Outpatient Facility Coding Alert - 2007 Issue 26
PART B: Avoid Reporting 99211 For Diagnostic Testing Services
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Article Overview
This article reviews Medicare and payer-facing billing issues for audiology diagnostic testing in the office setting. It focuses on provider number usage, referral documentation, coverage requirements, and a common coding mistake related to evaluation and management reporting. The content is intended for audiologists, coders, billing staff, and practice managers who handle diagnostic hearing and related testing claims.
Why This Topic Matters
Correctly distinguishing audiology diagnostic testing from other office services affects claim processing, provider attribution, and compliance with Medicare coverage expectations. The article helps readers understand how to document referrals and avoid a common billing error that can lead to denials or incorrect service attribution.
What You Will Learn
- How audiology diagnostic testing is billed at a high level
- Why provider identification matters on claims
- What general referral documentation elements are discussed
- Which types of billing errors are highlighted for audiology services
- How Medicare coverage considerations are framed for diagnostic testing
Who Should Read This
- Audiologists
- Medical coders
- Billing staff
- Practice managers
- Physician office staff
Codes Discussed
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