For use by Licensed Audiologists Only

Service Description: 

Audiology, aural rehabilitation, and other related services include: 1) identification of children with hearing loss using appropriate audiologic screening techniques; 2) determination of the range, nature and degree of hearing loss and communication functions by use of audiological evaluation procedures; 3) referral for medical testing and other services necessary for the habilitation or rehabilitation of children with hearing loss; 4) IFSP development; 5) provision of auditory training, aural rehabilitation, speech reading and listening device orientation/training and other related services; and 6) determination of the child's need for individual amplification including selecting, fitting, and dispensing appropriate listening and vibrotactile devices, and evaluating the effectiveness of those assistive technology devices.

Family training, education, and support provided to assist the family of a child eligible for services in understanding the special needs of the child as related to audiology and aural rehabilitation services and enhancing the child's development are integral to this service. Eligible child is not required to be present but may be if appropriate. May include such services as support groups, individual support and other training or education for the family.

Services must be consistent with the provider's qualifications and licensure.

 NOTE: Early Intervention does not pay for therapeutic services required for a child to recover from medical procedures such as surgery, etc., or for pre-surgery therapeutic services required by a physician to prepare a child for surgery.

Qualified Staff: 

Early Intervention Specialists credentialed and enrolled as 1) Licensed Speech/Language Pathologist, or 2) Developmental Therapist/Hearing or an Audiologist who is enrolled. (See ATTACHMENT 5: REQUIREMENTS FOR PROFESSIONAL AND ASSOCIATE LEVEL EARLY INTERVENTION CREDENTIALING AND ENROLLMENT TO BILL.)

Billable Activities 

Audiological evaluation which includes screening to determine possible hearing loss and testing to determine the range, nature and degree of hearing loss and communication functions, hearing aid assessment and aural rehabilitation.

With Authorization: 

(A/R) and other related services, IFSP development (see DEFINITIONS section for IFSP development definition) and direct services.

NOTE: Credentialed Evaluators and enrolled Audiologists bill for time required to write the assistive technology letter of developmental necessity using IFSP development codes.

Do not provide services without having an authorization in hand. Services provided without a pre-approved authorization are not guaranteed for payment.

Procedure Codes Unit of Service  Description, Rate
For use by Licensed Audiologists Only
V5010  n/a  Hearing aid assessment  $68.69
V5008 n/a Hearing Screening  $57.29
92551 n/a Screen test, pure tone, air only $15.20
92552 n/a Pure tone audiometry (threshold), air only $15.20
92553 n/a Audiometry, air and bone $15.20
92555 n/a Speech audiometry threshold $15.20
92556 n/a Speech audiometry threshold; (with speech recognition) $15.20
92557 n/a Comprehensive audiometry; (includes 92553 and 92556) $37.40
92567 n/a Tympanometry $15.20
92568 n/a Acoustic reflex testing; threshold $13.70
92579 n/a Visual reinforcement audiometry (VRA) $22.15
92582 n/a Conditioning play audiometry $22.15
92583  n/a Select picture audiometry $15.15
92585 n/a Brainstem evoked response rec. (no anesthesia) $53.70
92587 n/a Evoked otoacoustic emissions: limited (single level, either transient or distortion products) (no anesthesia) $52.70
92588 n/a Evoked otoacoustic emissions, comprehensive or diagnostic evaluation (Comparison of transient and/or distortion product otoacoustic emissions at multiple levels and frequencies) $61.00

Audiologist should complete testing as follows:

  • The audiologist will complete a hearing screening.
  • If the child fails the hearing screening, the audiologist may proceed to complete additional testing to determine the range, nature and degree of hearing loss and communication function. This will ensure that all testing can be completed on the same date of service so that families will not have to schedule multiple visits.
  • The audiologist will bill the CBO for the hearing screening using the procedure code V5008 (hearing screening). When additional testing is needed to determine the range, nature and degree of hearing loss and communication function, the audiologist will bill for the additional testing using the procedure codes identified above. If you completed any of the tests identified above when completing the hearing screening (V5008), do not duplicate bill for that same test to determine range, nature and degree of hearing loss and communication function. All testing must be completed on the same date of service and must be billed to the CBO on the same claim.
  • If, due to unforeseen circumstances, testing cannot be completed on the same date, the audiologist must obtain a new authorization from the child's service coordinator prior to completing further testing.

NOTE: For children who have failed a hearing screening or who have a suspected hearing loss, Child and Family Connections offices will generate one authorization for audiological services. It will simply state "Audiological Evaluation". All testing completed under this authorization must be completed on the same date of service and must be billed to the CBO on the same claim. Audiologists will choose the most appropriate test(s) for each child based upon the list of billable services identified above.

NOTE: Early Intervention does not pay for medical testing that requires anesthesia, sedation or medical monitoring. If these services are required, prior to scheduling such testing please refer the family back to the EI service coordinator who will explain this to the family. The family may be referred to DSCC for assistance with services that require medical testing.

NOTE: For children who require a Hearing Aid Assessment to determine the possible need for Hearing Aids, service coordinators will generate authorizations using the procedure code V5010. This procedure code will be identified on the authorization to provide a hearing aid assessment. You can only bill this code to the CBO if you have an authorization that identifies this code.

?Procedure Codes Modifier Unit of Service Description Rate
For use by Audiologists, Speech Therapists, and Developmental Therapists/Hearing. (must have authorization to provide Aural Rehabilitation services to bill the codes listed below.)
92626 15 minutes A/R assessment - onsite $14.53
92626 15 minutes A/R assessment - offsite $18.14
99499 SC 15 minutes A/R IFSP development $14.53
99499 SC 15 minutes A/R IFSP meeting $18.14
92507 TL 15 minutes A/R services - onsite $14.53
92507 TL 15 minutes A/R services - offsite $18.14
92508 TL 15 minutes Group A/R services (multiple families or group not to exceed 4 children) $ 7.88