Starting in January 2026, a new set of Current Procedural Terminology (CPT®) codes will be available to describe the professional services provided by audiologists for hearing device-related services. These new codes are reflective of today’s audiology service delivery models and will replace the longstanding CPT code set for hearing aid services.
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The legacy codes (92590–92595) were created more than three decades ago in 1993. At that time, hearing device technology and related audiological services were very different. The way that hearing aids convert speech and other sound input into meaningful information has transitioned from an analog process to a digital process. The way that audiologists assess hearing sensitivity and speech understanding—as well as the methods of verifying potential amplification solutions—has also become more advanced.
The American Medical Association’s (AMA) philosophy on CPT code language modernization supports updating codes to reflect current practice patterns and technology. Audiologists today perform far more comprehensive hearing device services than they did three decades ago. These new codes were designed to capture the professional services audiologists provide for hearing aids and other hearing devices today and into the future—including evolving technologies and patient care models.
ASHA collaborated with the American Academy of Audiology (AAA) on this multiyear process to develop the new CPT codes. The process was designed to ensure that the codes reflect current clinical practice patterns and technology, support the profession’s long-term sustainability, and align with the AMA’s CPT coding conventions.
The codes were developed by practicing audiologists and reflect real-life clinical work. The goal was to provide a clearer picture of services to third-party payers to make it easier to “unbundle” services—meaning each part of care can be billed separately and support varied service delivery models.
These changes apply to CPT codes only and do not affect the V codes used under the Healthcare Common Procedure Coding System (HCPCS) Level II codes for hearing aid devices.
The new code set replaces the six longstanding codes (92590–92595) with 12 new codes that better describe the complete process and the full continuum of hearing device care—from evaluating candidacy to selecting and fitting the appropriate device while ensuring optimal, sustained performance.
These new codes primarily describe the audiological services related to air conduction hearing devices. Codes describing services related to implantable devices such as auditory osseointegrated devices and cochlear implants remain as they were previously described elsewhere in the CPT code set.
Many of the new codes are time-based codes, acknowledging the variations in complexity due to patient-related factors such as age, type of hearing loss, and cognitive considerations. The use of time-based codes provides a more accurate reflection of the service intensity involved.
Candidacy Evaluation
Hearing Aid Selection
Fitting and Follow-Up
Verification
The following list of codes includes final code numbers and full code descriptors, effective January 1, 2026.
These codes include candidacy determination and hearing device selection. They recognize varying practice patterns and allow for flexibility in code selection.
CPT Code | CPT Long Descriptor |
92628 |
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 (Do not report 92628 in conjunction with 92631, 92632, 92636, 92637, 92642) (Do not report 92628 in conjunction with 92622, 92623, 92626, 92627, if performed on the same ear) (For hearing testing, see 92550-92588) |
+92629 |
each additional 15 minutes (List separately in addition to code for primary procedure) (Use 92629 in conjunction with 92628) |
92631 |
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 (Do not report 92631 in conjunction with 92628, 92629, 92636, 92637, 92642) (Do not report 92631 in conjunction with 92622, 92623, 92626, 92627, if performed on the same ear) (For hearing testing, see 92550-92588) |
+92632 |
each additional 15 minutes (List separately in addition to code for primary procedure) (Use 92632 in conjunction with 92631) |
These include the work of fitting hearing devices and follow-up services provided after the fitting.
CPT Code | CPT Long Descriptor |
92634 |
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 (Do not report 92634 in conjunction with 92636, 92637, 92642) |
+92635 |
each additional 15 minutes (List separately in addition to code for primary procedure) (Use 92635 in conjunction with 92634) |
92636 |
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 (Do not report 92636 in conjunction with 92628, 92639, 92631, 92632, 92634, 92635, 92642) |
+92637 |
each additional 15 minutes (List separately in addition to code for primary procedure) (Use 92637 in conjunction with 92636) |
These four codes describe additional assessments that require specialized equipment. The verification codes (92638-92642) were created to capture the specific types of verification that may be completed as part of the fitting and follow-up process (92634-92637). CPT codes 92638 and 92639 are untimed add-on codes to be reported in conjunction with fitting or follow-up codes. They cannot be reported separately. CPT codes 92641 and 92642 are untimed standalone codes that may be reported separately.
CPT Code | CPT Long Descriptor |
+92638 |
Behavioral verification of amplification including aided thresholds, functional gain, speech in noise, when performed (List separately in addition to code for primary procedure) (Use 92638 in conjunction with 92634, 92636) (Do not include the time for 92638 within the overall time used for reporting 92634, 92636) |
+92639 |
Hearing-aid measurement, verification with probe-microphone (List separately in addition to code for primary procedure) (Use 92639 in conjunction with 92634, 92635) (Do not include the time for 92639 within the overall time used for reporting 92634, 92636) (For unilateral procedure, report 92639 with modifier 52) |
92641 |
Hearing device verification, electroacoustic analysis (Do not include the time for 92641 within the overall time used for reporting 92634, 92636) (For unilateral procedure, report 92641 with modifier 52) |
92642 |
Hearing assistive device, supplemental technology fitting services (eg, personal frequency modulation [FM]/digital modulation [DM] system, remote microphone, alerting devices) (Do not report 92642 in conjunction with 92631, 92632, 92634, 92635, 92636, 92637, 92638, 92639) |
The timed services in this new family of codes account for the activities of evaluation, assessment, management, and treatment of the patient relating primarily to air conduction hearing devices. Time-based coding allows audiologists to bill for these activities based on the total time spent on the patient on the date of encounter. Audiologists must meet the time thresholds defined for each code to justify the billing. The following table elaborates on the minimum time threshold for each code.
CPT Code | Service Descriptor | Time in Code (Minutes) | Minimum Time to Report (Minutes) |
92628 | Evaluation for hearing aid candidacy | 30 | 16-37 |
+92629 | Evaluation for hearing aid candidacy | 15 | Each additional 15 minutes starting at 38 minutes |
92631 | Hearing aid selection | 30 | 16-37 |
+92632 | Hearing aid selection | 15 | Each additional 15 minutes starting at 38 minutes |
92634 | Hearing aid fitting | 60 | 31-67 |
+92635 | Hearing aid fitting | 15 | Each additional 15 minutes starting at 68 minutes |
92636 | Hearing aid post-fitting follow-up services | 30 | 16-37 |
+92637 | Hearing aid post-fitting follow-up services | 15 | Each additional 15 minutes starting at 38 minutes |
+92638 | Behavioral verification | Not time-based | Not time-based |
+92639 | Probe-microphone verification | Not time-based | Not time-based |
92641 | Electroacoustic analysis verification | Not time-based | Not time-based |
92642 | Hearing assistive devices services | Not time-based | Not time-based |
Currently, hearing devices and related audiological services are statutorily excluded from Medicare coverage, so these devices and services are not reimbursable through Medicare. For this reason, the newly established hearing device services CPT codes do not have assigned relative value units (RVUs), as they did not undergo review by the AMA Relative Value Update Committee (AMA RUC) and are not priced under the Medicare Physician Fee Schedule. As a result, these codes fall outside of Medicare’s reimbursement framework, giving audiologists greater flexibility to negotiate payment rates directly with commercial payers, employers, or patients. The absence of a Medicare-assigned RVU allows for more customized and market-driven payment arrangements that more accurately reflect the value of professional hearing device services in today’s clinical environment.
The new code set will be effective starting January 1, 2026. To help you prepare, ASHA and the American Academy of Audiology (AAA) are co-hosting a webinar, Navigating the Shift: Understanding the New Hearing Device Services CPT Codes, on Tuesday, October 14 at 8 p.m. ET. The session will walk you through the new code set, rationale for the changes, and practical strategies for billing, documentation, and payer communication. Register online.
Check out the Hearing Device Services Codes Crosswalk [PDF] tool that providers and coders can use to help integrate the new hearing device services codes.
Contact reimbursement@asha.org
See also: Proposed Medicare Fee Schedule Introduces New Codes for Hearing Device Services