Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order
The purpose of this Change Request (CR) is to establish edits to ensure the following: (a) that only one visit to an audiologist without a physician/NPP order is permitted, per beneficiary, once every 12 months, instructing that claims billed more frequently are denied; (b) that the visit may reflect one or more codes on an applicable list of 36 CPT codes, found in APPENDIX A, along with modifier AB, be billed via providers with certain bill types
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 30, 2023
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