AudiologyOnline Phone: 800-753-2160


Rexton Reach Inox - July 2024

Use of CPT Code 92507 and TOS Codes

Debbie Abel, AuD

June 6, 2005

Share:

Question

Part A:
I have had difficulty with the code 92507, which I thought was to be used when hearing treatment/feedback/counseling was done. Is there a different code I should be using in lieu of this? Some insurance companies will not cover this CPT code?

Part B:
Are TOS (Type of Service) codes required when billing Medicare for audiological function tests?

Answer

Part A:
92507 is considered a treatment code and Medicare and some other third party payers will not reimburse audiologists for treatment codes. Depending on how it is to be used (hearing aid? tinnitus?) may determine a code other than the dreaded 92700 which yields low reimbursement for a substantial amount of clinical work and time. For example if it is used with a hearing aid fitting, you could use a HCPCS code of V5011 (Fitting/orientation/checking of a hearing aid) although V5090 (dispensing fee, unspecified hearing aid) or V5110 (Dispensing fee, bilateral) are other choices if accepted by those third party payers with whom you contract. Contacting those third party payers to see the codes they will accept may reduce the time in awaiting payment. For a hearing aid recheck, the HCPCS code of V5020 for a conformity evaluation may be appropriate and reimbursable. If billing this code, the visit needs to include some type of performance measurement to assess hearing aid function.

Part B:
I believe that TOS applies to hospice, ambulatory surgery centers and drugs. Except for the possibility of ototoxicity monitoring in a hospice setting, audiological services would likely be billed Part A if it is a hospital based hospice or Part B if provided as an outpatient service

Debra Abel, Au.D., Chair of the Coding and Practice Management Committee for the American Academy of Audiology. Also sits on the Ethical Practices Board of AAA, is the Chair of the Ohio Board of Speech-Language Pathology and Audiology and in private practice for over 12 years in Alliance, OH. She can be reached at audiology@neo.rr.com


Debbie Abel, AuD


Related Courses

Understanding Privilege, for Healthcare Professionals
Presented by Esther Clervaud, EdS
Recorded Webinar
AudiologyOnline

Presenter

Esther Clervaud, EdS
Course: #36096Level: Intermediate1 Hour
  'Instructor and information presented should make work places better for everyone'   Read Reviews
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Creating Leadership in Audiology Through a Mentoring Circle
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #37632Level: Introductory1 Hour
  'I had no idea the value of a mentor in audiology!'   Read Reviews
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Using Patient-Reported Outcome Measures (PROMs) to Improve Patient-Clinician Communication and Enhance Treatment Efficacy
Presented by Carren Stika, PhD
Recorded Webinar
ReSound

Presenter

Carren Stika, PhD
Course: #35841Level: Introductory1 Hour
  'Good refresher'   Read Reviews
Due to the recent increased focus on providing patient-centered healthcare, use of patient-reported outcome measures (PROMs) have become an essential component of assessing whether the services provided improved patients’ health and sense of well-being. This course will discuss the role of PROMs in healthcare and how using these measures in clinical practice can enhance treatment efficacy, improve patient-clinician communication, and assist clinicians in providing better person-centered care.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Learn to Earn the Salary You Deserve: Negotiating Like a Boss
Presented by Natalie Phillips, AuD
Recorded Webinar
AudiologyOnline

Presenter

Natalie Phillips, AuD
Course: #32770Level: Introductory1 Hour
  'The statistics of the salaries and percentage of each male and female that negotiate their salaries'   Read Reviews
The ability to negotiate your income displays immediate knowledge and confidence in your skillset and worth. In this course, we will examine a revenue and pay justification method to put into place as audiology business owners, employers, and employees.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Core Topics for Audiology Assistants
Presented by James W. Hall III, PhD, Kathleen Weissberg, OTD, OTR/L, Amit Gosalia, AuD
Recorded Webinar
AudiologyOnline

Presenters

James W. Hall III, PhDKathleen Weissberg, OTD, OTR/LAmit Gosalia, AuD
Course: #37123Level: Introductory3 Hours
  'I am currently working as a Patient Care Coordinator and studying for my Audiologist Assistant Certification'   Read Reviews
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.