Reimbursement Information The OAE Hearing Screener is eligible for Medicare Reimbursement using CPT code 92587 evoked otoacoustic emission, limited. A WORD ABOUT THE CODING INFORMATION CONTAINED IN THIS BROCHURE FROM THE CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT®). Please note that the coding information contained here is neither conclusive nor does it ensure that you will be successful in obtaining coverage and/or reimbursement from government and private payers. Depending on circumstances that will vary from patient encounter to patient encounter, separate reimbursement may or may not be allowed for use of a Welch Allyn product used during a specific procedure or service. Use of the product may be included in the reimbursement for Evaluation and Management services provided by the physician. Please check with the specific payer to confirm whether or not the use of a separate code is acceptable. Welch Allyn does not assume any responsibility for the decisions made by payers regarding payment for procedures involving our devices when the coding information suggested in this brochure is used. Current Procedural Terminology (CPT) is copyright 2003 American Medical Association. All rights reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. School-Age Hearing Screening Ordering Information OAE HEARING SCREENER SET 29400 Welch Allyn OAE Hearing Screener Set PRINTER 29450 OAE Label Printer 29451 OAE Label Roll Replacement (Self-adhesive) 220/roll OAE ACCESSORIES 29440 OAE Carrying Case (Optional case for Screener Set Only, No Printer) 29410 OAE Test Cavity, 5/bag 29411 Ear Probe Body Nozzle, OAE, 5/bag 29460 Extended Warranty—One Year (covers hearing screener, unit, probe, calibration once every two years, battery replacement) OAE DISPOSABLE EAR TIPS 29440 OAE Hearing Screener Carrying Case (optional) 29420 OAE Ear Tip Sampler Pack (Newborn, Infant, Pediatric, Adolescent) 29421 OAE Tree Ear Tips, Newborn, 20/bag 29422 OAE Tree Ear Tips, Newborn, 100/bag 29423 OAE Blue Infant Ear Tips, 20/bag 29424 OAE Blue Infant Ear Tips, 100/bag 29425 OAE Pediatric Foam Ear Tips, 20/bag 29426 OAE Pediatric Foam Ear Tips, 100/bag 29427 OAE Adolescent Foam Ear Tips, 20/bag 29428 OAE Adolescent Foam Ear Tips, 100/bag The Welch Allyn OAE Hearing Screener 29420 OAE Ear Tip Sampler Pack For more information on the OAE Hearing Screener or an in-office demonstration, contact your local distributor or call Welch Allyn at 1.800.535.6663. © 2006 Welch Allyn SM2928 Rev B 4341 State Street Road, PO Box 220, Skaneateles Falls, NY 13153-0220 USA (p) 800.535.6663 (f) 315.685.2174 www.welchallyn.com Objective hearing screening that gives you an accurate response, so your patient doesn’t have to.

Simple Testing. Clear Results. Label Printer The OAE Hearing Screener comes equipped with a label printer to streamline patient data documentation. Print results from both ears on a single self-adhesive label, and place it on the patient’s record chart to immediately document patient information. After administering the hearing exam, the OAE Hearing Screener shows the caregiver a result of “pass” or “refer” on a large, easyto-read screen. Data can be stored for later viewing with the OAE Hearing Screener’s 10-test memory, or printed immediately for the patient’s record. Hearing screening that’s...

Simple Testing. Clear Results. Label Printer The OAE Hearing Screener comes equipped with a label printer to streamline patient data documentation. Print results from both ears on a single self-adhesive label, and place it on the patient’s record chart to immediately document patient information. After administering the hearing exam, the OAE Hearing Screener shows the caregiver a result of “pass” or “refer” on a large, easyto-read screen. Data can be stored for later viewing with the OAE Hearing Screener’s 10-test memory, or printed immediately for the patient’s record. Hearing screening that’s...

Reimbursement Information The OAE Hearing Screener is eligible for Medicare Reimbursement using CPT code 92587 evoked otoacoustic emission, limited. A WORD ABOUT THE CODING INFORMATION CONTAINED IN THIS BROCHURE FROM THE CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (CPT®). Please note that the coding information contained here is neither conclusive nor does it ensure that you will be successful in obtaining coverage and/or reimbursement from government and private payers. Depending on circumstances that will vary from patient encounter to patient encounter, separate reimbursement may or may...