How To Use CPT Code 92555

CPT 92555 describes the measurement of a patient’s speech reception/awareness threshold, which is the lowest volume at which the patient can recognize speech. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92555?

CPT 92555 can be used to describe the measurement of a patient’s speech reception/awareness threshold. This code is used when a healthcare provider determines the lowest level at which a patient can receive or be aware of speech. The provider typically gives familiar two-syllable words at a volume that the patient can hear, and then gradually lowers the volume until the patient can no longer repeat half of the words given. The lowest level at which the patient can hear the words becomes their speech reception threshold (SRT).

2. Official Description

The official description of CPT code 92555 is: ‘Speech audiometry threshold;’

3. Procedure

  1. The healthcare provider selects familiar two-syllable words and begins at a volume that the patient can hear.
  2. The provider gradually lowers the volume and continues to give the words until the patient can no longer repeat half of the words.
  3. The lowest level at which the patient can hear the words becomes their speech reception threshold (SRT).

4. Qualifying circumstances

CPT 92555 is used when a healthcare provider measures the speech reception threshold of a patient. This test is typically performed to assess the patient’s ability to receive or be aware of speech. It is used to evaluate hearing loss and determine the type and severity of the impairment. The test may be conducted using headphones for air conduction testing or bone conduction mode if a middle or outer ear problem is suspected.

5. When to use CPT code 92555

CPT code 92555 should be used when a healthcare provider measures a patient’s speech reception threshold. This code is appropriate when the provider administers the test and determines the lowest volume at which the patient can understand fifty percent of spoken words. It is important to note that CPT code 92555 should not be reported for other hearing tests or assessments.

6. Documentation requirements

To support a claim for CPT 92555, the healthcare provider must document the following information:

  • Patient’s diagnosis or reason for the speech reception threshold measurement
  • Specific words used during the test
  • Start and end time of the test
  • Speech reception threshold (SRT) level achieved by the patient
  • Signature of the healthcare provider performing the test

7. Billing guidelines

When billing for CPT 92555, ensure that the healthcare provider performs the speech reception threshold measurement. This code should not be reported for other hearing tests or assessments. It is important to review the descriptions of other audiologic function tests to determine the appropriate code for different hearing assessments. Take note of any bundling of tests under a single code and select the most accurate code based on the specific test performed.

8. Historical information

CPT 92555 was added to the Current Procedural Terminology system on January 1, 1990. The code has undergone changes, with the most recent update occurring on January 1, 2010.

9. Examples

  1. A healthcare provider measures the speech reception threshold of a patient with sensorineural hearing loss.
  2. Audiologist performs a speech reception threshold measurement for a patient with conductive hearing loss.
  3. A speech-language pathologist assesses the speech reception threshold of a patient with a suspected middle ear problem.
  4. A healthcare provider measures the speech reception threshold of a patient with a history of noise-induced hearing loss.
  5. An otolaryngologist performs a speech reception threshold measurement for a patient with a suspected vestibulocochlear nerve disorder.
  6. Audiologist evaluates the speech reception threshold of a patient with a history of recurrent ear infections.
  7. A healthcare provider measures the speech reception threshold of a patient with a history of head trauma.
  8. A speech-language pathologist assesses the speech reception threshold of a patient with a suspected auditory processing disorder.
  9. An otolaryngologist performs a speech reception threshold measurement for a patient with a history of ototoxic medication use.
  10. Audiologist evaluates the speech reception threshold of a patient with a suspected congenital hearing loss.

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