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Oregon Health PlanMedicaid · Billing Codes · Public notice · OR · ENT (Ear, Nose & Throat)Medium impact

Notice of intent – OHA will amend the Medicaid State Plan to add CPT/HCPCS codes and rates to the statewide fee schedule for audiology services - Comments due Oct. 20, 2023

Act
by Oct 20, 2023
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Oregon Health Authority will add new CPT/HCPCS codes and reimbursement rates for audiology services to the Medicaid fee schedule for members under 21. This includes hearing aid checks, assistive listening devices, and related services with rates ranging from $36.48 to $1,601.51.

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What to do

by Oct 20, 2023 · 2 steps
01Audiology practices in Oregon should review the proposed rates and submit comments to jesse.anderson@oha.oregon.gov if desired.
02Once finalized, billing teams must update fee schedules in billing systems with the new Oregon Medicaid rates for the listed audiology codes when treating Oregon Health Plan members under 21.

Codes mentioned

9259292593V5020V5110V5275V5281V5282V5283V5284V5285V5286V5287V5288V5289V5290

Original notice

Notice of intent – OHA will amend the Medicaid State Plan to add CPT/HCPCS codes and rates to the statewide fee schedule for audiology services - Comments due Oct. 20, 2023
oregon.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Oregon Health Plan policiesOR policy changesENT (Ear, Nose & Throat)Code 92592Code 92593Code V5020Code V5110Code V5275Code V5281Code V5282Code V5283Code V5284Code V5285Code V5286Code V5287Code V5288Code V5289Code V5290

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