Code: 92557
Description: Comprehensive audiometry threshold evaluation and speech recognition
Context: This code is used when a provider performs a complete hearing test that includes pure-tone air and bone conduction thresholds plus speech recognition testing.

Guidelines for Proper Use

• Comprehensive testing: Includes both air and bone conduction thresholds and speech discrimination scores.
• Used for diagnostic hearing assessment: Common for suspected hearing loss, tinnitus, or auditory processing issues.
• Requires patient participation: The patient must be able to respond consistently to auditory stimuli.
• Performed in audiology or ENT office: Usually under the supervision of an audiologist or physician.
• Not used with screening audiometry: Do not report for simple hearing screenings or OAE tests.

Common Misuses of 92557

• Reporting partial tests: Do not use this code if bone conduction or speech recognition is not performed.
• Using for screening exams: Screening codes differ and are not billable under 92557.
• Omitting supervision details: Must be supervised and interpreted by a qualified provider.
• Duplicate reporting: Do not bill both 92552 (pure-tone) and 92556 (speech) with 92557; it already includes both.

Notes / Documentation Tips

• Document all components: Record pure-tone thresholds (air and bone) and speech recognition results.
• Include calibration info: Equipment should meet calibration standards per ANSI guidelines.
• Record ear-specific findings: List results separately for each ear.
• Include test environment: Note if testing was performed in a sound-treated room.
• Provide interpretation: Include diagnostic impression (e.g., mild sensorineural hearing loss).