Coding Challenges: Special Otorhinolaryngologic Services (92523 vs 96125) (April 2024)

April 2024 page 24 Coding Challenges: Special Otorhinolaryngologic Services (92523 vs 96125) In otorhinolaryngology, auditory processing disorders are characterized by inefficient communication between the ears and the brain resulting in an inability to process the information heard. Special otorhinolaryngologic service codes 92521-92524 are used to report diagnostic services that are not included in an evaluation and management service and that are predominantly performed by speech-language pathologists (SLPs). Because most of the population with auditory processing disorders are children, proper diagnosis is extremely important and allows physicians or other qualified health care professionals (such as an SLP) to distinguish between...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This April 2024 CPT Assistant article reviews coding guidance for special otorhinolaryngologic services and the distinction between speech-language evaluation and standardized cognitive performance testing. It is useful for speech-language pathologists, otorhinolaryngology practices, and coding professionals who need to understand how the article frames the scope, documentation themes, time-based reporting, and related clinical examples.

Why This Topic Matters

The article helps readers understand where the two service categories overlap and where they differ, which can affect accurate documentation review and code selection in clinical settings.

Article Sections

  1. April 2024 page 24

    Introductory publication information for the article.

  2. Coding Challenges: Special Otorhinolaryngologic Services (92523 vs 96125)

    Overview of the article topic, including the broader coding challenge and the service categories being compared.

  3. Special Otorhinolaryngologic Services

    Summary of the special otorhinolaryngologic service category and the related CPT framework discussed in the article.

  4. Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing)

    Context for the cognitive and speech-related assessment category that includes the code discussed later in the article.

  5. Reporting Code 92523

    Discussion of the article’s guidance on reporting considerations and documentation themes for the speech and language evaluation category.

  6. Reporting Code 96125

    Discussion of the article’s guidance on reporting considerations and documentation themes for standardized cognitive performance testing.

  7. Clinical Example (92523)

    Illustrative scenario and procedure overview associated with the speech and language evaluation topic.

  8. Clinical Example (96125)

    Illustrative scenario and procedure overview associated with the standardized cognitive performance testing topic.

What You Will Learn

  • The general purpose of the special otorhinolaryngologic services discussed in the article
  • How the article frames the distinction between speech-language evaluation and standardized cognitive performance testing
  • The documentation themes the article emphasizes for each service category
  • How the article presents time-based reporting concepts in the cognitive testing context
  • The kinds of clinical scenarios used to illustrate the reporting topics

Who Should Read This

  • Medical coders
  • CPT code users
  • Speech-language pathologists
  • Otorhinolaryngology clinicians
  • Revenue cycle and compliance staff

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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