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Newborn hearing screenings must be billed on the 837 Institutional.
When processing a claim the NYS Medicaid system assigns an internal Category of Service. In order to receive the correct value a Newborn Hearing Screening must be billed with a Type of Bill of 13, Hospital Outpatient; or a Clinic Type of Bill of 71-73, 75, or 77-79 . A procedure code must be sent in SV202-2. It is permissible to use V5008, Hearing Screening. The Rate Code for Newborn Hearing Screening, Initial is 3138; Newborn Hearing Screening, Follow-up is 3139. A Revenue Code in the 051X range is also required. |