What features does ENT clinic software need?

ENT clinic software must include: audiogram charting (pure tone audiometry, speech audiometry — recorded from audiometer), tympanometry and impedance audiometry records, nasal endoscopy findings documentation, sinus CT staging (Lund-Mackay scoring), DPOAE and AABR screening results (for newborns), hearing aid fitting records (prescription, trial, dispensing), vertigo assessment (Dix-Hallpike, vestibular function tests), ENT-specific procedure records (nasal polypectomy, tonsillectomy, myringotomy, FESS), and post-operative instructions by procedure type.

Can ENT software integrate with audiometers and tympanometers?

Yes. Advanced ENT software integrates with audiometers (Madsen, Interacoustics, MAICO) via USB or serial port to automatically import audiograms directly into the patient record. Tympanograms and OAE results are similarly imported. This eliminates manual transcription of hearing test results — a common source of error. The software displays audiograms in standard format (ISO 8253-1) with masking notation, age-normative comparisons, and automatic hearing loss degree classification (WHO grading).

What are common ENT procedures and their insurance billing codes?

Common ENT procedures and ICD-10/package codes: Tonsillectomy — PMJAY package ₹15,000, Adenoidectomy with tonsillectomy — ₹18,000, FESS (functional endoscopic sinus surgery) — ₹25,000–₹35,000, Myringotomy with grommet — ₹12,000, Septoplasty — ₹20,000, Cochlear implant — ₹6,50,000 (implant only, ADIP scheme for children below 5), Mastoidectomy — ₹30,000, Microlaryngoscopy — ₹20,000. These PMJAY rates include surgeon, anaesthesia, OT, and 1–3 days hospital stay.

What is the ADIP scheme for cochlear implants?

The Assistance to Disabled Persons (ADIP) scheme, operated by Department of Empowerment of Persons with Disabilities (DEPwD), provides free cochlear implants to children below 5 years from families with annual income below ₹6 lakh. The implant (₹6–7 lakh) and surgery at government hospitals are fully subsidised. ENT hospitals empanelled under ADIP must maintain specific documentation: audiological assessment reports, medical fitness certificate, socioeconomic proof, and ADIP application through District Disability Rehabilitation Centres (DDRCs).

How does hearing aid dispensing work in an ENT clinic?

Hearing aid dispensing at ENT clinics: audiologist assesses hearing loss degree and type, selects appropriate hearing aid (BTE, ITE, IIC, RIC) based on audiogram, fits and programs the aid, provides trial period (typically 30–60 days), and completes sale with warranty documentation. Under NABH for ENT clinics, hearing aid fitting must follow a defined protocol including Real Ear Measurement (REM) verification. GST on hearing aids was reduced to 5% to make them more accessible. ENT clinic software should manage hearing aid inventory, warranty tracking, and fitting records.

Best ENT Clinic Software India 2026 — Audiometry, Tympanometry and Surgical Billing

ENT (Ear, Nose and Throat) is one of the highest-volume outpatient specialties in India — over 60 lakh ENT procedures are performed annually, from simple ear wax removal to complex cochlear implantation surgery. Modern ENT clinics and departments need software that integrates with audiometry equipment, tracks endoscope usage, manages hearing aid fittings, and handles the complex surgical coding of ENT procedures for insurance billing. This guide covers what ENT clinic software must do and the top options for Indian ENT specialists.

ENT-Specific Clinical Features Software Must Support

Audiology Module

Pure Tone Audiogram (PTA) integration: Direct import from audiometers (Interacoustics, Grason-Stadler, Amplifon) — audiogram displayed visually with air conduction, bone conduction, and masking results. Classification of hearing loss (mild, moderate, severe, profound) calculated automatically from thresholds.
Speech Audiometry: Speech Reception Threshold (SRT) and Word Recognition Score (WRS) recorded and displayed alongside PTA.
Impedance Audiometry (Tympanometry): Type A/B/C tympanogram classification with Eustachian tube function assessment.
OAE (Otoacoustic Emissions): For newborn hearing screening — DPOAE and TEOAE results stored and flagged as Pass/Refer.
BERA/ABR (Brainstem Evoked Response Audiometry): Waveform import and threshold estimation for patients who cannot cooperate with PTA (infants, multiply disabled).

Hearing Aid Fitting and Management

Hearing aid trial and fitting records — brand, model, serial number, fitting date, and audiologist performing the fitting.
Aided audiogram — comparing unaided PTA with aided hearing levels to document benefit.
Follow-up schedule — hearing aid patients need 6-week, 3-month, and annual follow-ups. Automated reminders reduce default rates.
Hearing aid inventory — if the clinic sells hearing aids, inventory management with GST compliance (12% GST on hearing aids).

Endoscopy Documentation

Nasal endoscopy findings — structured template for septum, turbinates, middle meatus, sinus ostia, adenoids, nasopharynx.
Laryngoscopy findings — vocal cord mobility, mucosal lesions, subglottic area.
Video capture integration — for ENT endoscopes with video output, capture still images or video clips directly into the patient record.
Otoscopy images — for ear canal and tympanic membrane documentation, linked to the patient's record.

ENT Surgical Coding for PMJAY and TPA Billing

ENT Procedure	PMJAY Rate	Common Billing Issue
Tonsillectomy (adult)	₹12,000	Adenoidectomy done simultaneously — can bill as combined package
Tonsillectomy + Adenoidectomy	₹14,000	Separate code from tonsillectomy alone
Septoplasty	₹18,000	FESS often performed at same time — correct combined coding needed
FESS (Functional Endoscopic Sinus Surgery)	₹22,000	Specify extent (unilateral vs. bilateral; number of sinuses)
Myringoplasty (Tympanoplasty Type I)	₹15,000	Graft material (temporalis fascia vs. cartilage) may affect coding
Mastoidectomy (Simple)	₹25,000	Combined with tympanoplasty — correct combined package
Cochlear Implant (Device + Surgery)	₹6,50,000	Highest-value ENT package; device invoice mandatory
Microlaryngoscopy	₹15,000	Biopsy vs. excision — different codes

Cochlear Implant Programme Management

ENT hospitals with cochlear implant programmes have unique needs:

Patient selection database: Track all patients in the cochlear implant evaluation pipeline — pre-op audiological assessment, CT temporal bone, MRI, speech-language evaluation, psychological assessment, and family counselling records.
Implant device tracking: Device manufacturer, model, serial number, implant date — essential for PMJAY billing (₹6.5 lakh package) and manufacturer warranty.
Post-implant rehabilitation tracking: CI activation date, mapping sessions, speech therapy attendance, and language development milestones over 5 years.
ADIP scheme management: ADIP (Assistive Devices to Persons with Disabilities) scheme provides government funding for cochlear implants for BPL children. ENT hospitals handling ADIP patients need specific documentation for reimbursement.

Frequently Asked Questions About ENT Clinic Software

What audiometry equipment integrates with HMS in India?

Leading audiometers available in India (Interacoustics AC40, Grason-Stadler GSI61, Madsen Astera, Amplifon) can export audiogram data in XML or HL7 format that ENT-capable HMS can import. The integration is via USB or network connection. Key requirement: the HMS must support the specific data format exported by your audiometer brand — check compatibility before purchase.

What is the PMJAY package rate for cochlear implant surgery?

PMJAY covers cochlear implant surgery at ₹6,50,000 — this is one of the highest single-procedure package rates in the PMJAY package list, covering the device (unilateral cochlear implant set), surgery, 3-day hospitalisation, anaesthesia, and initial post-surgical care. The cochlear implant device invoice, device serial number, and manufacturer warranty certificate must be attached to the PMJAY claim. PMJAY covers only unilateral implantation; bilateral implantation in the same session requires a special consideration request to the SHA.

How does FESS billing work for PMJAY claims?

FESS (Functional Endoscopic Sinus Surgery) billing under PMJAY depends on the extent of the surgery — unilateral vs. bilateral, and how many sinuses are addressed. The correct PMJAY package code must reflect whether Septoplasty was also performed (common combined procedure). Billing FESS and Septoplasty separately when done in the same session as two admissions is fraud — they should be billed under the correct combined package code. ENT-capable HMS auto-suggests the correct package code based on the procedures documented in the operative note.

ENT Software with Audiometry Integration

Adrine HMS supports ENT-specific templates, audiometry data import, endoscopy image capture, cochlear implant programme tracking, and PMJAY ENT package billing — all in one system for Indian ENT clinics and departments.

See Adrine for ENT Specialists

Best ENT Clinic Software India 2026: Audiometry, Endoscopy and Hearing Aid Tracking