Note: These services are typically non-covered when performed by audiologists. Providers are encouraged to reference payer-specific coverage policies for determining whether these services are non-covered and can subsequently be moved to patient responsibility.
This guide aims to provide coding, billing, and coverage guidance for aural/auditory (re)habilitation and associated services.
Clinicians are strongly encouraged to reference payer-specific policies when determining appropriate code reporting and documentation requirements for aural/auditory (re)habilitation. Further, Medicare local coverage determinations and other payer policies will address which ICD codes support medical necessity and subsequent reimbursement for services. It is advisable to review payer guidelines and policies prior to billing. Overall, while there may be similarities in coverage policies among different insurance companies, there can also be significant differences in how they handle claims. Providers and billing staff should be familiar with the specific policies of the insurance companies with which they work and ensure compliance with their requirements to minimize claim denials and maximize reimbursement.
Relevant Procedure Codes
The following Level I HCPCS CPT codes are available for reporting of aural/auditory rehabilitation. The following list of codes are typically only reimbursable when provided by a licensed speech-language pathologist. Audiology providers are strongly encouraged to review payer-specific coverage policies prior to reporting the codes presented within this section.
| CPT Code | Description |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual** *(CPT Manual instructions: Do not report in conjunction with 92630 or 92633) |
| 92508 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; group; 2 or more individuals** *(CPT Manual instructions: Do not report in conjunction with 92630 or 92633) |
| 92630 | Auditory rehabilitation; prelingual hearing loss** *(CPT Manual instructions: Do not report in conjunction with 92622 or 92623) |
| 92633 | Auditory rehabilitation; postlingual hearing loss** *(CPT Manual instructions: Do not report in conjunction with 92622 or 92623) |
| * The CPT manual parentheticals presented here do not include Medicare’s National Correct Coding Initiative (NCCI) procedure to procedure edits. The full list of NCCI edits and other information related to same-day billing can be found here. ** These codes are not typically reimbursable when performed by audiologists. Providers are strongly encouraged to review payer-specific policies for these two codes prior to use/reporting. |
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Do not report CPT code 92506 (Evaluation of speech, language, voice, communication, auditory processing, and/or aural rehabilitation status), as this is a code utilized by speech-language pathologists and NOT audiologists.
Frequently Asked Questions
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*CPT codes, descriptions, and other data are Copyright 1966, 1970, 1973, 1977, 1981, 1983–2024 American Medical Association. All rights reserved. CPT© is a registered trademark of the American Medical Association.
Disclaimer
The purpose of the information provided by the American Academy of Audiology Coding and Reimbursement Committee is strictly for educational guidance to audiologists. Action taken with respect to the information provided is an individual choice. The American Academy of Audiology hereby disclaims any responsibility for the consequences of any action(s) taken by any individual(s) as a result of using the information provided, and reader agrees not to take action against, or seek to hold, or hold liable, the American Academy of Audiology for the reader's use of the information provided. As used herein, the "American Academy of Audiology" shall be defined to include its directors, officers, employees, volunteers, members, and agents.
