Who they can help: Hearing aids can help anyone at any age, from infants to adults, for a wide array of different types—and severity—of hearing loss. Traditionally, they are used in cases of "sensorineural hearing loss," which is caused by damage to the small sensory cells (known as hair cells) inside the inner ear.
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The Four Best Hearing Aids For Profound Hearing Loss
Presence of external hearing-aid 1 Z97.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z97.4 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z97.4 - other international versions of ICD-10 Z97.4 may differ.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.
An Excludes1 is used when two conditions cannot occur together , such as a congenital form versus an acquired form of the same condition .
The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.
For codes less than 6 characters that require a 7th character a placeholder X should be assigned for all characters less than 6. The 7th character must always be the 7th character of a code.
The ICD-10 is also used to code and classify mortality data from death certificates.
ICD-10 was implemented on October 1, 2015, replacing the 9th revision of ICD (ICD-9).
Audiologists practicing in a health care setting, especially a hospital, may have to code diseases and diagnoses according to the ICD-10. Payers, including Medicare, Medicaid, and commercial insurers, also require audiologists to report ICD-10 codes on health care claims for payment.
Learn about the new and revised codes for fiscal year (FY) 2022, effective October 1, 2021.
Audiology and SLP related disorders have been culled from approximately 68,000 codes into manageable, discipline-specific lists. Updated lists are posted annually on October 1.
Please note that these documents were developed for the October 2015 transition and are no longer being updated. Please refer to current resources for new and revised codes.
According to the July 2014 issue of the CPT Assistant, codes 92626 and 92627 should be used to “determine the need for auditory rehabilitation following the fitting and verification of hearing devices and may also be used to monitor the progress of therapeutic intervention.”.
Although there is not a specific code for NRT, the July 2011 CPT Assistant recommends CPT 92584 (electrocochleography) because it broadly captures the method used to electrically stimulate the cochlea and record the electrical response.
Adding codes to either the CPT or ICD-10 code set is a long and complex process that involves many stakeholders, including related specialty groups, the American Medical Association, and the Centers for Medicare and Medicaid Services (CMS). The benefits of adding or revising codes must be weighed carefully before initiating the process, especially for CPT codes, which are the basis of most outpatient fee schedules.
Check with each patient’s payer to determine which code set to use on that patient’s claims. Note that Medicare does not pay for services related to hearing aids.