AMA CPT® Assistant - 2014 Issue 5 (May)
Medicine: Special Otorhinolaryngologic Services (Q&A) (May 2014)
May 2014 page 10d Medicine: Special Otorhinolaryngologic Services Question: If an evaluation of auditory rehabilitation status is performed and the service time is 30 minutes or less, is it still appropriate to report code 92626 , and if yes, must modifier 52 be appended? Answer: No. If less than 31 minutes of service was performed, code 92626 , Evaluation of auditory rehabilitation status; first hour, should not be reported. The unlisted code 92700 , Unlisted otorhinolaryngological service or procedure, may be reported. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure...
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Article Overview
This CPT Assistant Q&A article discusses reporting considerations for a special otorhinolaryngologic service involving auditory rehabilitation status evaluation. It is useful for coding professionals who need to understand the scope of the guidance, the related CPT context, and the documentation considerations discussed in the article.
Why This Topic Matters
The article helps coders and billing staff identify when this type of otorhinolaryngologic service falls within the reported guidance and what supporting documentation is associated with the alternative reporting pathway discussed.
What You Will Learn
- The overall topic area covered by the Q&A
- How the article frames reporting considerations for a timed auditory rehabilitation service
- What type of documentation context is discussed for alternative reporting in CPT coding workflows
- The specialty area and publication context of the guidance
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Otolaryngology practice staff
- Compliance professionals
Codes Discussed
Modifiers Discussed
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