing Loss Neural

389.14 Sensorineural Hearing Loss Central

389.18 Sensorineural Hearing Loss Combined types

389.2 Mixed: Cond. and SNHL

744 Unspecified anomaly of the ear with impairment of hearing

744.01 Absence of external ear

744.02 Anomalies of external ear with impairment of hearing Atresia or stenosis

744.23 Microtia

794.15 Abnormal Auditory Function Studies

V72.1 exam of ears and hearing

XXXXX There is no code for “normal hearing”

Current Procedural Terminology (CPT)

92510 Aural rehabilitation following cochlear implant (includes evaluation of aural rehabilitation status and hearing, therapeutic services) with or without speech processor programming

92551 Screening test, pure tone, air only

92552 Pure tone audiometry (threshold); air only

92553 Pure tone audiometry (threshold); air and bone

92555 Speech audiometry threshold

92556 Speech audiometry threshold; with speech recognition

92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)

92567 Tympanometry

92579 Visual reinforcement audiometry (VRA)

92582 Conditioning play audiometry

92583 Select picture audiometry

92585 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive

92586 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited

92587 Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)

92590 Hearing aid examination and selection; monaural

92591 Hearing aid examination and selection; binaural

92592 Hearing aid check; monaural

92593 Hearing aid check; binaural

92594 Electroacoustic evaluation for hearing aid; monaural

92596 Ear mold, binaural

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

92621 Evaluation of central auditory function, with report; each additional 15 minutes

92630 Auditory rehabilitation; pre-lingual hearing loss

92700 Unlisted otorhinolaryngological service or procedure

99002 Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such as orthotics, protectives, prosthetics are fabricated by an outside laboratory or shop but which items have been designed, and are to be fitted and adjusted by the attending physician

99499 Unlisted evaluation and management service

Modifier Descriptors

-26 Professional Component

Certain procedures are a combination of a professional component and a technical component. When the professional component is reported separately, add the modifier -26 to the usual procedure code. The professional provides the cognitive or professional component (e.g., interpretation) of an auditory brainstem response: 92585-26

-TC Technical Component

When the technical component is reported separately, add the modifier -TC to the procedure code. The technical component is billed using 92585-TC. Reporting 92585, without the -26 or -TC modifiers, implies the entire service was provided by the billing entity.

-52 Reduced Services

Under certain circumstances, a service or procedure is partially reduced or eliminated at the provider's discretion. Add the modifier -52, signifying that the service is reduced. This provides a means of reporting reduced services without disturbing the identification of the basic service. The audiologist performs pure tone air and bone conduction testing on one ear: 92553-52

-53 Discontinued Service

Under certain circumstances a procedure is stopped due to extenuating circumstances or those that threaten the patient’s well being. Use of this modifier indicates that the procedure was started but discontinued. A patient becomes ill during an ABR and is unable to continue: 92585-53

From DoD Infant and Birth Registry

Newborn Early Hearing Detection and Intervention

|Encounter Type |ICD-9-CM Diagnosis |CPT |CPT Procedure Codes |

| |Codes |E & M Codes | |

|Newborn Hearing Screening |V72.1 |N/A |N/A |

|with no abnormalities | | | |

|(Inpatient SIDR) | | | |

|Newborn Hearing Screening |V72.1 and 794.15* or |N/A |N/A |

|with abnormalities |389.xx** | | |

|performed in Newborn Nursery or Neonatal ICU (Inpatient | | | |

|SIDR) | | | |

|Newborn Hearing Screening |V72.1 |99499 or 992xx* |92586 or 92587 |

|with no abnormalities | | | |

|performed in Newborn Nursery or Neonatal ICU (Inpatient | | | |

|rounds SADR) | | | |

|Newborn Hearing Screening |V72.1 |99499 or 992xx* |92586 or 92587 |

|with no abnormalities | | | |

|performed in Audiology Clinic *** (Outpatient visit SADR) | | | |

|Follow-up |794.15 |99499 |92585 and 92588 |

|with no abnormalities | | | |

|Follow-up |389.xx* |99499 |92585 and 92588 |

|with abnormalities | | | |

|Intervention 1 |389.xx* |99499 |92590,92591,92700 |

|Intervention 2 |389.xx* |99499 |92590,92591,99002 |

|1st Follow-up to intervention |389.xx* |99499 |92590,92591,92594 or 92595 |

• Code to be used by non-professionals (e.g. technicians, nurse, volunteers).

• ** Indicates there are various 4th and/or 5th digits that my be assigned to indicate a specific condition or encounter

• *** Initial screening exam for patients who were not tested in the hospital prior to discharge from birth episode.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download