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The CPT® Code 92590 refers to the process of hearing aid examination and selection for one ear, known as monaural fitting. This procedure encompasses a comprehensive evaluation of the patient's hearing needs and preferences regarding hearing aids. During this examination, the audiologist presents various hearing aid options to the patient, discussing the advantages and disadvantages of each type, as well as the associated costs. This dialogue is crucial as it allows the patient to make an informed decision based on their specific hearing requirements and financial considerations. If the patient opts for an internal hearing aid, the audiologist will create an ear mold to ensure a custom fit for optimal performance. Following the selection, an order for the hearing aid is placed, and upon receipt, the device is typically preprogrammed according to the patient's hearing prescription. The audiologist then verifies the programming to ensure it aligns with the patient's needs. The initial fitting involves taking specialized ear measurements to confirm that the hearing aid's gain and output are appropriately adjusted to amplify speech within the patient's dynamic hearing range. This is further validated through sound field testing, which assesses the patient's ability to hear soft sounds and recognize speech in both quiet and noisy environments. Throughout this process, the audiologist also gathers feedback from the patient regarding the sound quality and comfort of the hearing aid, making any necessary adjustments to enhance the user's experience. It is important to note that codes 92590 and 92591 are reported only once for the selection and fitting of a new hearing aid, with 92590 specifically designated for monaural fitting.
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The procedure associated with CPT® Code 92590 is indicated for patients who require a hearing aid examination and selection for one ear. This may include individuals experiencing hearing loss or difficulties in auditory perception that necessitate the use of a hearing aid to improve their hearing capabilities. The examination is essential for determining the most suitable hearing aid options based on the patient's specific hearing profile and personal preferences.
The procedure for CPT® Code 92590 involves several key steps that ensure a thorough examination and selection of a hearing aid for one ear. Initially, the audiologist conducts a comprehensive assessment of the patient's hearing capabilities, which may include audiometric testing to determine the degree and type of hearing loss. Following this assessment, the audiologist presents a range of hearing aid options tailored to the patient's specific needs. Each option is discussed in detail, highlighting the pros and cons, as well as the cost differences, allowing the patient to make an informed choice.
After the procedure associated with CPT® Code 92590, the patient is expected to return for follow-up appointments to ensure the hearing aid is functioning optimally. During these visits, the audiologist will continue to assess the patient's satisfaction with the hearing aid, making any further adjustments to enhance comfort and performance. It is crucial for the patient to communicate any issues or concerns regarding the hearing aid, as this feedback is essential for achieving the best possible auditory experience. The audiologist may also provide guidance on the care and maintenance of the hearing aid to ensure its longevity and effectiveness.
| Short Descr | HEARING AID XM&SLCTN MONAURL | Medium Descr | HEARING AID EXAMINATION & SELECTION MONAURAL | Long Descr | Hearing aid examination and selection; monaural | Status Code | Non-Covered Service | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | K - Hearing Items and Services | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 0 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | LT | Left side (used to identify procedures performed on the left side of the body) | GA | Waiver of liability statement issued as required by payer policy, individual case | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short Description changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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