Procedure Code Table - Continued

CPT or HCPCS Procedure Code : 92543

Short Description:Caloric vestibular test, each irrigation

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92544

Short Description:Optokinetic nystagmus test, bidirectiona

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92545

Short Description:Oscillating tracking test, with recordin

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92546

Short Description:Sinusoidal vert axis

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92547

Short Description:Supplemental electrical test

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92548

Short Description:Computerized dynamic posturography

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92550

Short Description:Tympanometry & reflex thresh

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92552

Short Description:Pure tone audiometry air

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92553

Short Description:Audiometry air & bone

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92555

Short Description:Speech audiometry-- threshold

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92556

Short Description:Speech audiometry complete

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92557

Short Description:Comp audiometry eval & speech

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92559

Short Description:Audiometric testing of groups

Covered Benefit : No

Prior Authorization Needed: -

CPT or HCPCS Procedure Code : 92560

Short Description:Bekesy audiometry screen 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92561

Short Description:Bekesy audiometry diagnosis

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92562

Short Description:Loudness balance test, alternate binaura 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92563

Short Description:Tone decay test

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92564

Short Description:Short increment sensitivity index (sisi) 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92565

Short Description:Stenger test pure tone

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92567

Short Description:Tympanometry (impedence testing) 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92568

Short Description:Acoustic refl threshold tst

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92570

Short Description:Acoustic immitance testing 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92571

Short Description:Filtered speech test  

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92572

Short Description:Staggered spondaic word test 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92575

Short Description:Sensorineural acuity level test 

Covered Benefit : Yes

Prior Authorization Needed: No

CPT or HCPCS Procedure Code : 92576

Short Description:Synthetic sentence identification test 

Covered Benefit : Yes

Prior Authorization Needed: No