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2025 CPT code 92557

Comprehensive audiometry threshold evaluation, including air and bone conduction testing and speech audiometry.

Adhere to CPT guidelines for audiometric testing, ensuring use of calibrated equipment, accurate recording, and interpretation of the results. Modifier 52 should be appended if the test is performed on only one ear.

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.

IMPORTANT:For evaluation of speech, language, and/or hearing problems through observation and assessment of performance, see 92521, 92522, 92523, 92524.For laryngoscopy with stroboscopy, use 31579.

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.

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