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Hearing Screening Form Early Hearing Detection and

Hearing Screening Form Early Hearing Detection and 2025

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The document is a Hearing Screening Form used by the Early Hearing Detection and Intervention Program. It collects essential information about newborns, including their birth details, hearing screening results, and parental contact information. The form also includes sections for referrals to healthcare providers and consent for sharing results with relevant parties.

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What is the early identification of hearing loss?

The current scientific evidence favors universal neonatal hearing screening (UNHS) for the early detection of hearing impairment. UNHS is best performed in two stages: first measurement of otoacoustic emissions and then automated assessment of the brainstem auditory evoked response.

How to write hearing test results?

Normal hearing (025 dB): At this level, hearing is within normal limits. Mild hearing loss (2640 dB): Mild hearing loss may cause inattention, difficulty suppressing background noise, and increased listening efforts. Patients with this degree of loss may not hear soft speech.

What are the three types of hearing tests?

Tests include pure tone audiometry, using an audiometer, and speech discrimination tests. Special tests are available to test hearing in babies and children.

What is the 1 3 6 rule for hearing screening?

Recommended Early Hearing Detection and Intervention (EHDI) benchmarks include screening for hearing loss before 1 month of age, diagnostic evaluation before 3 months of age, and enrollment in early intervention before 6 months of age, known as the 1-3-6 benchmarks.

What are the normal findings of hearing assessment?

Audiologic function testing (CPT codes 92550-92588) includes testing of both ears, and only one unit of service for any of these CPT codes may be reported for the described testing on both ears. If only one ear is tested, the appropriate CPT code should be reported with modifier 52 [Reduced services].

How do you document a hearing screening?

For each ear, note the results of the pure tone hearing screening and tympanometry (if performed). Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER.

Hearing Screening Form Early Hearing Detection and 2025

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