How To Use CPT Code 0211T

CPT 0211T describes the speech audiometry threshold test with speech recognition. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0211T?

CPT 0211T is used to represent the speech audiometry threshold test with speech recognition. This test measures a patient’s ability to understand speech and determines if they could benefit from a hearing aid. The provider presents the patient with a series of words at varying volumes and measures their ability to recognize familiar words and repeat them.

2. Official Description

The official description of CPT code 0211T is the speech audiometry threshold test with speech recognition. This test measures a patient’s ability to understand speech and helps determine if they could benefit from a hearing aid.

3. Procedure

1. The provider places headphones or earphones over the patient’s ears.
2. The provider presents the patient with a series of words at varying volumes.
3. The patient repeats the words they hear.
4. The provider determines the speech reception threshold, which is the lowest level of sound that the patient easily understands and repeats the words.
5. The provider presents the patient with some words used in ordinary conversation at a louder level than the speech recognition threshold.
6. The patient repeats the words to determine if they could benefit from a hearing aid.

4. Qualifying circumstances

The speech audiometry threshold test with speech recognition is appropriate for patients who need to assess their ability to understand speech and determine if they could benefit from a hearing aid. This test is typically performed by a provider who specializes in audiology or hearing-related services.

5. When to use CPT code 0211T

CPT code 0211T should be used when a patient undergoes the speech audiometry threshold test with speech recognition. This test helps determine if the patient could benefit from a hearing aid and assesses their ability to understand speech. It is important to use this code accurately to ensure proper billing and documentation.

6. Documentation requirements

To support a claim for CPT code 0211T, the provider must document the following information:

• Patient’s medical history and reason for the test
• Details of the speech audiometry threshold test with speech recognition
• Date and time of the test
• Results of the test and any recommendations for further treatment or intervention
• Provider’s signature and credentials

7. Billing guidelines

When billing for CPT code 0211T, it is important to ensure accurate coding and appropriate documentation. This code represents the technical component of the service only, so modifiers 26 or TC should not be appended. It is also important to consider any additional guidelines or requirements from insurance providers or payers when submitting claims for this code.

8. Historical information

CPT code 0211T was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates or changes to the code since its addition.

9. Examples

1. Audiologist performing the speech audiometry threshold test with speech recognition to assess a patient’s ability to understand speech and determine if they could benefit from a hearing aid.
2. Provider conducting the speech audiometry threshold test with speech recognition for a patient with suspected hearing loss to evaluate their speech comprehension.
3. Audiology technician administering the speech audiometry threshold test with speech recognition as part of a comprehensive hearing evaluation for a patient.
4. Provider performing the speech audiometry threshold test with speech recognition to assess the effectiveness of a patient’s current hearing aid.
5. Speech-language pathologist conducting the speech audiometry threshold test with speech recognition to evaluate a patient’s progress in speech therapy.
6. Provider using the speech audiometry threshold test with speech recognition to determine the appropriate amplification settings for a patient’s hearing aid.
7. Audiologist performing the speech audiometry threshold test with speech recognition to assess a patient’s ability to understand speech in different listening environments.
8. Provider conducting the speech audiometry threshold test with speech recognition as part of a pre-employment hearing screening for a job that requires good speech comprehension.
9. Audiology technician administering the speech audiometry threshold test with speech recognition to evaluate the effectiveness of a patient’s cochlear implant.
10. Provider performing the speech audiometry threshold test with speech recognition to monitor a patient’s speech comprehension over time and make adjustments to their treatment plan.