REIMBURSEMENT
Turn Routing Screenings into Reimbursable Revenue
GoCheck Kids' vision and hearing screening may be reimbursable under 4 CPT codes. Eligible practices recover the cost of screening by billing for work their teams already do at the well-child visit.
TRUSTED BY LEADING PROVIDERS ACROSS THE COUNTRY
WHAT'S REIMBURSABLE
Procedure codes for vision and hearing.
Coverage for instrument-based photoscreening, visual acuity, and pure tone audiometry varies by payer contracts, state rules, and patient age. We recommend checking your local guidelines for eligibility.
99177
PHOTOSCREENING
Instrument-based ocular screening, bilateral – with onsite analysis
Automated bilateral photoscreening for amblyopia risk factors, scored with on-device interpretation. Photoscreening procedure codes may vary depending on your workflow and payer.
99174
PHOTOSCREENING
Instrument-based ocular screening, bilateral – with remote analysis and report
The same photoscreen, scored with remote or off-device analysis. Photoscreening procedure codes may vary depending on your workflow and payer.
99173
VISUAL ACUITY
Screening test of visual acuity – quantitative, bilateral
Quantitative visual acuity measured with clinically validated optotypes presented through the device – no wall chart, no transcription.
92551
PURE TONE AUDIOMETRY
Screening test, pure tone, air only
Automated pure tone audiometry across screening frequencies, administered by your staff with calibrated, brand-supplied headphones.
FREE DOWNLOAD
Get the Reimbursement Guide.
GoCheck Kids Reimbursement Guide – the CPT codes, the documentation checklist, and the payer-mix playbook your team needs to bill vision and hearing screening with confidence.
My practice was an early adopter of the GoCheck vision screener and it has been invaluable. Most insurance companies are paying for it, and I haven't had complaints from parents about the charge when it gets passed to them.
Dr. Eileen Gallagher
Owner | Gallagher Pediatrics
GoCheck Kids is reliable, cost-efficient, quick, and easy. We're very pleased.
Dr. Roy Benaroch
Pediatrician | Pediatric Physicians
GoCheck Kids helps us identify potential risk factors early, giving our team the ability to escalate concerns and connect children with the right specialists for further evaluation. It's an affordable tool that supports our commitment to delivering high-quality, proactive care.
Rachel Chiorean
Clinical Nurse Manager | UCSF
FAQ
Frequently Asked Questions
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Are screenings eligible for reimbursement?
Practices and health systems may be eligible for reimbursement under up to four CPT codes — 99173, 99174, and 99177 for vision screening and 92551 for hearing screening — depending on payer rules, state regulations, and patient eligibility. We provide a full reimbursement guide, but we recommend checking your local guidelines for eligibility.
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Does reimbursement cover the cost of the platform?
For many eligible practices, billing for screens they already perform offsets the subscription — and often produces net new revenue. We will walk through an estimate based on your visit volume and payer mix during your demo. Actual amounts vary by payer and region.
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Is reimbursement guaranteed?
No. Reimbursement is governed by payer rules, state regulations, and individual patient eligibility, all of which change over time. We help you understand what is typically billable, but we cannot guarantee payment for any specific claim.
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Do we need to change how we bill?
Generally no. Screening results and the supporting documentation flow into the chart through the Admin Portal and your EHR, so coding and claim submission fit the billing workflow your team already uses.
