- 62 I Auditory Function Evaluation and Computerized Dynamic Posturography: Codes and Payment Rates for12020 By Erin L. Miller and Patricia Gaffney I n late 2018, the American Academy of Audiology, in collaboration with the American-Speech-Language- Hearing Association (ASHA), the American Academy of Neurology (AAN),and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) surveyed the auditory function evaluation and computerized dynamic posturog- raphy codes at the request of the Centers for Medicare and Medicaid Services (CMS). A description of the new and revised codes follows: CPT Code 92626: Evaluation of auditory function for candidacy or post-operative status of surgi- cally implanted devices or other auditory treatment interventions; first hour. CPT Code 92627: Each additional 15 minutes (list separately in addition to code for primary procedure). CPT Code 92548: Computerized dynamic posturography sensory organization test (CDP-SOT), six conditions (i.e., eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual AUDIOLOGY TODAY Nov/Dec 2019 sway) including interpretation and report. CPT Code 92549: Computerized dynamic posturography sensory organization test (CDP-SOT), six conditions (i.e., eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway) includ- ing interpretation and report; with motor control test (MCT)and adaptation test (ADT). In 2013, CMS identified CPT code 92626 for review due to a rapid increase in use. A coding brief was published in the CPT Assistant in July 2014 to clarify CPT code 92626 was to be used to report the eval- uation of the auditory function of a patient either prior to or after receiving hearing devices, auditory osseo-integrated implants, mid- dle-ear implants, and/or cochlear implant(s), or to monitor the progress of therapeutic intervention. It was further clarified that the code was not intended for use for hearing aid examination, selec- tion fitting and/or checking (codes 92590-92595, V5010-V5011), or diag- nostic cochlear implant analysis and programming or subsequent repro- gramming (codes 92601-92604). CMS requested that the audiology associations review CPT code 92626 three years after the 2014 publication of the CPT Assistant coding brief as use continued to increase despite education efforts. At the October 2017 Relative Value Update Committee (RUC) meeting, the Academy and ASHA presented an action plan to bring this code back to CPT for revi- sion and to clarify its intended use. The CPT Editorial Panel approved the code revisions in September 2018. CPT code 92548 (Computerized Dynamic Posturography) was identified by the American Medical Association (AMA) through their RUCscreening process, which identified this as a code that had a different specialty as primary user from the original surveying spe- cialty. As part of the process, the Academy, along with ASHA, AAN, and AAO-HNSwere required to revise the current CPT code 92548. Additionally, representatives from the associations recommended the creation of a new CPT code 92549 to describe an expansion of work and equipment necessary to provide this new service. Following CPT code revisions, or for newly established CPT codes, the professional associations must sur- vey their memberships to assess and Vol 31 No 6