How To Use CPT Code 92594

CPT 92594 describes the electroacoustic evaluation for a monaural hearing aid. 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 92594?

CPT 92594 can be used to describe the electroacoustic evaluation of a monaural hearing aid. This code is used when a provider checks the hearing aid, either for routine maintenance or when the wearer is experiencing problems. The evaluation involves using an electroacoustic analyzer to compare the hearing aid’s performance to its original specifications.

2. Official Description

The official description of CPT code 92594 is: ‘Electroacoustic evaluation for hearing aid; monaural.’

3. Procedure

  1. The provider uses an electroacoustic analyzer to assess the performance of the monaural hearing aid.
  2. The analyzer provides accurate measurements and records data on various specifications, such as gain and output characteristics, frequency response characteristics, input noise, and other relevant information.
  3. The provider compares the hearing aid’s performance to its original specifications to determine if any adjustments or repairs are needed.
  4. The electroacoustic evaluation allows for a more accurate assessment of the hearing aid’s functionality compared to a routine check.

4. Qualifying circumstances

CPT 92594 is applicable when evaluating a monaural hearing aid. This code is used when the provider needs to assess the performance of the hearing aid, either for routine maintenance or when the wearer is experiencing problems. Audiologists often provide these services.

5. When to use CPT code 92594

CPT code 92594 should be used when a provider needs to perform an electroacoustic evaluation of a monaural hearing aid. This code is appropriate for routine checks or when the wearer is experiencing issues with the hearing aid’s performance. It is important to note that CPT code 92594 is specific to monaural hearing aids and should not be used for binaural evaluations.

6. Documentation requirements

To support a claim for CPT 92594, the provider must document the following information:

  • Reason for the electroacoustic evaluation
  • Details of the electroacoustic analyzer used
  • Date and time of the evaluation
  • Results of the evaluation, including any adjustments or repairs made
  • Signature of the provider performing the evaluation

7. Billing guidelines

When billing for CPT 92594, ensure that the evaluation is performed on a monaural hearing aid. Check payer policies to determine if additional HCPCS V codes should be reported for hearing aid services. It is important to note that CPT 92594 is not reported with other codes for binaural evaluations.

8. Historical information

CPT 92594 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

  1. Audiologist performing an electroacoustic evaluation for a monaural hearing aid to assess its performance.
  2. Provider checking the functionality of a monaural hearing aid during a routine maintenance appointment.
  3. Evaluation of a monaural hearing aid to troubleshoot issues reported by the wearer.
  4. Assessment of a monaural hearing aid’s performance after a repair or adjustment.
  5. Provider comparing the output characteristics of a monaural hearing aid to its original specifications.
  6. Electroacoustic evaluation of a monaural hearing aid to determine if it meets the wearer’s specific needs.
  7. Provider using an electroacoustic analyzer to measure the frequency response of a monaural hearing aid.
  8. Evaluation of a monaural hearing aid’s input noise to ensure it is within acceptable limits.
  9. Comparison of a monaural hearing aid’s gain characteristics to its original specifications.
  10. Provider assessing the overall performance of a monaural hearing aid using an electroacoustic analyzer.

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