Education guide - Diagnostic audiology items

Information about key claiming requirements for the diagnostic audiology items available on the Medicare Benefits Schedule.

We recommend you also read the relevant Medicare Benefits Schedule (MBS) item descriptors and explanatory notes available at the MBS Online website.

Diagnostic audiology items 82300 to 82332 let eligible audiologists perform diagnostic tests at the written request of an Ear, Nose and Throat (ENT) specialist, an otolaryngology head and neck surgery specialist. For some services, a written request from a neurologist, a neurology specialist or consultant physician is acceptable.

These diagnostic audiology services assist ENT specialists and neurologists in their medical diagnosis, treatment and or management of ear diseases or related disorders. The diagnostic audiology items supplement the existing otolaryngology MBS items 11300 to 11339, excluding item 11304, for services delivered by, or on behalf of, medical practitioners.

Requesting arrangements for diagnostic audiology items

Medicare benefits are only payable for items:

  • 82300 and 82306, if a written request is made by an eligible specialist in otolaryngology head and neck surgery
  • 82309 to 82332, if a written request is made by:
    • an eligible specialist in otolaryngology head and neck surgery, or
    • an eligible neurology specialist or consultant physician in neurology

The request must contain:

  • the date of the request
  • the name of the eligible specialist or consultant physician requesting the service, and their practice address or provider number
  • a description of the service with sufficient information to identify it relates to a particular item but doesn't need to specify the item number, and
  • the clinical indication or indications for the requested service or services, where possible

Claiming requirements for diagnostic audiology items

All services must be performed individually and in person by an eligible audiologist.

These services aren't available for admitted patients in a hospital or for the purposes of hearing screenings.

Audiologists can't self-determine items 82300 to 82332.

Written requests for diagnostic audiology services and record keeping

Audiologists should contact the requesting practitioner for further information, if a written request:

  • is incomplete
  • requires clarification, or
  • the audiologist considers additional tests may be necessary

If required, an additional request must be issued.

A request may be for more than 1 diagnostic audiology service as part of a single audiological assessment. A new request is required for each new audiological assessment and should be made at the discretion of the ENT specialist or neurologist.

It's recommended that audiologists keep the written request for 24 months from the date the service was performed for our auditing purposes.

Reporting diagnostic audiology service results

After providing a diagnostic audiology service, an audiologist must provide the requesting ENT specialist or neurologist:

  • a copy of the results of the service performed, and
  • relevant written comments on the results

It's recommended that these results be provided within 7 days of the date the service was performed.

Eligibility requirements for audiologists

To be eligible to claim these items, audiologists must be registered with us and be either:

  • a 'Full Member' of Audiology Australia who holds a certificate of Clinical Practice, or
  • an 'Ordinary Member – Audiologist' or 'Fellow Audiologist' of the Australian College of Audiology

Audiologists with a provider number to perform services under items 10952, 81310, 82030 or 82035 don't need to register to perform services under the diagnostic audiology item numbers.

Other item numbers for audiologists

Subject to an appropriate referral being in place, other audiology services are also available to audiologists for these eligible patients:

Item number Eligible patients
10952 People with a chronic or terminal medical condition and complex care needs
81310 Aboriginal or Torres Strait Islander Australians who have had a health assessment
82030 Children with autism, pervasive development disorder or an eligible disability for assessment services
82035 children with autism, pervasive development disorder or an eligible disability for treatment services

More information

Online:

Contact us for Medicare provider enquiries.

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Page last updated: 13 October 2016

This information was printed Sunday 4 December 2016 from humanservices.gov.au/health-professionals/enablers/education-guide-diagnostic-audiology-items It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.