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Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order

The purpose of this Change Request (CR) is to add two new codes to the list of codes that can be billed with the AB modifier which allows audiologists to personally provide certain diagnostic tests for non-acute hearing conditions, and diagnostic services related to implanted auditory prosthetic devices, without an order from a physician or certain nonphysician practitioners, once every 12-months, per beneficiary. This CR also cross-references Business Requirements from CR 13055 to ensure that claims are processed and paid or denied, in accordance with the previously established policies.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 27, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.