Audiology CPT Code

CPT Code	Official CPT Description	Uses
92603	Diagnostic analysis of cochlear implant, age 7 years or older; with programming	Per CPT, this code is used for “post‐operative analysis and fitting of previously placed external devices, connection to the cochlear implant, and programming of the stimulator”; this is used to cover the initial speech processor programming, including the fitting of a upgraded speech processor; add ‐50 or RT/LT modifiers and bill twice for binaural implants; add a ‐59 (distinct procedural service) if performed on the sale date of service as 92526.
92604	Diagnostic analysis of cochlear implant, age 7 years or older; with subsequent reprogramming	Per CPT, this code is used for “subsequent sessions for measurements and adjustment of the external transmitter and re‐programming of the internal stimulator”; this is used to cover all follow‐up speech processor programming; add ‐ 50 or RT/LT modifiers and bill twice for binaural implants; add a ‐59 (distinct procedural service) if performed on the sale date of service as 92526.
92620	Evaluation of central auditory function, with report; initial 60 minutes	This code is used for the first 60 minutes of a central auditory processing assessment; this code requires the completion of a report that outlines the tests performed, the results and the amount of time it took to administer the test battery and create the report.
92621	Evaluation of central auditory function, with report; each additional 15 minutes	This code is used for each additional 15 minutes (after the first 60 minutes covered in 92620) of a central auditory processing assessment and should always be billed in conjunction with 92620; this code requires the completion of a report that outlines the tests performed, the results and the amount of time it took to administer the test battery and create the report.
92625	Assessment of tinnitus (includes pitch, loudness matching and masking)	This code is used to diagnostically assess and measure tinnitus; please ensure that all three requirements: pitch, loudness matching and masking have been assessed and documented; if you do not complete all three requirements, add a ‐52 (reduced services) modifier
92626	Evaluation of Auditory Rehabilitation Status; first hour	This code is used when assessing a patient’s aural rehabilitation for diagnostic/treatment purposes; this code would be used as part of most cochlear implant and bone anchored hearing aid candidacy determination batteries and central auditory processing assessments; this could also be used to report speech‐in‐noise testing or hearing aid testing that is being paid for privately by the patient and some third‐party payers who allow for payment; this code is used to report face to face time with the patient or family only

CPT Code	Official CPT Description	Uses
92627	Evaluation of Auditory Rehabilitation Status; each additional 15 minutes	This code is for each additional 15 minutes (after the first hour covered in 92626) of assessing a patient’s aural rehabilitation for diagnostic/treatment purposes and should always be billed with 92626; this code would be used as part of most cochlear implant and bone anchored hearing aid candidacy determination batteries and central auditory processing assessments; this could also be used to report speech‐in‐noise testing or hearing aid testing that is being paid for privately by the patient and some third‐ party payers who allow for payment; this code is used to report face to face time with the patient or family only
92630	Auditory rehabilitation; pre‐lingual hearing loss	This code is used for aural rehabilitation of those whose hearing loss occurred prior to the acquisition of speech; (Note: Medicare does not cover this code); many private insurance carriers may cover this procedure
92633	Auditory rehabilitation; post‐lingual hearing loss	This code is used for aural rehabilitation of those whose hearing loss occurred after the acquisition of speech; (Note: Medicare does not cover this code); many private insurance carriers may cover this procedure
92700	Unlisted otorhinolaryngological service or procedure	This code is used to bill for procedures which do not have a CPT code (i.e. removal of incidental cerumen, use of goggles, saccade testing, VEMPs, high frequency audiometry, euctachian tube function testing, VHiT, head shake testing, tinnitus retraining); would recommend procedures such as these be provided on a private pay basis following the completion of an Advanced Beneficiary Notice as a Required Notification; if must bill third party, create supporting documentation that includes complete description of the procedure, its diagnostic or rehabilitative value, any equipment that is needed, the time it takes to administer, and any special knowledge required to administer; create a fee that represents the cost of your time, overhead, and equipment in performing this procedure; send this documentation with any
95992	Canalith repositioning procedure(s) (eg Epley maneuver, Semont maneuver), per day	Do not use this code in conjunction with 92531 (Spontaneous nystagmus, including gaze, without recording) or 92532 (Positional nystagmus test, without recording; Medicare will not reimburse an audiologist for providing this service; as a result, the Medicare beneficiary would pay privately to have this procedure completed as it is statutorily excluded; many private insurance carriers will reimburse audiologist for providing this procedure

CPT Code	Official CPT Description	Uses
99366	Medical team conference with interdisciplinary team of health care professionals, face to face with patient and/or family, 30 minutes or more, participation by non‐physician qualified health care professional	Patient or family present; requires a minimum of three providers; typically used for cochlear implant, bone anchored hearing aid, pediatric, or central auditory processing team conference; not used for meetings in educational settings
99368	Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present; 30 minutes or more, participation by non‐physician qualified health care professional	Patient or family not present; requires a minimum of three providers; typically used for cochlear implant, bone anchored hearing aid, pediatric, or central auditory processing team conference; not used for meetings in educational settings

TAGS: audiology cpt codes, cpt code 92587, cpt code 92546, 92537 cpt, cpt code 92552, cpt code for middle ear catheterization, cpt code for speech evaluation, cpt code for nasal function study, cpt 92585,