Consider These Newborn and Infant Hear Screening Coding Options
Learn the correct codes for newborn hearing screenings to avoid claim denials. Use 92558 or 92650 instead of 92551 for accurate reporting and efficient reimbursement.
Pediatric Billing & Coding Alert
Why do many billers use 92551 for Newborn Hearing Screenings and end up in denials? Avoid denials with the proper CPT code. Correct coding options for newborn and infant hearing screenings.
Answer: While 92551 (Screening test, pure tone, air only) indicates whether a hearing issue may be present, this code should not be used for hearing screenings on newborns or infants.
According to CPT® Assistant (Volume 24: Issue 8): "Although the 92551 (Screening test, pure tone, air only) procedure code can be used for individuals of different ages, it is unsuitable for reporting hearing screenings conducted on newborns and infants."
Which Codes To Use Instead Of 92551?
Instead, use one of the following codes based on the type of screening performed:
- 92558 (Evoked otoacoustic emissions, screening – qualitative measurement of distortion product or transient evoked otoacoustic emissions, automated analysis):
This test evaluates cochlear status by measuring hair cell function in response to specific tone frequencies. It is commonly used for babies and young children who cannot cooperate with traditional hearing tests.
- 92650 (Auditory evoked potentials; screening with broadband stimuli, automated analysis):
This screening measures the patient's response to auditory stimuli, recording electrical responses, or auditory evoked potentials. The automated analysis provides a pass-or-fail outcome.
Patients who do not pass these screenings may require further testing to assess the severity or type of hearing loss.
BillingFreedom Is Your Trusted Pediatric Billing Service Provider
BillingFreedom is your top choice for Pediatric Medical Billing Services, bringing unmatched expertise in handling complex coding scenarios. With a focus on accuracy and compliance, our team ensures that claims, including specialized cases like newborn hearing screenings, are processed with the correct codes, reducing the risk of denials and accurate reimbursement. We stay current with Pediatric Billing and Coding Guidelines, expertly navigating each case to maximize reimbursements and streamline claims.
Trust BillingFreedom for precise, reliable pediatric billing support that brings peace of mind to providers and ensures optimal revenue management. Let us handle the details so you can focus on patient care.
For more details about our exceptional medical billing services, please don't hesitate to email us at info@billingfreedom.com or call us at +1 (855) 415-3472.
Your financial tranquillity is our priority!
Ready to Boost Your Revenue?
Save your hard earned money, register, before it's gone.