CPT® Code 92590

The CPT® Code 92590 refers to the process of hearing aid examination and selection for one ear, known as monaural fitting. This procedure encompasses a comprehensive evaluation of the patient's hearing needs and preferences regarding hearing aids. During this examination, the audiologist presents various hearing aid options to the patient, discussing the advantages and disadvantages of each type, as well as the associated costs. This dialogue is crucial as it allows the patient to make an informed decision based on their specific hearing requirements and financial considerations. If the patient opts for an internal hearing aid, the audiologist will create an ear mold to ensure a custom fit for optimal performance. Following the selection, an order for the hearing aid is placed, and upon receipt, the device is typically preprogrammed according to the patient's hearing prescription. The audiologist then verifies the programming to ensure it aligns with the patient's needs. The initial fitting involves taking specialized ear measurements to confirm that the hearing aid's gain and output are appropriately adjusted to amplify speech within the patient's dynamic hearing range. This is further validated through sound field testing, which assesses the patient's ability to hear soft sounds and recognize speech in both quiet and noisy environments. Throughout this process, the audiologist also gathers feedback from the patient regarding the sound quality and comfort of the hearing aid, making any necessary adjustments to enhance the user's experience. It is important to note that codes 92590 and 92591 are reported only once for the selection and fitting of a new hearing aid, with 92590 specifically designated for monaural fitting.