Comprehensive hearing aid assessment for both ears

Description

This service involves a thorough evaluation of a patient's hearing capabilities and needs for hearing aids in both ears. The assessment helps determine the appropriate hearing aid options and ensures the best fit for the patient's auditory requirements.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT GYItem or service excluded from Medicare benefits(27.74%)

HCPCS/CPT ABAudiology service provided by an audiologist without physician order(7.74%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(4.73%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(4.09%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(3.44%)

HCPCS/CPT GXNotice of liability issued, voluntary under payer policy(3.01%)

HCPCS/CPT 52Modifier for reduced services at physician's discretion(1.94%)

HCPCS/CPT RTRight side procedure modifier(1.51%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(1.29%)

HCPCS/CPT LTModifier for procedures performed on the left side of the body(1.29%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)