New Hearing Device Services Codes: Modernizing Audiologic Services

Starting in January 2026, a new set of Current Procedural Terminology (CPT®) codes will be used 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.

Why New Codes Were Needed

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.

Development Process

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.

Overview of the New Code Structure

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.

Service Categories

1. Candidacy Evaluation

2. Hearing Aid Selection

3. Fitting and Follow-Up

4. Verification

New Code Descriptions

The following are a list of the codes with placeholder numbers and full code descriptors. Final CPT code numbers are expected to be released in the fall of 2025.

Evaluation Services and Hearing Device Selection (Codes 9X01X–9X06X)

These codes include candidacy determination and hearing device selection. They recognize varying practice patterns and allow for flexibility in code selection.

• 9X01X: Evaluation for hearing aid candidacy, unilateral or bilateral, including review and integration of audiologic function tests, assessment, and interpretation of hearing needs (for example, 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 the code for the primary procedure) (use 9X01X in conjunction with 9X01X)

• 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 the code for the primary procedure) (use 9X04X in conjunction with 9X03X)

Fitting and Follow-Up Services (Codes 9X07X–9X10X)

These include the work of fitting hearing devices and follow-up services provided after the fitting.

• 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 the code for the primary procedure) (use 9X08X in conjunction with 9X07X)
• 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) (for example, 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 the code for the primary procedure) (use 9X10X in conjunction with 9X09X)

Verification Services (Codes 92X11–92X14)

Four codes are proposed for additional assessments that require specialized equipment and may not always be performed with the codes listed above. The verification codes (9X11X-9X14X) were created to capture the specific types of verification that may be completed as part of the fitting and follow-up process (9X07X-9X10X). These verification codes are reported separately from the timed codes.

• 9X11X: Behavioral verification of amplification including aided thresholds, functional gain, speech in noise, when performed.
• 9X12X: Hearing-aid measurement, verification with probe-microphone).
• 9X13X: Hearing device verification, electroacoustic analysis
• 9X14X: Hearing assistive device, supplemental technology fitting services (for example, personal frequency modulation (FM)/digital modulation (DM) system, remote microphone, alerting devices)

Valuation of the New CPT Codes

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.

Implementation

The new code set is expected to be released in September 2025 and will be effective starting January 2026. In preparation for use in January, both ASHA and AAA will work with members and educate payers on the use of these new codes.

Questions?

Contact reimbursement@asha.org

See also: Proposed Medicare Fee Schedule Introduces New Codes for Hearing Device Services