The new “Hearing Device Services Codes” are listed in the CPT manual as “Evaluative and Therapeutic Services.” Audiologists are most familiar with diagnostic codes in the “Audiologic Function Tests” section, which specifically define which tests must be included when providing the stated service. The codes included in the “Evaluative and Therapeutic Services” section provide greater flexibility for the provider in choice of assessment measures and allow for clinical decision making and treatment/management appropriate for the encounter.
General Questions
The current CPT hearing device services codes are inadequate in their description and do not represent the breadth of contemporary audiology treatment services. With the evolution from analog to digital technology, the current codes are not representative of the technological advances that have occurred since the original codes were created. With modern technology, there is much greater capacity for adjustment and feature manipulation, expanded candidacy criteria, and much greater clinical use of real-ear measurement and other verification protocols.
The legacy codes—CPT 92590 through 92595— which have been in place since 1993.
92590 - Hearing aid examination and selection; monaural
92591 - Hearing aid examination and selection; binaural
92592 - Hearing aid check; monaural
92593 - Hearing aid check; binaural
92594 - Electroacoustic evaluation for hearing aid; monaural
92595 - Electroacoustic evaluation for hearing aid; binaural
Effective January 1, 2026, audiologists will have a new set of 12 CPT codes to describe the range and intensity of hearing aid device services they provide. The new code set captures six key components of care: candidacy, device selection, fitting, post-fitting follow-up, verification and hearing assistive supplemental device fitting.
| CPT Code | CPT Long Descriptor |
|---|---|
| 9X01X | Evaluation for hearing aid candidacy, unilateral or bilateral, including review and integration of audiologic function tests, assessment, and interpretation of hearing needs (eg, speech-in-noise, suprathreshold hearing measures), discussion of candidacy results, counseling on treatment options with report, and, when performed, assessment of cognitive and communication status; first 30 minutes
|
| +9X02X | Each additional 15 minutes (List separately in addition to code for primary procedure)
|
| 9X03X | Hearing aid selection services, unilateral or bilateral, including review of audiologic function tests and hearing aid candidacy evaluation, assessment of visual and dexterity limitations, and psychosocial factors, establishment of device type, output requirements, signal processing strategies and additional features, discussion of device recommendations with report; first 30 minutes
|
| +9X04X | Each additional 15 minutes (List separately in addition to code for primary procedure)
|
| 9X07X | Hearing aid fitting services, unilateral or bilateral, including device analysis, programming, verification, counseling, orientation, and training, and, when performed, hearing assistive device, supplemental technology fitting services; first 60 minutes
|
| +9X08X | Each additional 15 minutes (List separately in addition to code for primary procedure)
|
| 9X09X | Hearing aid post-fitting follow-up services, unilateral or bilateral, including confirmation of physical fit, validation of patient benefit and performance, sound quality of device, adjustment(s) (eg, verification, programming adjustment[s], device connection[s], and device training), as indicated, and, when performed, hearing assistive device, supplemental technology fitting services; first 30 minutes
|
| +9X10X | Each additional 15 minutes (List separately in addition to code for primary procedure)
|
| +9X11X | Behavioral verification of amplification including aided thresholds, functional gain, speech in noise, when performed (List separately in addition to code for primary procedure)
|
| +9X12X | Hearing-aid measurement, verification with probe-microphone (List separately in addition to code for primary procedure)
|
| 9X13X | Hearing device verification, electroacoustic analysis
|
| 9X14X | Hearing assistive device, supplemental technology fitting services (eg, personal frequency modulation [FM]/digital modulation [DM] system, remote microphone, alerting devices)
|
Member feedback regarding the lack of codes that accurately describe the professional services for evaluation, management, and treatment of hearing loss with air conduction hearing aids (and related hearing assistive technology) resulted in discussions by the relevant leadership at AAA and ASHA who assist with code development. Advocacy related to these services has been challenging as professional services are reflected in CPT codes, and not HCPCS II codes. With only a few CPT codes that do not adequately describe the professional services, it has been difficult to help payers understand and appreciate the value of the services being provided.
As with any new code development, an application is submitted to the AMA’s Current Procedural Technology (CPT) Editorial Panel. The applicant, which in this case was AAA and ASHA, prepares an application that includes detailed vignettes for the typical patient, a detailed description of the procedure, and supporting evidence-based literature for each code. The proposed hearing device code set was developed by aligning existing clinical practices relating to hearing aids with past and current evidence based published guidelines and practice standards.
The applicants attend the public CPT meeting to address any questions from the panel reviewers or that can from observers. Other interested parties, including any organization or individual, may address their concerns to the panel at the meeting. Once the CPT panel approves a new code, the applicant can decide whether to seek RUC valuation of the codes. The applicants opted not to seek valuation of these codes and instead chose to rely on carrier pricing. This decision was made as Medicare does not cover services related to hearing devices and the current CPT hearing aid codes were not RUC valued. In the development of the code structure, AAA and ASHA shared concepts and draft models for the codes with the Audiology Organizations group (a coalition of eight audiology organizations including AAA and ASHA), and other interested parties such as AAO-HNS as required by the CPT Editorial panel. Feedback was sought and many of those suggestions resulted in the final code set that was presented to the panel. Once a code is submitted, the CPT Editorial Panel and CPT Advisors can also make suggested changes to the application prior to the vote to approve or reject the code application.
The AMA CPT process requires that applicants only share what is reported in CPT public documents. When an application is submitted, the applicant may not discuss it further with members or other interested parties. Once the CPT published the public summary of the February 2024 CPT meeting, the Academy and ASHA were able to share that 12 new hearing device services codes had been approved. The public release of the Medicare Physician Fee Schedule proposed rule for CY26 allowed AAA and ASHA to share additional information about the codes. After the codes are assigned CPT numbers in the 2026 CPT manual, the Academy and ASHA will provide education to their members on their structure and use through a variety of media.
Cochlear Implant and Auditory Osseointegrated Hearing Devices Questions
No. 9X07X, 9X08X, 9X09X, 9X10X, 9X11X, 9X12X are not intended for use with implantable or osseointegrated hearing devices. For cochlear implants use 92601, 92902, 92603, 92604. For auditory osseointegrated devices use 92622, 92623.
9X07X, 9X08X, 9X09X, 9X10X, 9X11X, 9X12X services may be reported on the same date of service when providing aid conduction hearing aid services on the contralateral ear.
Documentation for Time-Based Codes Questions
Provider’s must ensure that the activities of the encounter are clearly reflected and that vague references to time are avoided. Documenting start and end time of an appointment doesn’t capture the full scope of clinical work and would not be sufficient for the documentation. In addition, should accounting of actual time be required in your facility, it is recommended that a statement like the following be utilized: “Total time spent caring for [ patient] today was [x minutes]. This includes time spent before the visit reviewing the chart, time spent during the visit, and time spent after the visit on documentation…”
Yes. “With report” indicates a summarization of the patient encounter and is included in the medical record.
Time-based minimum requirements table:
| CPT Code | Service Descriptor | Time in code (minutes) | Minimum Time needed to report (minutes) |
|---|---|---|---|
| 9X01X | Evaluation for hearing aid candidacy | 30 | 16–37 |
| +9X02X | Evaluation for hearing aid candidacy | 15 | Each additional 15 minutes starting at 38 minutes |
| 9X03X | Hearing aid selection | 30 | 16–37 |
| +9X04X | Hearing aid selection | 15 | Each additional 15 minutes starting at 38 minutes |
| 9X07X | Hearing aid fitting | 60 | 31–67 |
| +9X08X | Hearing aid fitting | 15 | Each additional 15 minutes starting at 68 minutes |
| 9X09X | Hearing aid post-fitting follow-up services | 30 | 16–37 |
| +9X10X | Hearing aid post-fitting follow-up services | 15 | Each additional 15 minutes starting at 38 minutes |
| +9X11X | Behavioral Verification | Not time-based | Not time-based |
| +9X12X | Probe-microphone verification | Not time-based | Not time-based |
| 9X13X | Electroacoustic analysis verification | Not time-based | Not time-based |
| 9X14X | Hearing assistive devices services | Not time-based | Not time-based |
HCPCS Level II Codes
No. The new CPT codes pertain exclusively to professional services and do not affect the HCPCS Level II “V-codes” used to report hearing aid devices.
While there are currently a few HCPCS Level II V-Codes that describe hearing aid related services, all new professional service codes must be developed through the CPT Editorial panel utilizing their processes.
There is no recommendation to replace or modify the current legacy service-based V-codes. There are payer systems that will still need or will choose to use these codes instead for various reasons. The new CPT codes more accurately define the professional work, and as CPT codes, they also meet the high standards of clinical efficacy that payers require to add new procedures to their payment policies. Payer education is planned to assist them in their understanding of this modernized code set. Payers ultimately determine how they will utilize the new codes.
No. There has been no change to the HCPCS Level II codes nor is there any plan to delete these codes. Payers will dictate which codes will be used for reimbursement of hearing device services.
If insurance is involved, you will need to follow the payor’s payment guidelines.
Hearing Aid Candidacy (CPT 9X01X and 9X02X) Questions
There is currently not a separate code for speech-in-noise testing that can be reported with audiologic function tests.
Yes. While some examples are provided in the descriptor for CPT 9X01X (9X02X), appropriate pre-fitting questionnaires can be used as a part of the assessment of your patient’s hearing needs.
Hearing Aid Fitting Services (CPT 9X07X and 9X08X) Questions
No, these pre-fitting services mentioned are not captured in 9X07X, as the code set is meant to capture the professional services provided during the patient encounter. The types of services mentioned should be captured in the overhead when dispensing durable medical equipment in your practice. If your practice performs electroacoustic analysis as a quality control measure, this service, CPT 9X13X can be reported.
Hearing Aid Selection (CPT 9X03X and 9X04X) Questions
Yes. Speech-in-noise testing can be performed if the information is needed to assist with the device selection. Speech-in-noise testing in this case will be considered part of the assessment and selection process and will not be separately reported and will be in the overall time for the encounter.
No. The ordering of the hearing aids should be captured in overhead associated with dispensing durable medical equipment in your practice.
No. The -52 modifier is not used with a time-based code. Based on the needs of the patient, the clinician determines which assessments need to be performed. For example, time may be needed to assess the dexterity of the patient to determine if they will be capable of manipulating the devices. In other cases, time may be needed to assess for and discuss the need for visual indicators when caregivers will need to monitor use of the devices. Because this is a time-based code, the provider has flexibility to choose which assessments are needed for the selection of a hearing device.
Payment for Services Questions
While the new CPT codes will be available for use on January 1, 2026, it often takes payers some time to adopt new CPT codes and activate them in their systems. Planned payer advocacy and education will help payers understand the new code structure.
While many practices have already been unbundling their professional hearing device services, the legacy CPT code set did not address many of the services that were being provided. Additionally, the HCPCS Level II V-codes have no descriptors, leaving interpretation of those services to individual payers. We believe the modernized code set better captures the professional work involved and will allow for greater consistency and transparency for patients and payers.
Time-Based Versus Non-Timed Code Questions
No. CPT codes 9X01X, 9X02X, 9X03X, 9X04X, 9X07X, 9X08X, 9X09X, and 9X10X are time- based. Please note the time in the code descriptor and/or refer to the table included in the “Documentation for Time-Based Codes” section of this document. Codes 9X11X, 9X12X, 9X13X and 9X14X are not time-based.
Please see the time-based minimum requirements table for information.
No, modifier -52 is not to be reported for time-based codes.
Valuation Questions
The RUC has recommended carrier pricing for the new codes which means that payment would be determined by the individual payors. Medicare does not cover these services because Federal statute specifically excludes from coverage “hearing aids or examinations for the purpose of prescribing, fitting, or changing hearing aids”. CMS is proposing to assign non-payable status to each of the new 12 CPT codes.
No. They had no work RVU and were carrier priced.
Eight of the codes are time-based codes, so this may assist with determining productivity in your facility.
Verification Questions
No. Aided threshold, functional gain and aided speech-in-noise tests are some of the options for completing objective behavioral verification. Your documentation should indicate the method(s)chosen and results obtained to verify the function of the hearing aids for the patient. The reporting of CPT 9X11X assumes verification has been completed in a sound treated booth with use of an audiometer or other equipment as indicated.
Post-fitting questionnaires are validation measures and are not included in the behavioral verification code. If appropriate, CPT 9X09X, the hearing aid post-fitting follow-up services code could be reported as this includes the validation of patient benefit and performance.
Verification, as listed in the descriptor of the code for hearing aid fitting and follow-up service codes, refers to simple verification methods such as loudness, speech understanding, or speech comfort measures performed without the use of special equipment. In addition, there are three objective verification measures that have their own code (CPT 9X11X, 9X12X and 9X13X) which can also be separately reported in conjunction with CPT 9X07X and 9X09X. CPT 9X11X, 9X12X and 9X13X should not be included in the overall time used for reporting 9X07X and 9X09X.
CPT 9X12X (Hearing-aid measurement, verification with probe microphone) would be used for speech mapping, insertion gain or RECD measures. For unilateral procedure, report 9X12X with modifier 52.
Yes, 9X11X (Behavioral verification of amplification including aided thresholds, functional gain, aided speech in noise tests, when performed.) While the code descriptor provides examples of what may be performed, additional tests or other methods may be more appropriate for the patient. This code is intended to be used when verifying patient performance with a device(s) using an audiometer with the patient in the sound room.
Yes. CPT 9X13X (Hearing device verification, electroacoustic analysis) should be used to verify the function of the instrument and for quality control measurements. This code may separately be reported in conjunction with the hearing aid fitting and follow-up codes (9X07X and 9X09X) or it may be reported when only this code is performed in isolation of other services. For unilateral procedure, report 9X13X with modifier 52.
Yes. CPT 9X13X can be used when electroacoustically evaluating an FM/DM device or when using a skull simulator to evaluate the function of the auditory osseointegrated devices.
Quick Links
- General Questions
- Cochlear Implant and Auditory Osseointegrated Hearing Devices Questions
- Documentation for Time-Based Codes Questions
- HCPCS Level II Codes
- Hearing Aid Candidacy Questions
- Hearing Aid Fitting Services Questions
- Hearing Aid Selection Questions
- Payment for Services Questions
- Time-Based Versus Non-Timed Code Questions
- Valuation Questions
- Verification Questions