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The CPT® Code 92594 refers to an electroacoustic evaluation specifically for a hearing aid used in one ear, known as a monaural evaluation. This procedure is typically performed during a follow-up visit where the audiologist assesses the performance and functionality of the hearing aid. The process involves downloading the data stored within the hearing aid, which contains valuable information regarding its usage. The audiologist conducts a computerized analysis that evaluates various metrics, including the average daily usage hours of the hearing aid and the surrounding noise environment experienced by the patient, which can range from quieter to louder than average settings. This detailed analysis allows the audiologist to understand how the hearing aid is performing in real-world conditions and to identify any necessary adjustments. Based on the findings from this evaluation, programming changes may be implemented to optimize the hearing aid's performance for the patient's specific auditory needs. It is important to note that for evaluations involving both ears, the appropriate code to use is 92595, which indicates a binaural electroacoustic evaluation.
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The electroacoustic evaluation for hearing aids, coded as CPT® 92594, is indicated for patients who require follow-up assessments of their hearing aids to ensure optimal performance. This procedure is typically performed when there is a need to evaluate the effectiveness of the hearing aid in various listening environments. The following conditions may warrant this evaluation:
The procedure for conducting an electroacoustic evaluation for a hearing aid involves several key steps that ensure a comprehensive assessment of the device's functionality. The following steps outline the process:
After the electroacoustic evaluation is completed, the audiologist will typically provide the patient with feedback regarding the performance of their hearing aid and any adjustments made. Patients may be advised on how to maximize the use of their hearing aids based on the evaluation results. Follow-up appointments may be scheduled to monitor the effectiveness of the adjustments and to ensure continued satisfaction with the hearing aid's performance. Additionally, patients are encouraged to report any issues or concerns they may experience with their hearing aids during their daily use.
| Short Descr | ELECTRO HEARNG AID TEST ONE | Medium Descr | ELECTROACOUS EVAL HEARING AID MONAURAL | Long Descr | Electroacoustic evaluation for hearing aid; 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 |
| 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. | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | 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 | 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 | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GA | Waiver of liability statement issued as required by payer policy, individual case | GF | Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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