Procedure Code Table For Audiology

Procedure Code Table 

Audiologists are indicated as a rendering provider for the following procedure codes. Whether the code is a Colorado Medicaid covered benefit is indicated. Reference the current Fee Schedule for rates. 

Note: this table serves only as a reference guide for audiologists and not a guarantee of payment or coverage. Definitive coverage of a specific procedure code is found on the Fee Schedule.

CPT or HCPCS Procedure Code	Short Description	Covered Benefit	Prior Authorization Needed
61596	Transcochlear approach	Yes	No
69210	Removal impacted cerumen (separate	Yes	No
76977	Us bone density measure	Yes	No
78020	Thyroid met uptake	Yes	No
78206	Liver image (3d) with flow	Yes	No
78494	Heart image spect	Yes	No
78496	Heart first pass add-on	Yes	No
78588	Perfusion lung image	Yes	No
92502	Otolaryngologic examination under genera	Yes	No
92504	Binocular microscopy (separate diagnosti	Yes	No
92507	Speech/hearing therapy	Yes	No
92508	Treat speech language - group	Yes	No
92511	Nasopharyngoscopy with endoscope (separa	Yes	No
92512	Nasal function studies, eg, rhinomanomet	Yes	No
92516	Facial nerve function studies	Yes	No
92531	Spontaneous nystagmus, including gaze	No	-
92532	Positional nystagmus test	No	-
92533	Caloric vestibular test, each irrigation	Yes	No
92534	Optokinetic nystagmus test	Yes	No
92540	Basic vestibular evaluation	Yes	No
92541	Spontaneous nystagmus test, including ga	Yes	No
92542	Positional nystagmus test, minimum of 4	Yes	No

92543	Caloric vestibular test, each irrigation	Yes	No
92544	Optokinetic nystagmus test, bidirectiona	Yes	No
92545	Oscillating tracking test, with recordin	Yes	No
92546	Sinusoidal vert axis	Yes	No
92547	Supplemental electrical test	Yes	No
92548	Computerized dynamic posturography	Yes	No
92550	Tympanometry & reflex thresh	Yes	No
92552	Pure tone audiometry air	Yes	No
92553	Audiometry air & bone	Yes	No
92555	Speech audiometry-- threshold	Yes	No
92556	Speech audiometry complete	Yes	No
92557	Comp audiometry eval & speech	Yes	No
92559	Audiometric testing of groups	No	-
92560	Bekesy audiometry screen	Yes	No
92561	Bekesy audiometry diagnosis	Yes	No
92562	Loudness balance test, alternate binaura	Yes	No
92563	Tone decay test	Yes	No
92564	Short increment sensitivity index (sisi)	Yes	No
92565	Stenger test pure tone	Yes	No
92567	Tympanometry (impedence testing)	Yes	No
92568	Acoustic refl threshold tst	Yes	No
92570	Acoustic immitance testing	Yes	No
92571	Filtered speech test	Yes	No
92572	Staggered spondaic word test	Yes	No
92575	Sensorineural acuity level test	Yes	No
92576	Synthetic sentence identification test	Yes	No

92577	Stenger test speech	Yes	No
92579	Visual reinforcement audiometry	Yes	No
92582	Conditioning play audiometry	Yes	No
92583	Select picture audiometry	Yes	No
92584	Electrocochleography	Yes	No
92585	Auditor evoke potent comprehensive (Newborn Hearing Screening)	Yes	No
92586	Auditor evoke potent limited (Newborn Hearing Screening)	Yes	No
92587	Evoked otoacoustic emissions	Yes	No
92588	Evoke oto emiss comp and diag	Yes	No
92590	Hearing aid exam one ear	No - See HCPCS codes for coverage	-
92591	Hearing aid exam both ears	No - See HCPCS codes for coverage	-
92592	Hearing aid check one ear	No - See HCPCS codes for coverage	-
92593	Hearing aid check both ears	No - See HCPCS codes for coverage	-
92594	Electro hearng aid test one	No - See HCPCS codes for coverage	-
92595	Electro hearng aid tst both	No - See HCPCS codes for coverage	-
92601	Cochlear implt f/up exam < 7	Yes	No
92602	Reprogram cochlear implt < 7	Yes	No
92603	Cochlear implt f/up exam 7 >	Yes	No
92604	Reprogram cochlear implt 7 >	Yes	No
92605	Eval for nonspeech device rx	Yes	No
92606	Non-speech device service	Yes	No

92620	Auditory function 60 min	Yes	No
92621	Auditory function + 15 min	Yes	No
92625	Tinnitus assessment	Yes	No
92626	Eval aud rehab status	Yes	No
92627	Eval aud status rehab add-on	Yes	No
92630	Aud rehab pre-ling hear loss	Yes	No
92633	Aud rehab postling hear loss	Yes	No
92640	Aud brainstem implt programg	Yes	No
95861	Muscle test 2 limbs	Yes	No
95920	Intraop nerve test add-on	Yes	No
95925	Somatosensory evoked study - upper limbs	Yes	No
95926	Somatosensory study lower limbs	Yes	No
95927	Somatosensory study trunk/head	Yes	No
95928	C motor evoked uppr limbs	Yes	No
95929	C motor evoked lwr limbs	Yes	No
95930	Visual evoke potential - cns	Yes	No
95934	H-reflex test	Yes	No
95936	H-reflex test	Yes	No
95937	Neuromuscular junction testing (repetiti	Yes	No
96111	Developmental test extend	Yes	No
97112	Neuromuscular reeducation	Yes	No
99201	Office/outpatient visit new	Yes	No
99202	Office/outpatient visit new	Yes	No
99203	Office/outpatient visit new	Yes	No
99204	Office/outpatient visit new	Yes	No
99205	Office/outpatient visit new	Yes	No
99211	Office/outpatient visit est	Yes	No
99212	Office/outpatient visit est	Yes	No
99213	Office/outpatient visit est	Yes	No
99214	Office/outpatient visit est	Yes	No

99215	Office/outpatient visit est	Yes	No
99241	Office consultation	No	-
99242	Office consultation	No	-
99243	Office consultation	No	-
99244	Office consultation	No	-
99245	Office consultation	No	-
99251	Inpatient consultation	No	-
99252	Inpatient consultation	No	-
99253	Inpatient consultation	No	-
99254	Inpatient consultation	No	-
99255	Inpatient consultation	No	-
L7510	Prosthetic device repair rep	Yes	No
L8515	Gel cap app device for trach	Yes	No
L8615	Headpiece for cochlear implant	Yes	No
L8616	Microphone for cochlear implant	Yes	No
L8617	Transmit coil cochlear implant	Yes	No
L8618	Transmit cable cochlear impl	Yes	No
L8619	Coch imp ext proc/contr rplc	Yes	No
L8621	Zinc air battery cochlear impl	Yes	No
L8622	Alkaline battery cochlear impl	Yes	No
L8623	Lith ion batt CID, non-ear lvl	Yes	No
L8624	Lith ion batt CID, ear level	Yes	No
L8691	Auditory osseointegrated device, external sound processor, replacement	Yes	Yes
L8692	Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment	Yes	Yes
S0618	Audiometry for hearing aid evaluation to determine the level and degree of hearing loss	Yes	No
S9152	Speech therapy, re-eval	No	-

T1024	Team evaluation & management	No	-
T1025	Ped compr care pkg, per diem	No	-
V5010	Hearing aid evaluation test	Yes	No
V5011	Fitting/orientation/checking of hear aid	Yes	No
V5014	Hearing aid repair/modifying	Yes	No
V5060	Behind ear hearing aid	Yes	No
V5090	Dispensing fee	Yes	No
V5095	Implant mid ear hearing pros	No	-
V5140	Behind ear binaur hearing ai	Yes	No
V5244	Hearing aid, prog, mon, cic	Yes	No
V5245	Hearing aid, prog, mon, itc	Yes	No
V5246	Hearing aid, prog, mon, ite	Yes	No
V5247	Hearing aid, prog, mon, bte	Yes	No
V5250	Hearing aid, prog, bin, cic	Yes	No
V5251	Hearing aid, prog, bin, itc	Yes	No
V5252	Hearing aid, prog, bin, ite	Yes	No
V5253	Hearing aid, prog, bin, bte	Yes	No
V5254	Hearing id, digit, mon, cic	Yes	No
V5255	Hearing aid, digit, mon, itc	Yes	No
V5256	Hearing aid, digit, mon, ite	Yes	No
V5257	Hearing aid, digit, mon, bte	Yes	No
V5258	Hearing aid, digit, bin, cic	Yes	No
V5259	Hearing aid, digit, bin, itc	Yes	No
V5260	Hearing aid, digit, bin, ite	Yes	No
V5261	Hearing aid, digit, bin, bte	Yes	No
V5262	Hearing aid, disp, monaural	No	-
V5263	Hearing aid, disp, binaural	No	-
V5264	Ear mold/insert	No	-
V5265	Ear mold/insert, disposable	No	-
V5266	Battery for hearing device	Yes	No
V5267	Hearing aid supply/accessory	Yes	No

V5275	Ear impression	Yes	No
V5299	Hearing service	Yes	No
V5336	Repair/mod augmentative com sys/or devic	No	-
V5362	Speech screening	No	-
V5363	Language screening	No	-
V5364	Dysphagia screening	No	-

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