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2010 HCPCS Schedule - DE Medical Assistance Program

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92562 LOUDNESS BALANCE TEST 3 $25.95<br />

92563 TONE <strong>DE</strong>CAY HEARING TEST 3 $21.79<br />

92564 SISI HEARING TEST 3 $20.28<br />

92565 STENGER TEST, PURE TONE 3 $12.34<br />

92566 IMPEDANCE TESTING O $0.00<br />

92567 TYMPANOMETRY 3 $15.87<br />

92568 ACOUSTIC REFL THRESHOLD TST 3 $16.89<br />

92569 ACOUSTIC REFLEX <strong>DE</strong>CAY TEST O $0.00<br />

92570 ACOUSTIC IMMITTANCE TESTING 3 $31.92<br />

92571 FILTERED SPEECH HEARING TEST 3 $16.88<br />

92572 STAGGERED SPONDAIC WORD TEST 3 $23.68<br />

92573 LOMBARD TEST O $0.00<br />

92574 SWINGING STORY TEST O $0.00<br />

92575 SENSORINEURAL ACUITY TEST 3 $39.94<br />

92576 SYNTHETIC SENTENCE TEST 3 $22.55<br />

92577 STENGER TEST, SPEECH 3 $15.37<br />

92578 <strong>DE</strong>LAYED AUDITORY FEEDBACK TEST O $0.00<br />

92579 VISUAL AUDIOMETRY (VRA) 3 $43.83<br />

92580 ELECTRO<strong>DE</strong>RMAL AUDIOMETRY O $0.00<br />

92581 EVOKED RESPONSE (EEG) AUDIOMETRY O $0.00<br />

92582 CONDITIONING PLAY AUDIOMETRY 3 $43.71<br />

92583 SELECT PICTURE AUDIOMETRY 3 $33.51<br />

92584 ELECTROCOCHLEOGRAPHY 3 $62.23<br />

92585 AUDITOR EVOKE POTENT, COMPRE 3 $102.29<br />

92586 AUDITOR EVOKE POTENT, LIMIT 3 $62.23<br />

92587 EVOKED AUDITORY TEST 3 $35.86<br />

92588 EVOKED AUDITORY TEST 3 $61.64<br />

92589 AUDITORY FUNCTION TEST(S) O $0.00<br />

92590 HEARING AID EXAM, ONE EAR 9 $0.00<br />

92591 HEARING AID EXAM, BOTH EARS 9 $0.00<br />

92592 HEARING AID CHECK, ONE EAR 9 $0.00<br />

92593 HEARING AID CHECK, BOTH EARS 9 $0.00<br />

92594 ELECTRO HEARNG AID TEST, ONE 9 $0.00<br />

92595 ELECTRO HEARNG AID TST, BOTH 9 $0.00<br />

92596 EAR PROTECTOR EVALUATION 9 $0.00<br />

92597 ORAL SPEECH <strong>DE</strong>VICE EVAL 9 $0.00<br />

92598 MODIFY ORAL SPEECH <strong>DE</strong>VICE 9 $0.00<br />

92599 ENT PROCEDURE/SERVICE O $0.00<br />

92601 COCHLEAR IMPLT F/UP EXAM < 7 3 $153.26<br />

92602 REPROGRAM COCHLEAR IMPLT < 7 3 $96.72<br />

92603 COCHLEAR IMPLT F/UP EXAM 7 > 3 $141.24<br />

92604 REPROGRAM COCHLEAR IMPLT 7 > 3 $83.31<br />

92605 EVAL FOR NONSPEECH <strong>DE</strong>VICE RX 5 $0.00<br />

92606 NON-SPEECH <strong>DE</strong>VICE SERVICE 5 $0.00<br />

92607 EX FOR SPEECH <strong>DE</strong>VICE RX, 1HR 3 $164.51<br />

92608 EX FOR SPEECH <strong>DE</strong>VICE RX ADDL 3 $33.51<br />

92609 USE OF SPEECH <strong>DE</strong>VICE SERVICE 3 $89.18<br />

92610 EVALUATE SWALLOWING FUNCTION 3 $116.38<br />

92611 MOTION FLUOROSCOPY/SWALLOW 3 $124.88

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