AMA CPT® Assistant - 2014 Issue 7 (July)
Coding Brief: Evaluation of Auditory Rehabilitation Status (92626) (July 2014)
July 2014 page 4 Coding Brief: Evaluation of Auditory Rehabilitation Status (92626) Background CPT code 92626, Evaluation of auditory rehabilitation status; first hour, appears in the Special Otorhinolaryngologic Services subsection of the CPT code set. Code 92626 was added in 2006 to describe the assessment of a patient's auditory rehabilitation status. The assessment is designed to measure the effectiveness of residual hearing with hearing aids or cochlear implants, which includes a series of speech-perception and communication-outcome measures. In 2013, the code was flagged by the AMA resource-based relative value scale (RBRVS) Update Committee (RUC's) Relativity Assessment Workgroup (RAW) due...
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Article Overview
This coding brief reviews CPT guidance for evaluation of auditory rehabilitation status and clarifies the general purpose, timing, and clinical context of the service. It is aimed at coders and clinicians working with audiology, otolaryngology, hearing aids, osseo-integrated implants, middle-ear implants, and cochlear implants. The article also discusses why the code drew attention in utilization review and identifies related services that fall outside this description.
Why This Topic Matters
Auditory rehabilitation evaluations are closely tied to hearing-device care, and correct reporting depends on recognizing the service scope, time basis, and related procedures addressed in the article. The brief helps reduce confusion between similar hearing and implant-related assessments.
Article Sections
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Background
Introduces the CPT service category, the general purpose of the evaluation, and the organizational review that prompted the clarification. It also places the topic within hearing-device and implant-related care.
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Clarification of Coding Guidelines
Summarizes the article’s discussion of when the service is intended to be reported and how the time-based structure is framed. It also notes the broader evaluation context and follow-on monitoring use.
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Clinical Example
Presents a patient scenario illustrating the type of hearing-device follow-up context addressed by the brief. The example supports understanding of the service setting without replacing the full guidance.
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Description of the Procedure
Describes the general components of the evaluation and the categories of speech-perception measures involved. It also notes that test selection may vary by age.
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Unintended Code Usage
Identifies related hearing and implant services that are discussed as distinct from this evaluation topic. The section focuses on avoiding confusion with adjacent audiology procedures.
What You Will Learn
- The general scope of auditory rehabilitation status evaluation
- How the article frames the service in relation to hearing devices and implants
- The timing-based nature of the evaluation
- The kinds of speech-perception and communication measures discussed
- Which related audiology and implant services are considered separate topics
Who Should Read This
- Medical coders
- Audiology billing staff
- Otolaryngology practices
- Compliance and reimbursement staff
- Clinicians involved in hearing rehabilitation
Codes Discussed
Code Ranges Discussed
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