What ages can be screened using GoCheck Kids?
- Our photoscreener is indicated for use in ages 1 to 6.
- Our visual acuity test is indicated for use in ages 4 to 21.
- Our pure tone audiometer is indicated for use in ages 4 to 21.
If GoCheck Kids photoscreening is performed during a well-child preventative office visit, what modifier should be used with procedure code 99174 or 99177?
For children between 3-5 years, modifier -33 may be used to indicate this is a USPSTF (US Preventive Services Task Force) recommended service. For children under 3 years or over 5 years of age, this would not be an appropriate modifier for photoscreening.
Can procedure codes 99173, 99174, or 99177 be billed together?
No, they should not be billed together because these procedures are similar in purpose. Under the Correct Coding Initiative (CCI), procedure codes 99174/99177 should not be billed together because these procedures are similar in purpose. In addition, code 99173 should never be billed concurrently with either 99174 or 99177.
For pure tone audiometry, what is the difference between procedure codes 92551 and 92552?
Code 92551 is a quick, sweep screening test with variable frequencies at a constant intensity. This is the test recommended by AAP. Code 92552 is a more lengthy, diagnostic test varying both intensity and frequency..
If GoCheck Kids screenings are not reimbursable by the payer, can the patient be billed for the service?
In the case where GoCheck Kids screenings are not reimbursable, the patient may be billed for the service if a signed Advance Beneficiary Notice (ABN) is on file. The ABN must be signed prior to the patient receiving the service in order for the ABN to be valid.
Where can I get more information about reimbursement?
