2025 CPT code 92582
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Audiometry Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures Feed
Conditioned play audiometry (CPA) is a hearing test for children aged 2-5 years, using play activities to assess hearing thresholds.
Modifier 52 (reduced services) may be appended if testing is performed on only one ear instead of both.
Medical necessity for CPA is established when a child's age or developmental level prevents the use of conventional audiometry.The test is medically necessary to screen for hearing loss, diagnose the type and degree of hearing impairment, and guide appropriate intervention.
The audiologist is responsible for administering the test, interpreting the results, and documenting findings.This may involve collaboration with other healthcare professionals such as pediatricians or otolaryngologists.
- Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures
- Special Otorhinolaryngologic Services and Procedures
In simple words: This hearing test is a fun game for young children (ages 2-5).The child plays while the audiologist checks their hearing by having them respond to sounds with actions like putting blocks in a bucket. This helps determine if the child has any hearing problems.
Conditioned play audiometry (CPA) is a behavioral hearing test designed for children aged 2 to 5 years.It assesses hearing thresholds by associating auditory stimuli with a playful activity, such as dropping blocks into a bucket or placing pegs in a board. The audiologist presents sounds at various frequencies and intensities, and the child's response (performing the activity) indicates their ability to detect and discriminate these sounds. This method overcomes the limitations of traditional audiometry, which requires verbal or manual responses, in young children who lack the necessary cognitive or motor skills.The test results help determine the type and severity of any hearing loss.
Example 1: A 3-year-old child presents with suspected hearing loss.The audiologist performs CPA using a block-in-bucket game to assess hearing thresholds at various frequencies and intensities.Results show mild bilateral sensorineural hearing loss., A 4-year-old child is screened for hearing loss as part of a well-child visit. CPA, using a pegboard game, reveals normal hearing., A 2-year-old child with developmental delays undergoes CPA with modified activities (e.g., simpler toys) to assess hearing ability. The test shows significant hearing loss, requiring further intervention.
Detailed documentation should include the child's age, developmental stage, test type (CPA), specific activities used, frequencies and intensities tested, responses observed, resulting audiogram, interpretation of results, and any relevant clinical observations.
** CPA should be administered by qualified audiologists with experience in pediatric hearing testing.Accurate interpretation of results requires expertise in pediatric audiology and developmental considerations.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: Information not available in source.RVUs vary based on geographic location and payer.
- Global Days: Not applicable. This is a diagnostic test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Modifier 26 (professional component) should not be appended, as 92582 represents the technical component only.
- Fee Schedule: Information not available in source.Refer to historical fee schedules for relevant data.
- Specialties:Audiology, Otolaryngology, Pediatrics
- Place of Service:Office, Hospital Outpatient Department