2025 CPT code 92625
(Active) Effective Date: N/A Revision Date: N/A Evaluation - Evaluative and Therapeutic Otorhinolaryngologic Services Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures Feed
Assessment of tinnitus, including pitch and loudness matching, and masking.
Modifier 52 (reduced services) can be appended for unilateral assessment. Modifier -22 may be used to indicate that the service required more than usual time and effort.
Medical necessity for a tinnitus assessment is established when a patient presents with subjective auditory complaints suggestive of tinnitus.The assessment is essential for characterizing the tinnitus, guiding potential management strategies, and monitoring changes over time.
The audiologist or otolaryngologist performs a comprehensive evaluation of the patient's tinnitus, including pitch and loudness matching, and masking, to determine the characteristics of the tinnitus.
- Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures
- Special Otorhinolaryngologic Services and Procedures
In simple words: The doctor checks for tinnitus (ringing or other sounds in the ears) by comparing the patient's perception to different tones and sounds to figure out how loud and what pitch the tinnitus is.
This CPT code encompasses a comprehensive assessment of tinnitus, a subjective phantom auditory perception experienced as ringing, roaring, or other sounds. The evaluation involves determining both the pitch and loudness of the perceived tinnitus.Pitch matching involves identifying the external frequency that most closely resembles the patient's tinnitus. Loudness matching, or intensity testing, assesses the perceived loudness of the tinnitus relative to external tones. Masking techniques may be used to isolate the tinnitus perception from other auditory stimuli. The assessment is typically performed bilaterally, but can be done unilaterally with modifier 52 if appropriate.
Example 1: A 50-year-old male patient presents with complaints of constant ringing in his right ear. The provider performs a complete tinnitus assessment (92625) including pitch and loudness matching, using various frequencies and intensities of sound to determine the characteristics of the tinnitus., A 70-year-old female patient reports intermittent buzzing in both ears, especially at night.A complete bilateral tinnitus assessment (92625) is conducted to identify the pitch and loudness of the tinnitus in each ear., A 35-year-old patient reports a high-pitched ringing in their left ear following exposure to loud noise.The provider performs a unilateral tinnitus assessment (92625-52) focusing on the left ear, using appropriate masking to isolate the tinnitus sound from other environmental noise.
Detailed documentation should include the patient's subjective description of the tinnitus, including the type of sound, onset, duration, and any associated factors.The provider's findings from pitch and loudness matching, including the specific frequencies and intensities used, should be meticulously documented.Any masking techniques employed should also be noted.
** Tinnitus is a symptom, not a disease.The assessment helps to characterize the tinnitus to guide appropriate management.The code may be used for both initial and subsequent evaluations.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: Information not available in source.Refer to CMS for current RVU values and reimbursement rates.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Information not available in source.Historical fee schedules may vary by payer and location. Consult payer-specific fee schedules for relevant data.
- Specialties:Audiology, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Clinic