How To Use CPT Code 92630

CPT 92630 describes the auditory rehabilitation services provided primarily to pediatric patients who have experienced hearing loss before acquiring language and 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 92630?

CPT 92630 can be used to describe the auditory rehabilitation services provided by a healthcare professional to pediatric patients who have experienced hearing loss before acquiring language and speech. This code is used when the provider uses various techniques to teach the patient, usually a child, how to hear and understand speech using hearing aids or cochlear implants.

2. Official Description

The official description of CPT code 92630 is: ‘Auditory rehabilitation; prelingual hearing loss.’

3. Procedure

1. The healthcare professional assesses the patient’s hearing impairment and determines the need for auditory rehabilitation.
2. The provider uses a variety of techniques to teach the patient, usually a child, how to hear and understand speech.
3. The provider starts by teaching the identification and characteristics of two sounds and progresses to more complex skills of identifying distinct speech sounds and recognizing speech.
4. The techniques used by the provider are intended to help the patient eventually understand speech.

4. Qualifying circumstances

Patients eligible to receive CPT 92630 services are primarily pediatric patients who have experienced hearing loss before acquiring language and speech. The cause of the hearing loss can be trauma, disease, or genetic reasons. The provider must use various techniques to teach the patient how to hear and understand speech, usually through the use of hearing aids or cochlear implants.

5. When to use CPT code 92630

CPT code 92630 should be used when a healthcare professional provides auditory rehabilitation services to pediatric patients who have experienced hearing loss before acquiring language and speech. This code is specifically for patients who are learning to hear and understand speech through the use of hearing aids or cochlear implants.

6. Documentation requirements

To support a claim for CPT 92630, the healthcare professional must document the following information:

• Patient’s diagnosis of prelingual hearing loss
• Specific techniques and methods used for auditory rehabilitation
• Date and duration of each session
• Progress made by the patient
• Signature of the healthcare professional providing the service

7. Billing guidelines

When billing for CPT 92630, ensure that the services are provided to pediatric patients who have experienced hearing loss before acquiring language and speech. Use the appropriate CPT code based on the patient’s age and the techniques used for auditory rehabilitation. Report CPT code 92630 separately and do not report it with other codes unless appropriate.

8. Historical information

CPT 92630 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. A speech-language pathologist providing auditory rehabilitation services to a 4-year-old child with prelingual hearing loss, using various techniques to teach the child how to hear and understand speech.
2. An audiologist conducting auditory rehabilitation sessions for a 6-year-old child with prelingual hearing loss, using hearing aids to help the child develop speech and language skills.
3. A pediatrician referring a 2-year-old child with prelingual hearing loss to an auditory rehabilitation specialist for intervention and therapy to improve the child’s hearing and speech abilities.
4. An otolaryngologist working with a 10-year-old child with prelingual hearing loss, providing auditory rehabilitation services to help the child develop listening and communication skills.
5. A pediatric nurse assisting a 5-year-old child with prelingual hearing loss in using cochlear implants and providing auditory rehabilitation to help the child learn to hear and understand speech.
6. A hearing aid specialist working with a 7-year-old child with prelingual hearing loss, fitting and adjusting hearing aids to improve the child’s ability to hear and communicate.
7. A pediatric audiologist conducting auditory rehabilitation sessions for a 3-year-old child with prelingual hearing loss, using play-based activities to help the child develop listening and language skills.
8. A speech therapist providing auditory rehabilitation services to a 9-year-old child with prelingual hearing loss, using speech and language exercises to improve the child’s communication abilities.
9. An otolaryngologist working with a 12-year-old child with prelingual hearing loss, providing auditory rehabilitation services to help the child develop speech and language skills.
10. A pediatric nurse assisting a 8-year-old child with prelingual hearing loss in using assistive listening devices and providing auditory rehabilitation to improve the child’s ability to hear and understand speech.