CPT 92650: Automated Auditory Evoked Potential Screening

CPT code 92650 denotes an automated auditory evoked potential screening that measures electrical responses to sound using frequency-nonspecific stimuli and automated analysis. This screening is used to detect hearing function noninvasively and is relevant across pediatric and adult diagnostic pathways, particularly for newborn hearing screens, patients with suspected hearing loss, or those unable to complete behavioral audiometry. Nationally, the code matters because it standardizes reporting for a widely used objective hearing assessment and affects coverage, facility workflows, and quality metrics in audiology services.

Key payers in this coverage context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical intent and typical care settings, payer coverage considerations, common modifier usage (listed elsewhere), and benchmarks where available. The publication also summarizes coding context, typical sites of service, and administrative factors that influence billing and reimbursement for automated auditory evoked potential screening.

This piece is for a national audience and clarifies what 92650 represents, why it is used in clinical practice, and what operational and policy topics to watch related to coding, payer coverage, and service delivery for automated auditory evoked potential screening.

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Billing Code Overview

CPT code 92650 describes an automated screening procedure that measures a patient’s electrical auditory response to sound stimuli to detect hearing function. The screening uses frequency nonspecific stimuli and automated analysis to evaluate auditory evoked potentials.

Service type: Automated auditory brainstem/evoked potential screening using frequency-nonspecific stimuli
Typical site of service: Audiology clinic, hospital outpatient department, or other outpatient diagnostic facility where automated auditory evoked potential screening is performed

Data not available in the input.

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CPT 92650: Automated Auditory Evoked Potential Screening

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Billing Code Overview

Service type: Automated auditory brainstem/evoked potential screening using frequency-nonspecific stimuli
Typical site of service: Audiology clinic, hospital outpatient department, or other outpatient diagnostic facility where automated auditory evoked potential screening is performed

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is a newborn or pediatric patient referred for hearing screening after failed otoacoustic emissions or as part of universal newborn hearing screening, or an adult with high-risk factors for hearing loss (e.g., ototoxic medication exposure, craniofacial anomalies, or reported hearing difficulty) undergoing automated auditory brainstem response screening. The clinical workflow: the patient is placed in a quiet environment or natural sleep; surface electrodes are applied to the scalp and earlobes; earphones or insert earphones deliver frequency-nonspecific click or tone-burst stimuli; the automated system records electrical responses and performs computerized analysis to determine pass/fail screening results; results are documented in the medical record and communicated to the ordering clinician for follow-up audiology evaluation or diagnostic auditory brainstem response testing if the screen is a refer/fail. Typical sites of service include hospital newborn nurseries, outpatient audiology clinics, pediatric offices, and ambulatory surgical centers where screening is performed as a brief, automated procedure.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier information	Rarely used; typically not appended when no special circumstance applies
`11`	Professional component	Use when reporting only the professional interpretation portion if split billing applies
`26`	Professional component	Use for the professional portion of the service when the testing equipment/technical component is billed separately
`52`	Reduced services	Use when the procedure is partially reduced or not fully performed
`53`	Discontinued procedure	Use when the procedure is started but halted due to patient condition
`59`	Distinct procedural service	Use when another distinct service is performed on the same day and documentation supports separate reporting
`78`	Unplanned return to the operating/procedure room	Rare for this screening; use if screening repeated intra-procedurally under anesthesia
`82`	Assistant at surgery when a qualified resident is unavailable	Generally not applicable but used if an assistant is billed under specific circumstances
`AB`	Exempt from affiliation	Use for billing in specific payer networks that require provider affiliation codes
`QX`	Service performed by an assistant surgeon (requires modifier `AS` also when applicable)	Rarely applicable; included for completeness when assistant billing rules apply

Taxonomy Code	Specialty	Notes
261QM0800X	Audiologist	Primary specialty performing automated auditory brainstem response screening in outpatient and inpatient settings
2084P0800X	Otolaryngology (ENT)	Physicians frequently order and interpret screening results; ENT manages follow-up diagnostic testing and medical causes
207RG0100X	Pediatrics	Pediatricians order newborn and infant hearing screening and coordinate follow-up care
207V00000X	Neonatology	Neonatologists oversee newborn screening programs in the nursery and NICU
174400000X	Hospital-Based Audiology	Hospital-employed audiology services performing automated ABR screening in inpatient settings

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Sensorineural loss may prompt screening or diagnostic ABR when suspected in infants or adults
`H90.5`	Unspecified sensorineural hearing loss, bilateral	Used when clinical evaluation indicates sensorineural impairment requiring objective screening
`H90.8`	Mixed conductive and sensorineural hearing loss	ABR screening helps determine neural pathway integrity when middle-ear disease coexists
`H90.6`	Unspecified conductive hearing loss, bilateral	Screening may be performed when conductive causes are suspected or to screen newborns with risk factors
`H93.25`	Auditory deprivation and neglect	Used in follow-up when screening suggests hearing impairment affecting development
`Z38.00`	Single liveborn infant, delivered in hospital (for newborn screening context)	Common context for universal newborn hearing screening using automated ABR
`R42`	Dizziness and giddiness	In older patients with balance or dizziness complaints, ABR screening may be part of the evaluation
`T36-T50` (group)	Poisoning by drugs, medicaments and biological substances (ototoxic agents)	Exposure to ototoxic medications is an indication for objective auditory screening and monitoring

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92620`	Evaluation of speech fluency (stuttering) — screening and diagnostic not related	Data not available in the input.
`92586`	Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system, analysis and interpretation	Often performed as a diagnostic follow-up when an automated screening (`92650`) yields a refer/fail; provides detailed, clinician-interpreted ABR
`92557`	Comprehensive audiometry threshold evaluation and speech recognition (adults)	Performed before or after screening in older children/adults to characterize hearing thresholds when screening indicates possible hearing loss
`92588`	Evoked otoacoustic emissions; limited (single waveform)	Often used alongside or prior to `92650` in newborn screening programs; otoacoustic emissions test cochlear (outer hair cell) function
`92590`	Hearing conservation counseling and review of hearing test results	Provided when screening identifies hearing risk and counseling or workplace-related follow-up is required

CPT 92550: Tympanometry and Acoustic Reflex Threshold Testing

CPT-92551-HEARING-SCREENING-LIMITED-TONES

CPT 92551: Limited Hearing Screening with Tones

CPT-92552-PURE-TONE-AUDIOMETRY-THRESHOLD-ASSESSMENT

CPT 92552: Pure Tone Audiometry Threshold Assessment

CPT-92553-PURE-TONE-AUDIOMETRY-AIR-AND-BONE-CONDUCTION

CPT 92553: Pure Tone Audiometry, Air and Bone Conduction

CPT-92555-SPEECH-RECEPTION-AWARENESS-THRESHOLD

CPT 92555: Speech Reception/Awareness Threshold Measurement

CPT-92556-SPEECH-RECOGNITION-HEARING-ASSESSMENT

CPT 92556: Speech Recognition and Hearing Assessment

CPT-92557-DIAGNOSTIC-AUDIOLOGIC-EVALUATION-PURE-TONE-AND-SPEECH-RECOGNITION

CPT 92557: Diagnostic Audiologic Evaluation with Pure Tone and Speech Testing

CPT-92558-NEWBORN-INFANT-OTOACOUSTIC-EMISSIONS-HEARING-SCREEN

CPT 92558: Newborn/Infant Otoacoustic Emissions Hearing Screen

CPT-92562-ALTERNATE-BINAURAL-PURE-TONE-AUDIOMETRY

CPT 92562: Alternating Binaural Pure-Tone Audiometry

CPT-92563-AUDITORY-NERVE-TRANSMISSION-TIMING-ASSESSMENT

CPT 92563: Auditory Nerve Transmission Timing Assessment

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier information	Rarely used; typically not appended when no special circumstance applies
`11`	Professional component	Use when reporting only the professional interpretation portion if split billing applies
`26`	Professional component	Use for the professional portion of the service when the testing equipment/technical component is billed separately
`52`	Reduced services	Use when the procedure is partially reduced or not fully performed
`53`	Discontinued procedure	Use when the procedure is started but halted due to patient condition
`59`	Distinct procedural service	Use when another distinct service is performed on the same day and documentation supports separate reporting
`78`	Unplanned return to the operating/procedure room	Rare for this screening; use if screening repeated intra-procedurally under anesthesia
`82`	Assistant at surgery when a qualified resident is unavailable	Generally not applicable but used if an assistant is billed under specific circumstances
`AB`	Exempt from affiliation	Use for billing in specific payer networks that require provider affiliation codes
`QX`	Service performed by an assistant surgeon (requires modifier `AS` also when applicable)	Rarely applicable; included for completeness when assistant billing rules apply

Taxonomy Code	Specialty	Notes
261QM0800X	Audiologist	Primary specialty performing automated auditory brainstem response screening in outpatient and inpatient settings
2084P0800X	Otolaryngology (ENT)	Physicians frequently order and interpret screening results; ENT manages follow-up diagnostic testing and medical causes
207RG0100X	Pediatrics	Pediatricians order newborn and infant hearing screening and coordinate follow-up care
207V00000X	Neonatology	Neonatologists oversee newborn screening programs in the nursery and NICU
174400000X	Hospital-Based Audiology	Hospital-employed audiology services performing automated ABR screening in inpatient settings

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Sensorineural loss may prompt screening or diagnostic ABR when suspected in infants or adults
`H90.5`	Unspecified sensorineural hearing loss, bilateral	Used when clinical evaluation indicates sensorineural impairment requiring objective screening
`H90.8`	Mixed conductive and sensorineural hearing loss	ABR screening helps determine neural pathway integrity when middle-ear disease coexists
`H90.6`	Unspecified conductive hearing loss, bilateral	Screening may be performed when conductive causes are suspected or to screen newborns with risk factors
`H93.25`	Auditory deprivation and neglect	Used in follow-up when screening suggests hearing impairment affecting development
`Z38.00`	Single liveborn infant, delivered in hospital (for newborn screening context)	Common context for universal newborn hearing screening using automated ABR
`R42`	Dizziness and giddiness	In older patients with balance or dizziness complaints, ABR screening may be part of the evaluation
`T36-T50` (group)	Poisoning by drugs, medicaments and biological substances (ototoxic agents)	Exposure to ototoxic medications is an indication for objective auditory screening and monitoring

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92620`	Evaluation of speech fluency (stuttering) — screening and diagnostic not related	Data not available in the input.
`92586`	Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system, analysis and interpretation	Often performed as a diagnostic follow-up when an automated screening (`92650`) yields a refer/fail; provides detailed, clinician-interpreted ABR
`92557`	Comprehensive audiometry threshold evaluation and speech recognition (adults)	Performed before or after screening in older children/adults to characterize hearing thresholds when screening indicates possible hearing loss
`92588`	Evoked otoacoustic emissions; limited (single waveform)	Often used alongside or prior to `92650` in newborn screening programs; otoacoustic emissions test cochlear (outer hair cell) function
`92590`	Hearing conservation counseling and review of hearing test results	Provided when screening identifies hearing risk and counseling or workplace-related follow-up is required

CPT 92550: Tympanometry and Acoustic Reflex Threshold Testing

CPT-92551-HEARING-SCREENING-LIMITED-TONES

CPT 92551: Limited Hearing Screening with Tones

CPT-92552-PURE-TONE-AUDIOMETRY-THRESHOLD-ASSESSMENT

CPT 92552: Pure Tone Audiometry Threshold Assessment

CPT-92553-PURE-TONE-AUDIOMETRY-AIR-AND-BONE-CONDUCTION

CPT 92553: Pure Tone Audiometry, Air and Bone Conduction

CPT-92555-SPEECH-RECEPTION-AWARENESS-THRESHOLD

CPT 92555: Speech Reception/Awareness Threshold Measurement

CPT-92556-SPEECH-RECOGNITION-HEARING-ASSESSMENT

CPT 92556: Speech Recognition and Hearing Assessment

CPT-92557-DIAGNOSTIC-AUDIOLOGIC-EVALUATION-PURE-TONE-AND-SPEECH-RECOGNITION

CPT 92557: Diagnostic Audiologic Evaluation with Pure Tone and Speech Testing

CPT-92558-NEWBORN-INFANT-OTOACOUSTIC-EMISSIONS-HEARING-SCREEN

CPT 92558: Newborn/Infant Otoacoustic Emissions Hearing Screen

CPT-92562-ALTERNATE-BINAURAL-PURE-TONE-AUDIOMETRY

CPT 92562: Alternating Binaural Pure-Tone Audiometry

CPT-92563-AUDITORY-NERVE-TRANSMISSION-TIMING-ASSESSMENT

CPT 92563: Auditory Nerve Transmission Timing Assessment

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 92650: Automated Auditory Evoked Potential Screening

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Billing Code Overview

OpenPayer

CPT 92650: Automated Auditory Evoked Potential Screening

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 92650: Automated Auditory Evoked Potential Screening

Sign up for cpt 92650 policy alerts

Billing Code Overview

CPT 92650: Automated Auditory Evoked Potential Screening

Sign up for cpt 92650 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure does CPT 92650 represent and when is it typically used?

Where is 92650 commonly performed and what is the typical workflow?

Which specialties and taxonomy codes are typically associated with performing or ordering this screening?

Which CPT modifiers may be applicable to 92650 and when would they be used?

What related CPT and ICD-10 codes are referenced for diagnostic follow-up or clinical contexts?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure does CPT 92650 represent and when is it typically used?

Where is 92650 commonly performed and what is the typical workflow?

Which specialties and taxonomy codes are typically associated with performing or ordering this screening?

Which CPT modifiers may be applicable to 92650 and when would they be used?

What related CPT and ICD-10 codes are referenced for diagnostic follow-up or clinical contexts?

References