We remove common barriers by offering low-cost tools, simple implementation, and reimbursement eligibility – helping pediatricians meet AAP guidelines and close gaps in care.
An Affordable, Streamlined Approach
Preauthorization
The most effective way to determine whether coverage and payment is available for GoCheck Kids is to perform preauthorization. This will help determine not only if the payer covers these codes but also to determine if the patient has benefits for vision screening. Some patients with high deductible plans or basic coverage plans may not have coverage for ocular screening.
Photoscreening
The GoCheck Kids pricing structure provides an economical entry for photoscreening, a test recommended by the American Academy of Pediatrics (AAP) beginning as early as 1 year of age.¹ This pricing structure may allow practices to photoscreen all children, regardless of coverage.
Visual Acuity
Our visual acuity test uses more reliable and accurate testing protocols than traditional visual acuity wall charts. Blending modern technology and an intuitive user experience, we make it simple to conduct a visual acuity test from our smartphone platform.
Coverage for instrument-based photoscreening, visual acuity, and pure tone audiometry varies by payer. National insurers like United Healthcare, Aetna, Cigna, and Anthem (BCBS) have policies supporting these services. Payment is based on payer coverage determinations and member benefit coverage. Medicaid coverage varies by state, so we recommend checking your local contract for details.
Procedure Codes For GoCheck Kids Vision and Hearing Screening
Photoscreening
Procedure Code 99174: Instrument-based ocular screening (e.g., photoscreening, automated-refraction), bilateral; with remote analysis and report
GoCheck Kids may qualify for either screening code, depending on use and configuration.
Visual Acuity
Procedure Code 99173: Screening test of visual acuity, quantitative, bilateral
Pure Tone Audiometry
Procedure Code 92551: Screening test, pure tone, air only
GoCheck Kids 2025 Reimbursement Guide
Learn how our solutions are eligible for instrument-based ocular screening and pure tone hearing screening reimbursement.
Reimbursement FAQs
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?
When it comes to meeting AAP guidelines and filling care voids, many pediatricians feel stuck due to high device costs and cumbersome workflow requirements. GoCheck Kids helps pediatricians detect vision issues at a low cost and with easy deployment. And early detection is key to prevent vision impairment and reduced developmental milestones.
Have Reimbursement Questions? Email us today at reimbursement@gocheckkids.com.
Used by Leading Pediatric Organizations
What They’re Saying About Us
“In summary, GoCheck Kids is reliable, cost-efficient, quick, and easy. We're very pleased.”
Dr. Roy Benaroch Pediatrician, Pediatric Physicians in Roswell, Georgia
Curious about our solutions?
Learn about each of GoCheck Kids vision and hearing solutions.
