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,

Audiology Procedure Code description

CPT Code	Official CPT Description	Uses
92568	Acoustic reflex testing; threshold	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
92570	Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing	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
92571	Filtered speech test	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.
92572	Staggered spondaic word test (SSW)	This code is used to for the SSW test that is administered in isolation; this is a measure of central auditory function
92576	Synthetic sentence identification test (SSI)	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
92577	Stenger test, speech	This is a test for malingering; this code is billed if the test is done unilaterally or bilaterally
92579	Visual reinforcement audiometry (VRA)	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
92582	Conditioning play audiometry	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
92583	Select picture audiometry	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
92584	Electrocochleography	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.
92585	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
92586	Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited	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
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

CPT Code	Official CPT Description	Uses
92588	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
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
92591	Hearing aid examination and selection; binaural	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
92592	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
92593	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
92594	Electroacoustic evaluation for hearing aid; monaural	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
92595	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
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)
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.
92602	Diagnostic analysis of cochlear implant, patient under 7 years of age; 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.

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,