International Classification of Diseases (ICD-9) coding
380.01
Acute otitis media, unspecified
380.1
Otitis externa
381.1
Chronic serous OM
381.2
Chronic mucoid OM
381.81
Dysfunction of Eustachian Tube
382.01
Acute OM with spont. rupture of the ear drum
384.2
Perforation of the TM, unspec.
385
Tympanosclerosis, involving the TM only
385.23
Discontinuity of the Ossicles
385.32
Cholesteatoma of the ME
388.31
Tinnitus, subjective
388.42
Hyperacusis
388.43
Impaired Aud. Discrim.
388.6
Otorrhea, unspec.
388.7
Otalgia, unspec.
389
Conductive Hearing Loss Unspec.
389.01
Conductive Hearing Loss External ear
389.02
Conductive Hearing Loss Tympanic Mem.
389.03
Conductive Hearing Loss Middle ear
389.1
Sensorineural Hearing Loss Unspec.
389.11
Sensorineural Hearing Loss Sensory
389.12
Sensorineural Hearing Loss Neural
389.14
Sensorineural Hearing Loss Central
389.18
Sensorineural Hearing Loss Combined types
389.2
Mixed: Cond. and SNHL
744
Unspecified anomaly of the ear with impairment of hearing
744.01
Absence of external ear
744.02
Anomalies of external ear with impairment of hearing Atresia or stenosis
744.23
Microtia
794.15
Abnormal Auditory Function Studies
V72.1
exam of ears and hearing
XXXXX
There is no code for “normal hearing”
Current Procedural Terminology (CPT)
92510
Aural rehabilitation following cochlear implant (includes evaluation of aural
rehabilitation status and hearing, therapeutic services) with or without
speech processor programming
92551
Screening test, pure tone, air only
92552
Pure tone audiometry (threshold); air only
92553
Pure tone audiometry (threshold); air and bone
92555
Speech audiometry threshold
92556
Speech audiometry threshold; with speech recognition
92557
Comprehensive audiometry threshold evaluation and speech recognition
(92553 and 92556 combined)
92567
Tympanometry
92579
Visual reinforcement audiometry (VRA)
92582
Conditioning play audiometry
92583
Select picture audiometry
92585
92586
92587
92590
92591
92592
92593
92594
92596
92620
92621
92630
92700
99002
99499
Auditory evoked potentials for evoked response audiometry and/or testing of
the central nervous system; comprehensive
Auditory evoked potentials for evoked response audiometry and/or testing of
the central nervous system; limited
Evoked otoacoustic emissions; limited (single stimulus level, either transient
or distortion products)
Hearing aid examination and selection; monaural
Hearing aid examination and selection; binaural
Hearing aid check; monaural
Hearing aid check; binaural
Electroacoustic evaluation for hearing aid; monaural
Ear mold, binaural
Evaluation of central auditory function, with report; initial 60 minutes
Evaluation of central auditory function, with report; each additional 15
minutes
Auditory rehabilitation; pre-lingual hearing loss
Unlisted otorhinolaryngological service or procedure
Handling, conveyance, and/or any other service in connection with the
implementation of an order involving devices (eg, designing, fitting,
packaging, handling, delivery or mailing) when devices such as orthotics,
protectives, prosthetics are fabricated by an outside laboratory or shop but
which items have been designed, and are to be fitted and adjusted by the
attending physician
Unlisted evaluation and management service
Modifier Descriptors
-26 Professional Component
Certain procedures are a combination of a professional component and a technical
component. When the professional component is reported separately, add the modifier 26 to the usual procedure code. The professional provides the cognitive or professional
component (e.g., interpretation) of an auditory brainstem response: 92585-26
-TC Technical Component
When the technical component is reported separately, add the modifier -TC to the
procedure code. The technical component is billed using 92585-TC. Reporting 92585,
without the -26 or -TC modifiers, implies the entire service was provided by the billing
entity.
-52 Reduced Services
Under certain circumstances, a service or procedure is partially reduced or eliminated at
the provider's discretion. Add the modifier -52, signifying that the service is reduced.
This provides a means of reporting reduced services without disturbing the identification
of the basic service. The audiologist performs pure tone air and bone conduction testing
on one ear: 92553-52
-53 Discontinued Service
Under certain circumstances a procedure is stopped due to extenuating circumstances or
those that threaten the patient’s well being. Use of this modifier indicates that the
procedure was started but discontinued. A patient becomes ill during an ABR and is
unable to continue: 92585-53
From DoD Infant and Birth Registry
Newborn Early Hearing Detection and Intervention
Encounter Type
Newborn Hearing Screening
with no abnormalities
(Inpatient SIDR)
Newborn Hearing Screening
with abnormalities
performed in Newborn Nursery or
Neonatal ICU (Inpatient SIDR)
Newborn Hearing Screening
with no abnormalities
performed in Newborn Nursery or
Neonatal ICU (Inpatient rounds
SADR)
Newborn Hearing Screening
with no abnormalities
performed in Audiology Clinic ***
(Outpatient visit SADR)
Follow-up
with no abnormalities
Follow-up
with abnormalities
Intervention 1
Intervention 2
1st Follow-up to intervention



ICD-9-CM
Diagnosis
Codes
V72.1
CPT
E & M Codes
CPT Procedure Codes
N/A
N/A
V72.1 and
794.15* or
389.xx**
N/A
N/A
V72.1
99499 or 992xx*
92586 or 92587
V72.1
99499 or 992xx*
92586 or 92587
794.15
99499
92585 and 92588
389.xx*
99499
92585 and 92588
389.xx*
389.xx*
389.xx*
99499
99499
99499
92590,92591,92700
92590,92591,99002
92590,92591,92594 or
92595
Code to be used by non-professionals (e.g. technicians, nurse, volunteers).
** Indicates there are various 4th and/or 5th digits that my be assigned to indicate a specific condition or
encounter
*** Initial screening exam for patients who were not tested in the hospital prior to discharge from birth
episode.