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CPT Code
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Official CPT Description
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Uses
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92568
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Acoustic reflex testing; threshold
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This code is for
comprehensive acoustic reflex measures (ipsilateral
and contralateral for at least two
frequencies); not reflex screenings at one frequency; some insurance carriers are beginning
to bundle (add on) this procedure to the tympanometry code (92567); use a ‐52 modifier
(reduced service) if only one ear is tested
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92570
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Acoustic immittance testing, includes tympanometry (impedance testing),
acoustic reflex threshold testing, and acoustic reflex decay testing
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This bundled code is used to bill 92567, 92568, and acoustic reflex decay when they are performed on the
same patient on the same date of
service. Acoustic reflex decay cannot be completed in isolation
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92571
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Filtered speech test
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This code is used for any filtered speech test of central
auditory fucntion that is administered
in isolation; this is a
measure of central auditory
function; this is not
appropriate to use when
billing the QuickSIN.
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92572
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Staggered spondaic word test (SSW)
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This code
is used to for the SSW test that is administered
in isolation; this is a
measure of central auditory function
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92576
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Synthetic sentence identification test (SSI)
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This code is used to for the SSI‐ICM and/or SSI‐CCM tests that are administered in isolation; this is a measure
of central auditory function
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92577
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Stenger test, speech
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This is a
test for malingering; this code is billed
if the test is
done unilaterally or bilaterally
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92579
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Visual reinforcement audiometry (VRA)
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This test is typically
used to test children under the age of two in the
sound field and/or under
insert phones for speech and/or tones; requires special equipment; this is not billed in addition to
92557
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92582
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Conditioning play
audiometry
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Play audiometry; this test
is typically used
to
test
children under
the age
of seven and the
mentally
disabled; this is not
billed in addition to 92557
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92583
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Select picture audiometry
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Use this code anytime
a picture/spondee board
or picture word list is used to assess either a speech awareness
threshold or speech recognition score;
this is typically used on children under the age of seven or the mentally disabled; this is not
billed in addition to 92557
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92584
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Electrocochleography
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This code
is used to bill for electrocochleography (ECoG) and cochlear implant
neurotelemetry, either
intraoperatively or postoperatively; use a
‐52 modifier (reduced service) if only
one ear is tested.
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92585
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Auditory evoked potentials for evoked response
audiometry and/or testing of the central nervous system; comprehensive
|
Otoneurologic or threshold search auditory
brainstem response (ABR)
testing; use a ‐22 modifier (unusual procedure services) and provide documentation if perform middle‐latency, late latency, stacked and/or Auditory
Steady State Response
testing; use a ‐52 modifier (reduced service) if only one ear is tested
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92586
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Auditory evoked potentials for evoked response
audiometry and/or testing of the central nervous system; limited
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Screening auditory brainstem response testing that is
typically provided as part of a newborn hearing screening
program; use a ‐52 modifier (reduced service) if
only one ear is tested
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92587
|
Distortion product evoked otoacoustic
emissions; limited evaluation (to
confirm presence or absence of hearing disorder; 3‐6 frequencies) or transient evoked otoacoustic
emissions, with interpretation and report
|
Diagnostic otoacoustic emissions
test requires testing and interpretation of 3‐11 distinct frequencies per ear;
interpretation (not just pass/fail)
and report required; use a ‐52 modifier (reduced service) if only
one ear is tested
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CPT Code
|
Official CPT Description
|
Uses
|
|
92588
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Distortion product evoked otoacoustic
emissions; comprehensive (qualitative
analysis of outer hair cell
function by cochlear mapping; minimum of 12
frequencies), with interpretation
and report
|
Diagnostic
otoacoustic emissions test requires
testing and interpretation of 12 or more distinct frequencies per ear;
interpretation (not
just
pass/fail) and
report required; use a ‐52 modifier
(reduced service) if only one
ear is tested
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92590
|
Hearing aid examination
and selection;
monaural
|
Hearing aid evaluation/consultation for a patient with a monaural hearing loss; many private insurance carriers and Medicaid programs
cover this procedure separately from
the hearing aid if the patient has hearing aid coverage; this is the same
as CPCS code V5010
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92591
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Hearing aid examination
and selection;
binaural
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Hearing aid evaluation/consultation for a patient with a binaural hearing loss; Medicare does not cover this procedure;
many private insurance carriers and Medicaid programs cover this procedure separately from the hearing aid if the patient has hearing
aid coverage; this
is the same as HCPCS
code V5010
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92592
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Hearing aid check; monaural
|
This code is used to bill for a hearing aid check on a monaural hearing aid many private insurance carriers and Medicaid programs
cover this procedure separately from
the hearing aid if the patient has hearing aid coverage; this
is the same as HCPCS
code V5011
|
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92593
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Hearing aid check; binaural
|
This code
is used to bill for a
hearing aid check on a set of
binaural hearing aids; many private insurance carriers and Medicaid programs
cover this procedure separately from
the hearing aid if the patient has hearing aid coverage;
this is the same
as HCPCS code V5011
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92594
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Electroacoustic evaluation for hearing aid;
monaural
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This code
is used to bill for an
electroacoustic analysis on a monaural hearing aid; many private insurance carriers and Medicaid programs
cover this procedure separately from
the hearing aid if the patient has hearing aid coverage; this is the same
as HCPCS code V5011
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92595
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Electroacoustic evaluation for hearing aid;
binaural
|
This code
is used to bill for an
electroacoustic analysis on a set of binaural hearing aids; many private insurance
carriers and Medicaid programs cover this procedure separately from
the hearing aid if
the patient has hearing
aid coverage; this is the same as HCPCS code V5011
|
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92596
|
Ear protector attenuation measures
|
This code
is used to bill for
objectively confirming the attenuation of ear protection on a given patient;
this code
is allowed
by Medicare if
medically necessary (Hyperacusis, recruitment, misophonia, tinnitus)
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92601
|
Diagnostic analysis of
cochlear implant, patient under 7 years
of age; 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.
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92602
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Diagnostic analysis of
cochlear implant, patient under 7 years
of age; subsequent
reprogramming
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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.
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