Mich. Admin. Code R. 418.10209

Current through Vol. 24-21, December 1, 2024
Section 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&reg)" 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.

Mich. Admin. Code R. 418.10209

1998-2000 AACS; 2012 AACS; 2017 MR 1, Eff. 1/13/2017