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BETA v.3.0

2025 CPT code 92595

Electroacoustic evaluation for hearing aid; binaural.

Modifier 52 may be used if the test is performed on only one hearing aid.

Modifier 52 (Reduced Services) can be used if the evaluation is performed on only one ear.

Medical necessity is established when there is a documented need to assess the performance of a patient's hearing aids. This can be due to patient complaints, routine follow-up, or as part of the initial fitting process.

The audiologist or hearing instrument specialist performs the evaluation using specialized electroacoustic equipment. They interpret the results and make recommendations regarding adjustments, repairs, or replacements of the hearing aids as needed.

IMPORTANT:Use 92594 for the electroacoustic evaluation of a single hearing aid (monaural).

In simple words: This procedure checks how well both your hearing aids are working compared to how they should be. The doctor uses a special computer to measure different aspects of the hearing aids, like how loud they are, the range of sounds they can pick up, and how much background noise they make. This helps make sure your hearing aids are working properly and helping you hear your best.

This code represents a binaural electroacoustic evaluation of hearing aids. The procedure involves using calibrated equipment to assess the performance characteristics of two hearing aids, one for each ear.It includes measurements of gain, output, frequency response, and input noise, among other parameters.The evaluation helps determine if the hearing aids are functioning according to their specifications and meeting the patient's needs.

Example 1: A patient reports that their hearing aids are not working as well as they used to. The audiologist performs a binaural electroacoustic evaluation to assess the devices' performance., During a routine follow-up appointment, the audiologist performs a binaural electroacoustic evaluation to check the hearing aids’ functionality and ensure they are still meeting the patient's needs., A patient with new hearing aids returns for a check-up. The audiologist performs a binaural electroacoustic evaluation to verify the hearing aids' performance and make any necessary adjustments.

Documentation should include the patient's report of hearing aid performance, the results of the electroacoustic evaluation, including specific measurements, and any recommendations made based on the findings.

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