Clinical Context
A typical patient is an adult experiencing hearing difficulty, trouble understanding conversations in noisy environments, or who reports progressive sensorineural hearing loss. The patient is referred to an audiology or otology clinic after a primary care visit or self-referral. At the visit, the provider (audiologist or otolaryngologist) reviews prior audiometric test results or performs updated pure-tone and speech audiometry, tympanometry, and speech-in-noise testing as needed. The clinician assesses ear health, discusses amplification goals, evaluates candidacy for amplification in one or both ears, and provides counseling on hearing aid types, benefits, limitations, realistic expectations, and use‑and‑care considerations. The documented service includes a focused review of diagnostic data, determination of whether hearing aids are appropriate, recommendations for device features, and counseling; 92628 represents the first 30 minutes of this evaluation. Typical site of service is an outpatient audiology clinic, otolaryngology office, or hearing center. The workflow may include scheduling device fitting and verification visits if the patient elects amplification, obtaining prior authorization if required by payer, and coordinating with dispensing services or vendors for procurement and follow-up aural rehabilitation as indicated.
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|
92557 | Comprehensive audiometry threshold evaluation and speech recognition (pure tone and speech audiometry) | Often performed immediately before 92628 to document hearing thresholds and speech recognition that inform candidacy |
92567 | Tympanometry and reflex threshold measurements | Used to evaluate middle ear function prior to candidacy determination; may be performed at the same visit
92590 | Hearing aid check | Performed after hearing aid fitting/verifications; follows candidacy and fitting workflow for ongoing device management
92626 | Evaluation of auditory rehabilitation status, with aural rehabilitation management, first 30 minutes | May be performed in conjunction with or following candidacy evaluation when counseling includes rehabilitation planning
92700 | Unlisted otorhinolaryngological service or procedure | Occasionally used when unique device- or vendor-specific services are required that lack a dedicated CPT code