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2025 CPT code 92590

Hearing aid examination and selection; monaural

This code is for monaural (one ear) hearing aid selection. For binaural (both ears) use 92591. Modifier 52 should not be used with this code as it is inherently unilateral.

Modifiers may be applicable in specific circumstances, such as if only a portion of the service is provided.Check specific payer guidelines.

Medical necessity for this procedure is established by the presence of documented hearing loss in one ear that impacts the patient's communication abilities and quality of life.

The audiologist is responsible for conducting the hearing assessment, selecting the appropriate hearing aid, and providing patient education on the use and care of the device.

IMPORTANT:V5010 (Assessment for hearing aid) may be used by some payers.

In simple words: This service covers the process of checking your hearing in one ear and choosing the right hearing aid for you. It includes figuring out what kind of hearing aid you need and teaching you how to use it.

This code represents the examination and selection of a hearing aid for one ear. It includes assessing the patient's hearing needs, determining the appropriate type of hearing aid, and counseling the patient on its use and care.

Example 1: A 65-year-old patient experiencing hearing loss in their left ear undergoes an evaluation to determine candidacy for a hearing aid. The audiologist performs testing, discusses different hearing aid options, and selects a device based on the patient's needs and preferences., A 40-year-old patient with single-sided hearing loss seeks a hearing aid evaluation. The audiologist conducts a comprehensive assessment and recommends a CROS hearing aid system., A child with unilateral hearing loss requires a hearing aid fitting. A pediatric audiologist evaluates the child's hearing and selects a hearing aid suitable for their age and specific needs.

Documentation should include the audiogram, medical history relevant to the hearing loss, the rationale for selecting the chosen hearing aid, and patient counseling information.

** For Medicare patients, a physician referral is generally required for coverage of diagnostic audiological testing that leads to hearing aid fitting.Refer to iFrameAI for additional details, resources, and latest updates on this code.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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