How To Use CPT Code 92596

CPT 92596 describes the procedure for ear protector attenuation measurements. 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 92596?

CPT 92596 can be used to describe the procedure in which a healthcare provider measures a patient’s hearing sensitivity while wearing ear protectors, such as plugs or protective ear muffs. The provider uses various testing methods to assess the patient’s ability to hear tones at different levels. This code represents the technical component of the service only.

2. Official Description

The official description of CPT code 92596 is: ‘With the patient wearing ear protectors, such as plugs or protective ear muffs, the provider checks a patient’s ability to hear tones at various levels using a number of possible methods. This code represents the technical component of the service only.’

3. Procedure

  1. The healthcare provider ensures that the patient is wearing ear protectors, such as plugs or protective ear muffs.
  2. The provider uses various testing methods to measure the patient’s hearing sensitivity, which may include subjective approaches or objective approaches.
  3. If using the real-ear attenuation at threshold (REAT) method, the provider performs a standard pure-tone assessment in a quiet test environment, with and without the ear protectors.
  4. The provider familiarizes the patient with the test signal and takes threshold measurements to determine the insertion loss or the difference in sound levels before and after the ear protectors.
  5. The provider records the results on a chart or form, reporting the data values in decibels or percent of noise level exposure.

4. Qualifying circumstances

CPT 92596 is used when a healthcare provider performs ear protector attenuation measurements to assess the effectiveness of a patient’s hearing protection device. The test may involve subjective or objective approaches, depending on the patient’s response to test tones. The provider records the results, documenting both loudness and time exposed during the test.

5. When to use CPT code 92596

CPT code 92596 should be used when a healthcare provider performs ear protector attenuation measurements to evaluate the effectiveness of a patient’s hearing protection device. This code represents the technical component of the service only and should not be reported with modifier 26 or TC.

6. Documentation requirements

To support a claim for CPT 92596, the healthcare provider must document the following information:

  • Patient’s use of ear protectors
  • Testing methods used
  • Results of the measurements, reported in decibels or percent of noise level exposure

7. Billing guidelines

When billing for CPT 92596, ensure that the procedure involves the technical component only and does not require modifier 26 or TC. It is important to accurately document the patient’s use of ear protectors and the results of the measurements. This code should not be reported with other codes unless appropriate and supported by the documentation.

8. Historical information

CPT 92596 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. A healthcare provider measures a patient’s hearing sensitivity while wearing ear protectors to assess the effectiveness of the device.
  2. Using various testing methods, the provider evaluates the patient’s ability to hear tones at different levels with the ear protectors on.
  3. The provider records the results of the measurements, documenting the difference in sound levels before and after the ear protectors.
  4. During the procedure, the provider ensures that the patient understands and can perform the response task accurately.
  5. The healthcare provider performs ear protector attenuation measurements to determine the insertion loss and noise reduction capabilities of the ear protectors.
  6. Using a standard pure-tone assessment, the provider assesses the patient’s hearing sensitivity with and without the ear protectors.
  7. The provider reports the data values in decibels or percent of noise level exposure, documenting both loudness and time exposed during the test.
  8. A patient undergoes ear protector attenuation measurements to evaluate the effectiveness of their hearing protection device.
  9. The healthcare provider uses subjective approaches to gauge the patient’s reaction to test tones while wearing the ear protectors.
  10. After the procedure, the provider records the results on a chart, reporting the data values accurately.

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