CPT® Code 92561

Code deleted. See 92700

Official Description

Bekesy audiometry; diagnostic

Common Language Description

The Bekesy audiometry test, identified by CPT® Code 92561, is a specialized diagnostic procedure used to assess hearing capabilities through pure tone air conduction. This test is unique in that it allows the patient to control the intensity of the auditory stimulus, which differentiates it from standard hearing tests. The primary purpose of Bekesy audiometry is to help distinguish between cochlear and neural origins of hearing loss, providing valuable insights into the patient's auditory function. The procedure is typically conducted in a soundproof environment, utilizing earphones to ensure that each ear can be evaluated independently. During the test, the auditory stimulus is presented across the full range of audible frequencies, from low to high pitches. The patient is equipped with a button that they press to indicate when they can hear the sound. As long as the button is pressed, the sound intensity gradually decreases. Once the patient can no longer hear the sound and releases the button, the intensity begins to increase again. This back-and-forth process continues through all tested frequencies, allowing for a comprehensive assessment of hearing ability. The test may utilize both continuous and interrupted tones, and the results are meticulously recorded, resulting in a zigzag tracing that reflects the patient's hearing thresholds. Following the completion of the test, the findings are interpreted, and a detailed written report is generated to summarize the results. It is important to note that CPT® Code 92560 should be used when Bekesy audiometry is performed as a screening test, while CPT® Code 92561 is reserved for diagnostic testing.

1. Indications

The Bekesy audiometry test is indicated for the evaluation of hearing loss and is particularly useful in differentiating the type of hearing impairment. The following conditions may warrant the performance of this diagnostic test:

Cochlear Hearing Loss The test helps to identify hearing loss that originates from the cochlea, which is the spiral-shaped organ in the inner ear responsible for converting sound vibrations into neural signals.
Neural Hearing Loss Bekesy audiometry can assist in determining if hearing loss is due to issues within the auditory nerve or central auditory pathways, which may affect sound processing.
Unexplained Hearing Loss When patients present with hearing loss that cannot be easily classified or explained through standard testing methods, Bekesy audiometry provides additional diagnostic information.

2. Procedure

The Bekesy audiometry test involves several key procedural steps that ensure accurate assessment of the patient's hearing capabilities. The following outlines the procedure:

Preparation The patient is seated in a soundproof room to minimize external noise interference. Earphones are placed on the patient's ears to deliver the auditory stimuli directly.
Patient Instruction The patient is instructed on how to use the button that controls the sound intensity. They are informed to press the button when they can hear the sound and to release it when they can no longer hear it.
Sound Presentation The test begins with the presentation of pure tone air conduction stimuli across the entire audible frequency range. The sound intensity is adjusted based on the patient's responses.
Intensity Control As the patient presses the button, the sound intensity decreases. When the button is released, the intensity increases until the patient can hear the sound again, prompting them to press the button once more. This process continues for all tested frequencies.
Recording Results The responses are recorded in real-time, resulting in a zigzag tracing that visually represents the patient's hearing thresholds across different frequencies.
Interpretation After the test is completed, the results are analyzed, and a written report is generated to summarize the findings and provide insights into the patient's auditory function.

3. Post-Procedure

After the Bekesy audiometry test, the patient may resume normal activities immediately, as there are no invasive procedures involved. The results will be reviewed by a qualified healthcare professional, who will discuss the findings with the patient. Depending on the results, further diagnostic testing or treatment options may be recommended. It is essential for the patient to follow up with their healthcare provider to understand the implications of the test results and to determine any necessary next steps in their auditory care.

Short Descr	BEKESY AUDIOMETRY DIAGNOSIS
Medium Descr	BEKESY AUDIOMETRY DIAGNOSTIC
Long Descr	Bekesy audiometry; diagnostic
Status Code	Active Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	3 - Technical Component Only Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	2 - 150% payment adjustment does NOT apply.
Physician Supervisions	02 - Procedure must be performed under the direct supervision of a physician.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	STV-Packaged Codes
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