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Newborn Hearing Screens

Sanjay Posted Mon 11th of October, 2010 19:27:07 PM

I am needing help in coding a ABR Hearing Screen (92585). My physician has a full time employee who performs hearing screens on newborns once they are discharged. He performs this service in the hospital as an outpatient procedure. I am not sure how to bill this. Should I bill professional and technical component? What dx is appropriate with this service?

SuperCoder Answered Mon 11th of October, 2010 20:29:23 PM

ABR testing (92585) is not a difficult test and does not require much training for one to perform. Thus technically, just performing the procedure is to be billed technically in the outpatient setting if performed by an employee of the physician.
Thus this service should be billed with modifier TC.

191.7 :Malignant neoplasm of brain stem
198.3 :Secondary malignant neoplasm of brain and spinal cord
225.0 :Benign neoplasm of brain
225.1 :Benign neoplasm of cranial nerves
225.9 :Benign neoplasm of nervous system, part unspecified
237.5 :Neoplasm of uncertain behavior of brain and spinal cord
239.6 :Neoplasm of unspecified nature of brain
275.1 :Disorders of copper metabolism
333.0 :Other degenerative diseases of the basal ganglia
340 :Multiple sclerosis
349.89 :Other specified disorder of nervous system

Sanjay Posted Wed 17th of November, 2010 19:34:51 PM

What if my Doctor is just performing routine hearing screens on all newborn being discharged from the NICU & Nursery? Could I bill ABR Hearing Screen 92585 with DX V20.2? Since it is a routine service provided to the newborn prior to leaving the hospital.

SuperCoder Answered Wed 17th of November, 2010 22:29:14 PM

Use appropriate ICD codes as per the data available to you:

V20.31 Health supervision for newborn under 8 days old
V20.32 Health supervision for newborn 8 to 28 days old
V20.2 Routine infant or child health check --( Health check for child over 28 days old
)

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