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CPT 92652: Audiologic Threshold Estimation at Multiple Frequencies

CPT code 92652 represents a diagnostic audiology procedure that measures a patient’s hearing thresholds at multiple frequencies and includes interpretation and a report. Nationally, this code is used in audiology and otolaryngology settings to document objective assessment of hearing sensitivity, supporting diagnosis, treatment planning, and eligibility determinations for hearing interventions. Its clinical importance stems from informing decisions about hearing aids, cochlear implants, medical evaluation, and occupational hearing management.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of typical service settings and clinical context, benchmarks for utilization and payment where available, relevant billing considerations, and recent policy updates that affect coverage and documentation requirements. The publication summarizes coding applicability for audiology and ENT practices, common modifiers used in billing, and areas where documentation and interpretation are central to payer decisions. Data not available in the input is noted where applicable.

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Billing Code Overview

CPT code 92652 describes a diagnostic procedure in which the provider measures a patient’s responses to sound stimuli to estimate auditory thresholds across multiple frequencies. The service includes clinical interpretation and a formal report.

Service type: Diagnostic audiologic testing for hearing threshold estimation across frequencies
Typical site of service: Audiology clinic, otolaryngology clinic, hospital outpatient audiology department, or specialized hearing center

Data not available in the input.

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CPT 92652: Audiologic Threshold Estimation at Multiple Frequencies

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Billing Code Overview

Service type: Diagnostic audiologic testing for hearing threshold estimation across frequencies
Typical site of service: Audiology clinic, otolaryngology clinic, hospital outpatient audiology department, or specialized hearing center

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult referred to an audiology clinic by an otolaryngologist or primary care provider for evaluation of hearing loss, tinnitus, or change in hearing. The patient presents with subjective difficulty hearing conversation, particularly in noisy environments, and history may include chronic noise exposure or otologic disease. The clinical workflow begins with registration and review of medical history and medications, followed by otoscopic inspection and basic tympanometry as needed. The audiologist or ear, nose and throat (ENT) physician performs a pure tone air and bone conduction audiometric threshold test at multiple frequencies to estimate hearing sensitivity, using calibrated audiometric equipment. Results are interpreted, documented, and an audiogram with threshold values is included in the report. The provider documents the medical necessity and interpretation, signs and finalizes the report. Typical site of service is an outpatient audiology clinic, ENT office, or hospital outpatient department. Billing uses CPT code 92652 for the threshold estimation testing with interpretation and report.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When reporting only the physician/ audiologist interpretation and report and the technical component is billed separately.
`TC`	Technical component	When reporting only the technical component (equipment, technician) and the interpreting provider is not billing.
`59`	Distinct procedural service	When `92652` is performed on the same day as an unrelated procedure and documentation supports a separate and distinct service.
`52`	Reduced services	When the service is partially reduced or not completed as described (e.g., limited frequency testing due to patient inability).
`53`	Discontinued procedure	When testing is started but discontinued due to patient intolerance or medical complication.
`76`	Repeat procedure by same physician	When the same provider repeats `92652` later the same day due to unreliable initial results.
`77`	Repeat procedure by another physician	When a different provider repeats the test the same day for medical necessity.
`90`	Reference (outside) laboratory	When diagnostic testing is performed by an outside facility and only the reference lab charge is billed (rare for audiometry).
`CA`	Procedure code changed by payer request	When the payer requests a different code applicable to the service (use per payer guidance).
`LT`	Left side	When laterality is relevant and documented for tests that are reportable by ear.

Taxonomy Code	Specialty	Notes
`2084P0800X`	Audiologist	Primary provider performing diagnostic audiometry and interpretation in many outpatient settings.
`207R00000X`	Otolaryngology (ENT)	Physicians who commonly order, interpret, and supervise audiometric testing.
`261QP2300X`	Hearing Instrument Specialist	May perform basic testing and assist in diagnostics; scope varies by state.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Common indication for audiometric threshold testing to quantify degree and configuration of hearing loss.
`H91.90`	Unspecified hearing loss, unspecified ear	Used when patient reports hearing difficulty and diagnostic threshold testing with `92652` is required.
`H83.3`	Tinnitus, unspecified	Patients with tinnitus often undergo threshold testing to identify coexisting hearing loss.
`H69.0`	Acute otitis media without spontaneous rupture of ear drum	Middle ear disease may prompt audiometric evaluation after resolution to assess residual conductive component.
`Z01.10`	Encounter for examination of ears and hearing without abnormal findings	May be used for baseline or screening visits where `92652` is clinically indicated despite normal findings.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92557`	Comprehensive audiometry threshold evaluation with speech recognition	Often performed in the same visit to quantify speech discrimination in addition to pure tone thresholds obtained with `92652`.
`92567`	Tympanometry and reflex threshold measurements	Performed before or alongside threshold testing to assess middle ear function, guiding interpretation of `92652` results.
`92620`	Evaluation of cochlear implant candidacy	May be performed in the workup when `92652` demonstrates severe-to-profound hearing loss suggesting implant evaluation.
`92588`	Automatic auditory brainstem response (ABR) screening or diagnostic	Performed when objective assessment is needed (e.g., non-organic hearing loss or uncooperative patient) as a complement or alternative to behavioral thresholds in `92652`.
`92626`	Evaluation of auditory rehabilitation status, first hour	May follow audiometric threshold testing when counseling or hearing aid/rehabilitation services are provided after `92652`.

CPT 92640: Auditory Brainstem Implant Programming and Analysis

CPT-92642-ASSISTIVE-HEARING-TECHNOLOGY-FITTING

CPT 92642: Fitting of Assistive Hearing Technology

CPT-92651-AUDITORY-RESPONSE-HEARING-ASSESSMENT

CPT 92651: Auditory Response Test for Hearing Assessment

CPT-92653-AUDITORY-EVOKED-RESPONSE-NEUROLOGIC-EVALUATION

CPT 92653: Auditory Evoked Response for Neurologic Evaluation

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When reporting only the physician/ audiologist interpretation and report and the technical component is billed separately.
`TC`	Technical component	When reporting only the technical component (equipment, technician) and the interpreting provider is not billing.
`59`	Distinct procedural service	When `92652` is performed on the same day as an unrelated procedure and documentation supports a separate and distinct service.
`52`	Reduced services	When the service is partially reduced or not completed as described (e.g., limited frequency testing due to patient inability).
`53`	Discontinued procedure	When testing is started but discontinued due to patient intolerance or medical complication.
`76`	Repeat procedure by same physician	When the same provider repeats `92652` later the same day due to unreliable initial results.
`77`	Repeat procedure by another physician	When a different provider repeats the test the same day for medical necessity.
`90`	Reference (outside) laboratory	When diagnostic testing is performed by an outside facility and only the reference lab charge is billed (rare for audiometry).
`CA`	Procedure code changed by payer request	When the payer requests a different code applicable to the service (use per payer guidance).
`LT`	Left side	When laterality is relevant and documented for tests that are reportable by ear.

Taxonomy Code	Specialty	Notes
`2084P0800X`	Audiologist	Primary provider performing diagnostic audiometry and interpretation in many outpatient settings.
`207R00000X`	Otolaryngology (ENT)	Physicians who commonly order, interpret, and supervise audiometric testing.
`261QP2300X`	Hearing Instrument Specialist	May perform basic testing and assist in diagnostics; scope varies by state.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H90.3`	Sensorineural hearing loss, bilateral	Common indication for audiometric threshold testing to quantify degree and configuration of hearing loss.
`H91.90`	Unspecified hearing loss, unspecified ear	Used when patient reports hearing difficulty and diagnostic threshold testing with `92652` is required.
`H83.3`	Tinnitus, unspecified	Patients with tinnitus often undergo threshold testing to identify coexisting hearing loss.
`H69.0`	Acute otitis media without spontaneous rupture of ear drum	Middle ear disease may prompt audiometric evaluation after resolution to assess residual conductive component.
`Z01.10`	Encounter for examination of ears and hearing without abnormal findings	May be used for baseline or screening visits where `92652` is clinically indicated despite normal findings.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92557`	Comprehensive audiometry threshold evaluation with speech recognition	Often performed in the same visit to quantify speech discrimination in addition to pure tone thresholds obtained with `92652`.
`92567`	Tympanometry and reflex threshold measurements	Performed before or alongside threshold testing to assess middle ear function, guiding interpretation of `92652` results.
`92620`	Evaluation of cochlear implant candidacy	May be performed in the workup when `92652` demonstrates severe-to-profound hearing loss suggesting implant evaluation.
`92588`	Automatic auditory brainstem response (ABR) screening or diagnostic	Performed when objective assessment is needed (e.g., non-organic hearing loss or uncooperative patient) as a complement or alternative to behavioral thresholds in `92652`.
`92626`	Evaluation of auditory rehabilitation status, first hour	May follow audiometric threshold testing when counseling or hearing aid/rehabilitation services are provided after `92652`.

CPT 92640: Auditory Brainstem Implant Programming and Analysis

CPT-92642-ASSISTIVE-HEARING-TECHNOLOGY-FITTING

CPT 92642: Fitting of Assistive Hearing Technology

CPT-92651-AUDITORY-RESPONSE-HEARING-ASSESSMENT

CPT 92651: Auditory Response Test for Hearing Assessment

CPT-92653-AUDITORY-EVOKED-RESPONSE-NEUROLOGIC-EVALUATION

CPT 92653: Auditory Evoked Response for Neurologic Evaluation

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

OpenPayer

CPT 92652: Audiologic Threshold Estimation at Multiple Frequencies

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Billing Code Overview

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CPT 92652: Audiologic Threshold Estimation at Multiple Frequencies

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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 92652: Audiologic Threshold Estimation at Multiple Frequencies

Sign up for cpt 92652 policy alerts

Billing Code Overview

CPT 92652: Audiologic Threshold Estimation at Multiple Frequencies

Sign up for cpt 92652 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 92652 describe and where is it typically performed?

Which modifiers are commonly used with 92652 and when should they be applied?

What related CPT codes are commonly associated with 92652?

What are common clinical indications or diagnoses tied to use of 92652?

Which provider specialties perform or bill for 92652 and which payers are included in the analysis?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What does CPT 92652 describe and where is it typically performed?

Which modifiers are commonly used with 92652 and when should they be applied?

What related CPT codes are commonly associated with 92652?

What are common clinical indications or diagnoses tied to use of 92652?

Which provider specialties perform or bill for 92652 and which payers are included in the analysis?

References