Procedure Focus: Use These 6 Tips to Code Hearing Tests Successfully

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

Article Overview

This article is a practical coding overview for audiology and ENT-related hearing test services. It explains broad distinctions among screening, threshold, speech, tympanometry, reflex, and automated audiometry testing, and it highlights related Medicare and NCCI guidance. It is intended for coders, audiologists, and billing staff who need to understand which categories of hearing test services are discussed and how the topic fits into broader CPT reporting practices.

Why This Topic Matters

Hearing test claims can involve multiple related service types, combined procedures, and payer-specific reporting considerations. Understanding the scope of the article helps billing and coding teams identify whether it addresses the audiology services and compliance topics relevant to their workflow.

Article Sections

  1. Introduction and overview

    The opening section frames the topic as a refresher for audiology coding and outlines the general focus of the article.

  2. Basic hearing tests versus audiologic function testing

    This section discusses how basic hearing evaluation concepts are distinguished from audiologic testing in the context of ENT and E/M services.

  3. Distinguishing 92551 from 92552

    This section compares two common pure tone hearing test categories and explains the broad testing differences between them.

  4. When to report audiometry with 92553

    This section covers audiometry methodology and includes Medicare-related discussion about reporting structure and provider roles.

  5. When to use a combination code

    This section explains how bundled or comprehensive hearing test coding is addressed when multiple audiology services occur in the same encounter.

  6. Automated Category III audiometry codes

    This section focuses on automated audiometry and discusses the Category III code family referenced for those services.

  7. Modifier 52 for unilateral services

    This section addresses bilateral testing concepts and the payer guidance referenced for services performed on one side only.

What You Will Learn

  • How the article frames common audiology testing categories
  • How the article distinguishes screening, threshold, speech, and combined hearing test services
  • What general payer and Medicare topics are associated with audiology diagnostic testing
  • What the article says about automated audiometry as a separate coding topic
  • What the article covers regarding unilateral service reporting considerations

Who Should Read This

  • Medical coders
  • Audiologists
  • ENT billing staff
  • Practice managers
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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