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Select picture audiometry, identified by CPT® Code 92583, is a specialized hearing test designed primarily for younger children to assess their auditory capabilities. This procedure utilizes a picture board that features images of familiar objects, such as an airplane, hotdog, cupcake, and sailboat, which are easily recognizable to children. Each of these images corresponds to spondees, which are two-syllable words pronounced with equal stress on both syllables, facilitating the assessment of the child's hearing ability. During the test, the child is equipped with earphones and is instructed to touch or point to the pictures as they hear them. The testing begins at a decibel level of 50 dB, and the clinician poses questions like 'Can you point to the airplane?' or 'Where is the cupcake?' to guide the child. The decibel level is systematically reduced in increments of 5 dB until the child can no longer hear the sounds or follow the instructions. The clinician meticulously records the child's responses on a picture graph, which visually represents the child's hearing ability and their capacity to correctly identify the objects at varying decibel levels. Following the completion of the test, a comprehensive written report detailing the findings is generated, providing valuable insights into the child's hearing status.
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The select picture audiometry procedure is indicated for use in younger children who may be at risk for hearing disorders. This screening is particularly beneficial for assessing hearing in children who may not be able to communicate their hearing difficulties verbally. The following conditions or situations may warrant the use of this procedure:
The select picture audiometry procedure involves several key steps to effectively assess a child's hearing ability. The following outlines the procedural steps:
After the select picture audiometry procedure, the clinician reviews the results with the child's caregivers, discussing the findings and any necessary follow-up actions. If the results indicate potential hearing loss or other concerns, referrals to audiologists or specialists may be recommended for further assessment and intervention. The child may also be advised on any additional screenings or evaluations that may be beneficial. Overall, the procedure is designed to provide a clear understanding of the child's hearing abilities and to ensure appropriate steps are taken to address any identified issues.
| Short Descr | SELECT PICTURE AUDIOMETRY | Medium Descr | SELECT PICTURE AUDIOMETRY | Long Descr | Select picture audiometry | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 3 - Technical Component Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 02 - Procedure must be performed under the direct supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | K - Hearing Items and Services | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | AB | Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy |
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| Pre-1990 | Added | Code added. |
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