R 418.10209 Hearing services.

Rule 209. (1) A provider performing a comprehensive otorhinolaryngologic evaluation shall report the service using the appropriate evaluation and management service. (2) A provider shall not report an otoscope, a rhinoscopy, or a tuning fork test in addition to a comprehensive ear evaluation or office visit. (3) A provider performing special otorhinolaryngologic procedures, in addition to the evaluation, shall report those services using procedure codes 92502-92700. (4) An audiologist, speech therapist, and a speech and hearing center shall use appropriate procedure codes from “Current Procedural Terminology, (CPT®)” or the HCPCS Level II codebook, as adopted by reference in R 418.10107, to describe services provided. (5) Hearing aid suppliers shall use the appropriate procedure code listed in the HCPCS Level II codebook, as adopted by reference in R 418.10107 to describe services provided. (6) When requesting payment for hearing aids a minimum of 2 comparable written quotations shall be required for hearing aids that exceed $1,500 per hearing aid, including related services such as orientation, fitting, ear molds, support, adjustment, conformity check, batteries, warranties and follow-up. Only a single price quotation shall be required for hearing aids, including related services, that cost $1,500 or less per hearing aid.