New Procedure, Diagnosis Codes for Speech-Language-Hearing Services Look for updated codes for certain hearing aids and new procedure codes for adaptive behavior assessment and treatment. Bottom Line
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Bottom Line  |   October 01, 2018
New Procedure, Diagnosis Codes for Speech-Language-Hearing Services
Author Notes
  • Neela Swanson is director of ASHA health care policy, coding and reimbursement. nswanson@asha.org
    Neela Swanson is director of ASHA health care policy, coding and reimbursement. nswanson@asha.org×
Article Information
Hearing & Speech Perception / Hearing Aids, Cochlear Implants & Assistive Technology / Bottom Line
Bottom Line   |   October 01, 2018
New Procedure, Diagnosis Codes for Speech-Language-Hearing Services
The ASHA Leader, October 2018, Vol. 23, 32-33. doi:10.1044/leader.BML.23102018.32
The ASHA Leader, October 2018, Vol. 23, 32-33. doi:10.1044/leader.BML.23102018.32
Updates to Healthcare Common Procedures Coding System (HCPCS) Level II codes for contralateral routing devices and new Current Procedural Terminology (CPT© American Medical Association) codes for services related to applied behavior analysis will take effect in 2019.
Audiologists and speech-language pathologists will see no major revisions to International Classification of Diseases, 10th revision (ICD-10) codes they commonly report.
What coding updates are relevant to audiologists?
There are changes to the HCPCS Level II series of codes (V5170–V5240) used to report devices and dispensing fees for contralateral routing of signal (CROS) and bilateral CROS (BiCROS) amplification systems. ASHA worked with other audiology organizations to propose the changes to the Centers for Medicare and Medicaid Services (CMS) to reflect technology changes (current descriptors for CROS/BiCROS systems include obsolete technology and inaccurate descriptions of devices, confusing providers and payers).
CMS published a preliminary decision to accept the proposal in May, with some modifications. ASHA and other interested audiology groups submitted comments in response to the modifications. CMS will release its final decision in November, including updated codes and descriptors. ASHA will publish the new and revised codes when they become available.
There are no other major changes to ICD-10 or CPT codes directly related to audiology services.
Are there any updates to speech-language pathology codes?
SLPs who provide services to patients with autism spectrum disorder should be aware of new CPT codes for adaptive behavior assessment and treatment. These codes, located in the 97000 section of the CPT code set, describe services typically provided by qualified health care professionals trained in applied behavioral analysis.
The codes were originally included as Category III (temporary codes for emerging technologies and procedures) CPT codes in 2014 (0359T–0374T), but have been updated and included in the Category I (established procedures and services) CPT code set, effective Jan. 1, 2019.
There are no other major changes to ICD-10 or CPT codes directly related to speech-language pathology services.

There is a ICD-10 code for Angelman syndrome, as well as new “Z” codes to describe screenings for developmental delays in childhood, including a code for autism screening.

Are there any ICD-10 changes I should know about?
Although there are no major changes related to audiology or speech-language pathology, some new ICD-10 codes may be of interest. For example, there is a new medical diagnosis code for Angelman syndrome, as well as new “Z” codes to describe screenings for developmental delays in childhood, including a code for autism screening. The ICD-10 diagnosis code set is updated annually and changes go into effect Oct. 1, 2018.
What future coding updates should I look for?
ASHA monitors coding opportunities and issues identified by ASHA members, the American Medical Association (AMA), CMS and other related specialty societies.
For example, ASHA is working with related organizations to update and revalue CPT 92626 (evaluation of auditory rehabilitation status; first hour) and 92627 (each additional 15 minutes) to address AMA concerns about a rapid increase in Medicare billing for this service. ASHA is also working to update CPT 97127 (cognitive function intervention) to mitigate confusion arising from the availability of two different codes for cognitive therapy. Changes to the auditory rehabilitation status evaluation and cognitive therapy codes could come as early as 2020.
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FROM THIS ISSUE
October 2018
Volume 23, Issue 10