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