92588 cpt code description. If only one ear is tested, the appropriate CPT® code should be reported with modifier 52 (Reduced Services). How To Use CPT Code 92588 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. The guidance below includes a review of both diagnosis and procedure coding. The American Academy of Audiology, the Academy of Doctors of Audiology and the American Speech-Language-Hearing Association offer the following Frequently Asked Questions resource to assist members with practice and billing questions for the new otoacoustic emissions screening code, CPT code 92558, as well as the new code descriptors for CPT codes 92587 and 92588. Where appropriate, there are also Pre- and Post-service descriptions. 300-400 new Jul 12, 2019 · “Audiologic function testing (CPT® codes 92550-92588) includes testing of both ears, and only 1 unit of service for any of these CPT® codes may be reported for the described testing on both ears. However, Medicaid and private payers may elect to include, omit, or further define codes for billing CPT code 92588, Comprehensive diagnostic evaluation (cochlear mapping, minimum of 12 frequencies), with report, is a more extensive OAE test that involves at least 12 frequencies in the right ear and 12 in the left and the interpretation of the test and the report in the patient’s record. As a reminder, under the description for 92557—Comprehensive audiometry, threshold evaluation, and speech recognition—all four components (air- and bone-conduction pure-tone testing, speech-recognition threshold, and suprathreshold word Jul 24, 2025 · CPT code 92550 is used for tympanometry and reflex threshold testing. For CPT codes 92587 and 92588, can a technician perform the test and an audiologist do the interpretation and report? The professional component of the services represented by CPT codes 92537, 92538, 92541, 92542, 92544, 92545, 92546, 92587, 92588, 92651, 92652, and 92653 may be reported for services performed in inpatient, outpatient, nursing facilities (when Part A benefits have been exhausted), rehabilitation facilities, hearing and speech centers The Current Procedural Terminology (CPT ®) code 92588 as maintained by American Medical Association, is a medical procedural code under the range - Audiologic Function Tests. Procedure code guidance is based on the American Medical Association’s Current Procedural Terminology (CPT ®) coding definitions. Reimbursement Guidelines UnitedHealthcare Community Plan reimburses for the audiologic/vestibular function testing CPT codes in the table below when one of the International Classification of Diseases, 10th Revision (ICD-10) diagnosis codes are listed on a claim denoting a problem associated with either balance or hearing. Jul 1, 2025 · The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Treatment X4100 (Initial 30 min) X4112 (Add’l 15 min) Commercial Ins authorize 97165, 97166, 97167, level of complexity cannot be predeter-mined. Inclusion or exclusion of a procedure, diagnosis or device code (s) does not constitute or imply member coverage or provider reimbursement policy. It is recommended that CPT code 92588 is used for limited distortion product evoked otoacoustic emissions testing, a diagnostic procedure that assesses the emission of sounds from the inner ear using distortion product stimuli. Use this page to view details for the Local Coverage Article for Billing and Coding: Vestibular and Audiologic Function Studies. The CPT code 92588 is reimbursed by Medicare, but its reimbursement is subject to specific conditions and guidelines outlined in the Medicare Physician Fee Schedule (MPFS). 92537 Caloric The Current Procedural Terminology (CPT ®) code 92558 as maintained by American Medical Association, is a medical procedural code under the range - Audiologic Function Tests. Both are essential audiologic function tests for assessing middle ear diseases. The Current Procedural Terminology (CPT ®) code 92587 as maintained by American Medical Association, is a medical procedural code under the range - Audiologic Function Tests. ” Does that mean I need to perform 12 frequencies in total or 12 frequencies per ear? The code requires a minimum of 12 frequencies to be completed for each ear. Nov 9, 2023 · Audiology Services Procedure Codes Revised: November 9, 2023 Note: Each modality equals one treatment session. Healthcare providers use this code for accurate documentation and billing for limited Billing for pediatric audiology services can be unclear and vary from payer to payer. Can this be considered as the minimum of 12 frequencies for CPT code 92588? While it is important to prove reliability, this scenario does not constitute the minimum of 12 frequencies for the utilization of CPT code 92588, since it is six frequencies that have been repeated. If Insurance only allows one code, use 97167 (Highest Level of Complexity) Dec 1, 2023 · Q: What code (s) should physicians report for the interpretation component of auditory brainstem response (ABR), vestibular testing, and Otoacoustic Emissions (OAE) services? A: The following CPT codes for ABR, vestibular testing, and OAE services have separately defined technical (TC) and professional (26) components according to the AMA’s Current Procedural Terminology. This test is valuable for evaluating cochlear function and is commonly used in hearing assessments. All codes presented in this section assume binaural procedures; if only one ear is tested, usage of the -52 Reduced Services modifier is recommended. CPT code 92587 requires 3–6 distinct frequencies, interpretation, and a statement of the presence or absence of hearing loss and the frequencies affected. ” Common Language Description The CPT® Code 92588 refers to a comprehensive diagnostic evaluation of distortion product evoked otoacoustic emissions (DPEOAEs). Ensure you're working with the most up-to-date version of CPT Code 92588 by opening it in our free code lookup tool. Only one code will be billed. Code 92588 requires 12 discrete frequencies. Q: For CPT code 92588 (comprehensive evaluation), the new descriptor says a “minimum of 12 frequencies. The Academy and its collaborative partners developed a robust billing and coding FAQ for the audiology profession such as what is an ICD code. CPT codes 92587 and 92588 are used for diagnostic evaluations to confirm the presence or absence of hearing disorders. This procedure is designed to assess the function of the outer hair cells in the cochlea, which are critical for hearing. Here's another example, you wouldn't report unilateral mastoidectomy complete, modified radical, and radical. Jun 13, 2025 · CPT® Code 92588 in section: Distortion product evoked otoacoustic emissionsCPT® Vignettes illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Vignettes are reviewed annually and updated when necessary. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of CPT code 92558 should be used for screening. Otoacoustic emissions are low-intensity sounds produced by the cochlea in response to auditory stimuli, reflecting CPT Code 92588 CPT 92588 describes a comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies) of distortion product evoked otoacoustic emissions, with interpretation and report. Policy Definition Audiology is the study of hearing and hearing disorders and includes habilitation and rehabilitation for individuals who have hearing loss Provider Billing Guidelines and Documentation Coding Code Description Comments 92550–92588 Audiometric tests Bill once with a count of one 92597 Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech 92601 We would like to show you a description here but the site won’t allow us. Jun 27, 2010 · Code 92588 is part of the family and as it is in descending order, it is a more extensive code than the parent. Official description of CPT 92588: Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report. Sep 28, 2016 · Comprehensive otoacoustic emissions (CPT code 92588) is considered experimental and investigational for initial screening because there is a lack of evidence of the value of comprehensive testing over the limited otoacoustic emissions for this indication. Oct 1, 2015 · Attachment Otoacoustic Emissions Testing ICD-10 Diagnosis Policy List List of ICD-10 codes for which CPT codes 92558, 92587 and 92588 will be reimbursed on or after date of service October 1, 2015. CPT®Code 92588 Details Upcoming and Historical Information Change Type Change Date Previous Descriptor Code Changed 01-01-2012 Evoked otoacoustic emissions; comprehensive or diagnostic evaluation (comparison of transient and/or distortion product otoacoustic emissions at multiple levels and frequencies) Code Added 01-01-1995 -- Codify Created Date. 3dnt hco kcj29 orq0q hl kk 9m35tt8 rjd 1ru zuv