CPT® Code 92560

Code deleted. See 92700

Official Description

Bekesy audiometry; screening

Common Language Description

The Bekesy audiometry test, identified by CPT® Code 92560, is a specialized hearing assessment that utilizes pure tone air conduction to evaluate a patient's auditory capabilities. This test is unique in that it allows the patient to actively control the intensity of the sound stimulus, which distinguishes it from other standard hearing tests. The primary purpose of the Bekesy audiometry is to assist in differentiating between types of hearing loss, specifically identifying whether the loss is cochlear, related to the inner ear, or neural, associated with the auditory pathways in the brain. During the procedure, patients are typically situated in a soundproof environment, wearing earphones that facilitate the testing of each ear independently. The test involves a gradual progression through the entire range of audible frequencies, where the patient is equipped with a button to manage the sound's pitch and intensity. The patient is instructed to maintain pressure on the button until the sound is no longer perceptible, at which point they release the button. This action triggers a decrease in sound intensity, which then increases again once the button is released, allowing the patient to indicate when they can hear the sound once more. This back-and-forth process continues across all tested frequencies, producing a zigzag tracing that is recorded throughout the assessment. The results of the Bekesy audiometry are then interpreted, culminating in a comprehensive written report detailing the findings. It is important to note that CPT® Code 92560 is specifically designated for screening tests, while CPT® Code 92561 is used for diagnostic tests that may follow.

1. Indications

The Bekesy audiometry test is indicated for the evaluation of hearing loss and is particularly useful in distinguishing between cochlear and neural origins of auditory impairment. The following conditions may warrant the performance of this test:

Hearing Loss Patients presenting with symptoms of hearing loss may undergo this test to determine the underlying cause.
Auditory Processing Disorders Individuals suspected of having auditory processing issues may benefit from this assessment to evaluate their hearing capabilities.
Monitoring Hearing Changes Patients with known hearing conditions may require periodic testing to monitor any changes in their auditory function.

2. Procedure

The Bekesy audiometry test is conducted through a series of well-defined steps to ensure accurate assessment of the patient's hearing abilities. The procedure is as follows:

Step 1: Preparation The patient is seated comfortably in a soundproof room, equipped with earphones to isolate sound delivery to each ear. The environment is controlled to minimize external noise interference, ensuring the accuracy of the test results.
Step 2: Patient Instruction The patient is provided with clear instructions on how to operate the button that controls the sound stimulus. They are informed that they will need to press the button when they can hear the sound and release it when they can no longer hear it.
Step 3: Sound Testing The test begins with the presentation of pure tone air conduction stimuli across the entire audible frequency range. The sound intensity is gradually decreased while the patient holds the button down, and then increased after the button is released. This process is repeated for each frequency, allowing the patient to actively participate in the assessment.
Step 4: Recording Results As the test progresses, the responses from the patient are recorded, resulting in a zigzag tracing that visually represents the patient's hearing thresholds across different frequencies.
Step 5: Interpretation After the completion of the test, the recorded data is analyzed by a qualified professional. The findings are interpreted to determine the nature of the hearing loss, if present, and a written report is generated to summarize the results.

3. Post-Procedure

Following the Bekesy audiometry test, patients may receive guidance based on the results obtained. If hearing loss is identified, further evaluation or intervention may be recommended. The written report detailing the findings will be provided to the patient and may be shared with other healthcare providers involved in the patient's care. Patients are typically advised to follow up with their physician to discuss the implications of the test results and any necessary next steps in their auditory health management.

Short Descr	BEKESY AUDIOMETRY SCREEN
Medium Descr	BEKESY AUDIOMETRY SCREENING
Long Descr	Bekesy audiometry; screening
Status Code	Non-Covered Service
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Non-Covered Service, not paid under OPPS
Type of Service (TOS)	K - Hearing Items and Services
Berenson-Eggers TOS (BETOS)	T2D - Other tests - other
MUE	Not applicable/unspecified.
CCS Clinical Classification	220 - Ophthalmologic and otologic diagnosis and treatment