CPT® Code 92591

The CPT® Code 92591 refers to the process of hearing aid examination and selection specifically for binaural (both ears) hearing aids. This procedure encompasses a comprehensive evaluation where the audiologist presents various hearing aid options to the patient. The examination does not have rigid definitions regarding the services included, primarily due to the variability in third-party payer reimbursement and the evolving nature of hearing aid technology. During the consultation, the audiologist discusses the advantages and disadvantages of each hearing aid type, as well as the associated costs, allowing the patient to make an informed decision based on their hearing needs and budgetary constraints. If the patient opts for an internal hearing aid, an ear mold is created to facilitate the construction of a custom-fitted device. Once the hearing aid is received, it is typically preprogrammed according to the patient's specific hearing prescription. The audiologist then verifies the programming to ensure it meets the required parameters. Following this, the patient returns for an initial fitting, where precise ear measurements are taken to confirm that the hearing aid's gain and output are appropriately adjusted to enhance speech perception across the patient's dynamic hearing range. This adjustment process is 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 inquires about the sound quality and comfort of the hearing aid, making any necessary adjustments to optimize the patient'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 code 92590 designated for unilateral (one ear) selection and examination, while code 92591 is specifically for bilateral (both ears) procedures.