CPT
Codes
CPT
Code
Official CPT
Description
Uses
69210
Removal impacted cerumen (separate
procedure), one or both ears
This is used to report cerumen removal;
Medicare will not reimburse independent
audiologists for this procedure but patients
may be charged privately for removal of
impacted cerumen
92507
Treatment of speech, language,
voice,
communication,
and/or
auditory
processing
disorder;
individual
Auditory processing therapies or treatment
(Note: Medicare does not reimburse for this
code if provided by an independent audiologist;
it can be reimbursed if provided by a speech
language pathologist); many private insurance
carriers may cover the procedure if provided by
an independent audiologist.
92516
Facial nerve function studies (eg,
electroneurography)
This code is used to bill for electroneurography
(ENoG)
92540
Basic vestibular evaluation, includes
spontaneous nystagmus test with
eccentric gaze fixation nystagmus, with
recording, positional nystagmus test,
minimum of 4 positions, with recording,
optokinetic nystagmus test,
bidirectional foveal and peripheral
stimulation, with recording, and
oscillating tracking test, with recording
This bundled code is used to bill for codes 92545,
92542, 92544, and 92545 when they are
performed on the same patient on the same date
of service.
92543 is not included in this bundle and should
still be billed separately with the appropriate
number of units to reflect the number of
irrigations performed.
92541
Spontaneous
nystagmus
including
gaze
and
nystagmus, with recording
test,
fixation
Spontaneous nystagmus portion of the
common ENG/VNG test protocol; if billed with
either 92542, 92544 and/or 92545 (two or
three of the 92540 codes) add 59 modifier
92542
Positional nystagmus test, minimum of
4 positions, with recording
Positional portion of the common ENG/VNG
test protocol, including all positions and the
Hallpike maneuver; if billed with either 92541,
92544 and/or 92545 (two or three of the
92540 codes) add 59 modifier
92543
Caloric vestibular test, each irrigation
(binaural, bithermal stimulation
constitutes four tests), with recording
Caloric portion of the common ENG/VNG test
protocol, including warm, cool, and ice water
irrigations; can submit this code for multiple units
(16)
92544
Optokinetic
nystagmus
test,
bidirectional, foveal or peripheral
stimulation, with recording
Optokinetic portion of the common ENG/VNG
test protocol; if billed with either 92541,
92542 and/or 92545 (two or three of the
92540 codes) add 59 modifier
92545
Oscillating tracking test, with recording
Tracking portion of the common ENG/VNG test
protocol; if billed with either 92541, 92542
and/or 92544 (two or three of the 92540
codes) add 59 modifier
92546
Sinusoidal vertical axis rotational
testing
Rotation chair testing; requires special
equipment; commonly used to verify
bilateral
caloric
weaknesses;
supply
documentation
supporting
medical
necessity if claim denied
92547
Use of vertical electrodes (List
separately in addition to code for
primary procedure) (Use
92547 in conjunction with codes 92541
92546)
(For unlisted vestibular tests, use
92700)
This is an addon code; it can be added to codes
92540,
92541, 92542, 92543, 92544, 92454, and
92546 if vertical electrodes are used and add
diagnostic value to the procedure. This code is
inappropriate for use as part of a VNG test
battery when billing Medicare (except in
Florida)
92548
Computerized dynamic posturography
Requires special equipment; commonly
used for malingerers or as part of a
vestibular rehabilitation program; supply
documentation
supporting
medical
necessity if claim denied
CPT
Cod
e
Official CPT
Description
Uses
92550
Tympanometry and reflex threshold
measurements
This bundled code is used to bill 92567 and
92568 when they are performed on the same
patient on the same date of service.
92552
Pure tone audiometry (threshold); air
only
This code is only used when performing air
conduction threshold testing in isolation of
92553, 92555, and 92556, whether it is under
headphones, insert phones, or in the sound
field; use a 52 modifier (reduced service) if
only one ear is tested
92553
Pure tone audiometry (threshold); air
and bone
This code is only used when performing air and
bone conduction threshold testing in isolation
of 92552, 92555, and 92556, whether it is
under headphones, insert phones, or in the
sound field; use a 52 modifier (reduced
service) if only one ear is tested
92555
Speech audiometry threshold
Speech reception/awareness threshold; this
code is only used when performing this
measure in isolation of 92552, 92553, and
92556 when it is under headphones, insert
phones, or in the sound field; use a
52 modifier (reduced service) if only one ear is
tested
92556
Speech audiometry threshold with
speech recognition
Speech reception/awareness threshold and
speech
recognition/speech
understanding/word recognition testing; there
is no CPT code for speech recognition alone;
this code is only used when performing this
measure in isolation of 92552, 92553, and
92555 when it is under headphones, insert
phones, or in the sound field; use a 52
modifier (reduced service) if only one ear is
tested
92557
Comprehensive
audiometry
threshold evaluation and speech
recognition (92553 and 92556
combined)
This code includes air and bone conduction
testing (92553), speech audiometry threshold
and speech recognition testing (92556); this
code cannot be unbundled (bill 92552, 92553,
92555, or 92556 in combination); bone
conduction testing must be completed to bill
92557; use a 52 modifier
(reduced service) if only one ear is tested
92558
Evoked otoacoustic emissions,
screening (qualitative measurement
of distortion product or transient
evoked otoacoustic emissions),
automated analysis
This code is for a passfail OAE screening;
typically used for newborn hearing screening
only; this code is noncovered by Medicare
92562
Loudness balance test, alternate
binaural or monaural
This code is used to bill for the alternate
loudness balance test (ABLB) to test for
recruitment
92563
Tone decay test
This code is used for any tone decay testing to
rule out retrocochlear pathology; use a 52
modifier (reduced service) if only one ear is
tested
92564
Short increment sensitivity index
(SISI)
This test is used to determine cochlear vs.
retrocochlear pathology; use a 52 modifier
(reduced service) if only one ear is tested
92565
Stenger test, pure tone
This is a test for malingering; this code is billed
if the test is done unilaterally or bilaterally
92567
Tympanometry (impedance testing)
This code includes tympanometry and
Eustachian tube dysfunction measures; some
insurance carriers are beginning to bundle (add
on) this procedure to the comprehensive
audiogram code (92557); use a 52 modifier
(reduced service) if only one ear is tested;
could add a 22 modifier for Eustachian tube
function and/or fistula testing
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
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 SSIICM and/or
SSICCM 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 or under insert
phones; 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); 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; 36 frequencies) or transient
evoked otoacoustic emissions, with
interpretation and report
Diagnostic otoacoustic emissions test requires
testing and interpretation of 311 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
Cod
e
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 postoperative
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
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 reprogramming of
the internal stimulator; this is used to cover all
followup speech processor programming; add
50 or RT/LT modifiers and bill twice for binaural
implants
CPT
Cod
e
Official CPT
Description
Uses
92603
Diagnostic analysis of cochlear
implant, age 7 years or older; with
programming
Per CPT, this code is used for postoperative
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
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 reprogramming of
the internal stimulator; this is used to cover all
followup speech processor programming; add
50 or RT/LT modifiers and bill twice for binaural
implants
92620
Evaluation
of
function, with
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; please note
that this
code cannot be used in conjunction with 92506
92621
Evaluation
of
central
auditory
function, with report; each additional
15 minutes
central
auditory
report; initial 60
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; please note that this code cannot be
used in conjunction with 92506
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 modifier
92626
Evaluation of Auditory Rehabilitation
Status; first hour
This code is used when assessing a patients
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 speechin
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 patients 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
speechinnoise testing or hearing aid testing
that is being paid for privately by the patient
and some thirdparty payers who allow for
payment; this code is used to report face to face
time with the patient or family only
92630
Auditory rehabilitation; prelingual
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; postlingual
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, 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 denial/appeal
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 nonphysician
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 nonphysician
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
Current Procedural Terminology (CPT) is copyright 2014 American Medical Association. All Rights
Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The
AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to
government use.
The above summary and description of uses was prepared by Kim Cavitt, Au.D., Audiological
Resources, exclusively for the Academy of Doctors of Audiology.
DISCLAIMER: The foregoing information is provided as a resource for our members. ADA makes no
recommendation as to the accuracy or suitability of the information for your particular situation.
Neither ADA, nor any of its officers, directors, agents, employees, committee members or other
representatives shall have any liability for any claim, whether founded or unfounded, of any kind
whatsoever, including, but not limited to, any claim for costs and legal fees, arising from the use of
these opinions.
Last Updated 3/2014
