2025 CPT code 92557
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Audiologic Function Tests Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures Feed
Comprehensive audiometry threshold evaluation, including air and bone conduction testing and speech audiometry.
Modifiers 52 (reduced services – one ear tested), 76 (repeat procedure by the same physician), and 51 (multiple procedures) may be applicable depending on the clinical scenario.
Medical necessity for 92557 is established by the presence of symptoms or findings suggesting hearing impairment (e.g., patient report of hearing difficulty, family history of hearing loss, abnormal findings on otoscopy). The physician's assessment and documentation supporting the need for the comprehensive audiometry should be included in the medical record.Referral from another provider (if applicable) should also be documented.
The audiologist or physician conducts the hearing tests, analyzes the results, and prepares a report with interpretation. The clinician should be proficient in administering and interpreting audiometric testing.
- Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures
- Special Otorhinolaryngologic Services and Procedures
In simple words: The doctor checks your hearing using different sounds to find the quietest sound you can hear. They also test how well you understand and repeat words.
This code reports a comprehensive audiometry threshold evaluation.The procedure involves assessing hearing thresholds via air and bone conduction using calibrated electronic equipment.Speech audiometry is also performed to measure the patient's ability to understand and repeat spoken words at varying intensities. Results are recorded and interpreted in a formal report.This is a detailed assessment of both air and bone conduction hearing, and speech discrimination abilities.
Example 1: A patient presents with progressive hearing loss. The physician orders a comprehensive audiometry threshold evaluation (92557) to determine the extent and type of hearing loss., A child is referred for a hearing evaluation due to delayed speech development. The audiologist performs a comprehensive audiometry threshold evaluation (92557) to assess their hearing and identify any potential hearing impairments., A patient with Meniere's disease undergoes serial audiometric testing with glycerol challenge (92557 x4, with modifier 76 or 51 added to subsequent codes). Each test is billed separately, reflecting the multiple evaluations performed over four hours.
Detailed documentation should include patient demographics, test date and time, equipment used (manufacturer and model), testing methods (air and bone conduction thresholds), speech audiometry results (speech reception threshold, word recognition scores), and the audiologist's interpretation of the findings.The report should include a detailed description of the audiometric findings and any associated recommendations.
** Always refer to the most current CPT manual for complete coding guidelines and any updates to this code. Payer-specific guidelines should also be consulted to ensure proper reimbursement.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: Information not available.Refer to current year's Medicare Physician Fee Schedule for RVU values and reimbursement rates.
- Global Days: The global period is not specified for this code.Consult payer specific guidelines.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code as it represents a professional service.
- Fee Schedule: Historical fee schedule information is not included in the provided data; consult relevant fee schedules and payer guidelines.
- Specialties:Audiology, Otolaryngology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center