Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 92595 refers to the procedure known as an electroacoustic evaluation for hearing aids, specifically when conducted for both ears, or binaurally. This evaluation is typically performed during a follow-up visit where the audiologist assesses the performance and functionality of the hearing aids. The process involves downloading the data stored within the hearing aids, which allows the audiologist to conduct a thorough electronic or computerized analysis. This analysis yields critical information regarding the usage patterns of the hearing aids, including the average daily usage in hours and the typical noise environment experienced by the patient, whether it is quieter or louder than average. Additionally, the evaluation considers various other factors that are influenced by the specific characteristics of the hearing aids being used. Based on the findings from this comprehensive analysis, the audiologist may implement necessary programming changes to optimize the performance of the hearing aids for the patient. It is important to note that for evaluations conducted on a single ear, the appropriate code to use is 92594, while 92595 is designated for evaluations involving both ears.
© Copyright 2026 Coding Ahead. All rights reserved.
The electroacoustic evaluation for hearing aids, coded as CPT® 92595, is indicated for patients who require ongoing assessment of their hearing aids' performance. This procedure is typically performed during follow-up visits to ensure that the hearing aids are functioning optimally and meeting the patient's auditory needs. The evaluation is particularly relevant for individuals who may be experiencing changes in their hearing or those who have recently adjusted their hearing aids. It is also indicated for patients who wish to understand their hearing aid usage patterns and the environmental factors affecting their hearing experience.
The procedure for conducting an electroacoustic evaluation for hearing aids involves several key steps that ensure a comprehensive assessment of the devices. First, the audiologist begins by connecting the hearing aids to a specialized computer system designed to download the stored data from the devices. This data includes information on usage patterns, such as the average number of hours the hearing aids are worn each day. Next, the audiologist conducts an electronic analysis of the downloaded information, which provides insights into the patient's noise environment, categorizing it as either quieter or louder than average. This analysis is crucial as it helps the audiologist understand how the hearing aids are performing in various sound settings. Following the analysis, the audiologist reviews the findings and may determine that programming changes are necessary to enhance the hearing aids' performance based on the specific needs of the patient. These adjustments are made to ensure that the hearing aids provide optimal auditory support tailored to the patient's lifestyle and hearing requirements.
After the electroacoustic evaluation is completed, the audiologist will typically provide the patient with feedback regarding the performance of their hearing aids and any adjustments made during the session. Patients may be advised on how to monitor their hearing aid usage and the importance of regular follow-up evaluations to ensure continued optimal performance. Additionally, the audiologist may schedule future appointments to reassess the hearing aids and make further adjustments as needed, depending on the patient's evolving auditory needs and any changes in their hearing environment.
| Short Descr | ELECTRO HEARNG AID TST BOTH | Medium Descr | ELECTROACOUS EVAL HEARING AID BINAURAL | Long Descr | Electroacoustic evaluation for hearing aid; binaural | 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 |
| GA | Waiver of liability statement issued as required by payer policy, individual case | 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 | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | 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 | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.