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Incident to Billing - The American Academy of Audiology
https://www.audiology.org/practice-resources/coding/coding-frequently-asked-questions/incident-to-billing/#:~:text=%E2%80%9CIncident%20to%E2%80%9D%20billing%20does%20not%20apply%20to%20audiology,benefit%20category%20could%20not%20be%20billed%20%E2%80%9Cincident%20to%E2%80%9D.
Incident to Billing - The American Academy of Audiology
https://www.audiology.org/practice-resources/coding/coding-frequently-asked-questions/incident-to-billing/
A: No. Audiology or ototechs can only perform procedures incident to a physician if the procedure code has separate technical and professional components. In such cases, the audiology/ototech would bill the technical component only. CPT code 92557 is not divided into technical and professional components, so could not be billed incident to a physician by audiology/ototechs.
Audiology Medicare FAQs: Incident To
https://www.asha.org/Practice/reimbursement/medicare/Audiology-Medicare-Incident-To-FAQs/
The audiologist cannot use his/her NPI to bill Medicare for "incident-to" services completed by a technician or assistant; however, if the services were provided by the student with the supervising audiologist present in the room and directing the procedure, audiologists can assume responsibility and bill for services completed by students.
Medicare Incident To Billing FAQs for Audiologists in ...
https://www.audiology.org/wp-content/uploads/2021/05/MedicareIncident2DocumentFAQ1014.pdf
"Incident to" billing frequently occurs in audiology and physician offices, but such billing is not always completed in compliance with CMS rules. The following list is not comprehensive, but provides some examples of prohibited "incident to" billing: • A diagnostic hearing test (92557) is completed by an audiologist employed by a
Medicare Billing of Audiology Services
https://www.asha.org/Practice/reimbursement/medicare/Medicare-Billing-Audiology/
Billing for Audiology Services Furnished to Hospital Outpatients. ... Also, these services may be provided incident to a physician's or qualified NPP's service by a speech-language pathologist, or personally by a physician or qualified NPP within their scope of practice. Evaluation of auditory rehabilitation is a covered diagnostic test when ...
Audiology Services | CMS
https://www.cms.gov/audiology-services
Audiology services are not covered under the benefit for services “incident to” a physician’s service (see Pub 100-02, chapter 15 (PDF), section 60) because audiologists have their own Medicare benefit that allows them to bill for audiology services they personally furnish. A physician order is required for audiology services in all settings.
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