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MedicaidBilling CodesMedium 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

Oregon Health Plan·OR · ENT (Ear, Nose & Throat)·Public notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

Action needed
By October 20, 2023: Audiology practices in Oregon should review the proposed rates and submit comments to jesse.anderson@oha.oregon.gov if desired. Once 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.

Affected Billing Codes

92592
92593
V5020
V5110
V5275
V5281
V5282
V5283
V5284
V5285
V5286
V5287
V5288
V5289
V5290