How To Use CPT Code 92595

CPT 92595 describes the electroacoustic evaluation for hearing aids in both ears. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92595?

CPT 92595 can be used to describe the electroacoustic evaluation of hearing aids in both ears. This code is used when a provider checks the hearing aids for any problems or performs routine checks. The evaluation involves using an electroacoustic analyzer to compare the hearing aids’ performance to their original specifications. The analyzer provides accurate measurements and records data on various specifications, such as gain and output characteristics, frequency response characteristics, input noise, and more.

2. Official Description

The official description of CPT code 92595 is: ‘Electroacoustic evaluation for hearing aid; binaural.’

3. Procedure

1. The provider uses an electroacoustic analyzer to evaluate the hearing aids in both ears.
2. The analyzer measures various specifications, including gain and output characteristics, frequency response characteristics, input noise, and more.
3. The provider compares the measurements to the original specifications of the hearing aids.
4. The provider records and stores the data obtained from the electroacoustic evaluation.

4. Qualifying circumstances

Patients eligible for CPT 92595 are those who wear hearing aids in both ears and require an evaluation of their performance. The evaluation can be performed when the patient experiences problems with the hearing aids or as a routine check. Audiologists often provide these services.

5. When to use CPT code 92595

CPT code 92595 should be used when a provider performs an electroacoustic evaluation of hearing aids in both ears. It is appropriate for both problem-focused evaluations and routine checks. If the evaluation is performed on a hearing aid in just one ear, use CPT code 92594 instead.

6. Documentation requirements

To support a claim for CPT 92595, the provider must document the following information:

• Reason for the evaluation (problem-focused or routine check)
• Results of the electroacoustic evaluation, including measurements and comparisons to the original specifications
• Date of the evaluation
• Signature of the provider performing the evaluation

7. Billing guidelines

When billing for CPT 92595, ensure that the evaluation is performed on hearing aids in both ears. Check payer policies to determine if additional HCPCS V codes should be reported for hearing aid services. It is important to note that CPT 92595 should not be reported if CPT codes 92566 to 92568 have already been performed in the previous seven days.

8. Historical information

CPT 92595 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 of hearing aids in both ears for a patient who is experiencing difficulties with their hearing aids.
2. Provider conducting a routine check of the performance of hearing aids in both ears for a patient who wears them regularly.
3. Audiologist comparing the measurements of a patient’s hearing aids to their original specifications using an electroacoustic analyzer.
4. Provider recording and storing data obtained from an electroacoustic evaluation of hearing aids in both ears for future reference.
5. Audiologist evaluating the gain and output characteristics of a patient’s hearing aids in both ears using an electroacoustic analyzer.
6. Provider performing a frequency response analysis of a patient’s hearing aids in both ears to determine their frequency range.
7. Audiologist measuring the input noise of a patient’s hearing aids in both ears to assess the amount of noise from the aids’ electronic current.
8. Provider evaluating various other specifications of a patient’s hearing aids in both ears using an electroacoustic analyzer.
9. Audiologist comparing the performance of a patient’s hearing aids in both ears to their original specifications to ensure they are functioning properly.
10. Provider conducting an electroacoustic evaluation of hearing aids in both ears as part of a comprehensive assessment of a patient’s hearing health.