How To Use CPT Code 92575

CPT 92575 describes a specific audiologic function test known as the sensorineural acuity level test. This article will provide an overview of the code, including its official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92575?

CPT 92575 is used to identify the sensorineural acuity level test, an alternative method of testing bone conduction hearing thresholds for patients with hearing impairments. This test helps determine the amount of sensorineural loss by comparing the patient’s air conduction hearing threshold with and without background masking noise.

2. Official Description

The official description of CPT code 92575 is: ‘The provider performs this service as an alternative to conventional bone conduction testing for patients with hearing impairments.’

3. Procedure

1. The provider conducts a standard tonal or speech pure tone air conduction procedure to determine the patient’s air conduction hearing threshold.
2. The patient sits in a quiet environment and wears earphones while the provider delivers tones or speech of different intensity.
3. The provider then conducts the test again, but this time with a background masking noise delivered through a bone vibrator placed on the patient’s forehead.
4. The provider compares the results of the two tests with established normal values to determine the amount of sensorineural loss.

4. Qualifying circumstances

CPT 92575 is used for patients with hearing impairments who require an alternative method of testing bone conduction hearing thresholds. It is important to note that this code specifically addresses sensorineural loss, which relates to the effect of the sensory nerves on hearing.

5. When to use CPT code 92575

CPT code 92575 should be used when a provider performs the sensorineural acuity level test as an alternative to conventional bone conduction testing for patients with hearing impairments. It is not appropriate to use this code for other types of hearing tests or for patients without hearing impairments.

6. Documentation requirements

To support a claim for CPT 92575, the provider must document the following information:

• Patient’s hearing impairment and the need for the sensorineural acuity level test
• Details of the test procedure, including the use of background masking noise
• Results of the test and comparison with established normal values

7. Billing guidelines

When billing for CPT 92575, ensure that the test is performed as an alternative to conventional bone conduction testing for patients with hearing impairments. Modifier 52, reduced services, should be used if the test is applied to one ear instead of both. It is important to note that CPT code 92575 should not be reported with other codes unless specified by specific payer guidelines.

8. Historical information

CPT 92575 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with a hearing impairment undergoes the sensorineural acuity level test to determine the amount of sensorineural loss.
2. A provider performs the test as an alternative to conventional bone conduction testing for a patient with a known hearing impairment.
3. The sensorineural acuity level test is conducted on both ears of a patient with hearing impairments to assess their sensorineural loss.
4. A provider compares the results of the sensorineural acuity level test with established normal values to determine the extent of a patient’s sensorineural loss.
5. A patient with a hearing impairment receives the sensorineural acuity level test to evaluate their bone conduction hearing thresholds.
6. The sensorineural acuity level test is performed on a patient with a hearing impairment to assess their level of sensorineural loss.
7. A provider uses the sensorineural acuity level test as an alternative method to assess the bone conduction hearing thresholds of a patient with a hearing impairment.
8. A patient with a known hearing impairment undergoes the sensorineural acuity level test to determine the extent of their sensorineural loss.
9. The sensorineural acuity level test is conducted on a patient with hearing impairments to evaluate their bone conduction hearing thresholds.
10. A provider performs the sensorineural acuity level test on a patient with a hearing impairment to assess their level of sensorineural loss.