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23.3.1.3 Outpatient Hearing Screening and Diagnostic Testing for Children
As part of the THSteps medical check up, physicians are required to complete the hearing screening component. Separate procedure codes must not be billed when hearing screenings are part of medical check ups or day care/school requirements. Medicaid does not reimburse separately.
For children who are seen in the office setting, THSteps requires a puretone audiometer for visits where objective screening is required. In other childcare settings (e.g., day care; preschool; Head Start; and elementary, middle, and high school), the DSHS Vision and Hearing Screening Program requires that a puretone audiometer be used for hearing screening.
Impedance testing is usually used in the physician's office to monitor children who have a documented history of repeated bouts of otitis media and may be billed separately as a diagnostic hearing test with a THSteps check up. Impedance testing does not meet the requirements for the sensory screening component of the THSteps check up.
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