American Speech-Language-Hearing Association
September 26, 2011

Medicare Part B Supervision Requirements for Videostroboscopy and Nasopharyngoscopy Procedures Rescinded Effective October 1, 2011

Effective October 1, 2011, the Centers for Medicare & Medicaid Services (CMS) is rescinding the requirement that became effective January 1, 2011, that supervision of the videostroboscopy (CPT 31579) and nasopharyngoscopy (CPT 92511) procedures required a physician to be in the room. In March 2011, representatives from ASHA and the American Academy of Otolaryngology - Head and Neck Surgery met with CMS officials. Additionally, ASHA members protested the need for such supervision to members of Congress. As a result, the CMS Administrator issued a letter in June 2011, acknowledging that "while physicians perform these diagnostic procedures, speech pathologists also perform these procedures to evaluate and treat a patient's functional/use problems." The letter removed all supervision levels previously assigned to the procedures, effective October 1.

ASHA, in conjunction with Special Interest Group 3: Voice and Voice Disorders, has developed Frequently Asked Questions to clarify billing and supervision issues related to the CMS decision.

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