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ADA Releases Member Resources for New Hearing Aid Service CPT Codes

Dear ADA Members,

Beginning January 1, 2026, 12 new Current Procedural Terminology (CPT) codes are scheduled to take effect. These codes cover:

  • Hearing aid candidacy
  • Hearing aid selection
  • Hearing aid and assistive device fitting
  • Follow-up and verification
  • Electroacoustic analysis

At the same time, current CPT codes 92590–92595 will be deleted.

These changes may have a significant impact on audiology practices. ADA has expressed concerns about the impact and implementation of these codes, and will continue to advocate for timely and transparent information!

In the meantime, to help members prepare, the Academy of Doctors of Audiology (ADA) has developed a suite of resources to support you in learning, operationalizing, and monetizing these new codes.

Visit the members’ only resource page (note: you must be logged in to see the links to the resources—otherwise they will just show as orange locks)

Who May Be Most Impacted by the New Codes

Providers most affected by these changes may include:

  • In-network providers who offer or bill unbundled or itemized hearing aid delivery.
  • In-network providers for plans/payers/insurers that previously recognized:
    • 92590–92595,
    • 92700 (unlisted otorhinolaryngological procedure or service), or
    • V5299 (hearing service, miscellaneous) as non-covered.
  • This group may include:
    • Commercial health plans (e.g., Blue Cross Blue Shield, Aetna)
    • State Medicaid programs
    • Early Periodic Screening, Diagnosis and Treatment (EPSDT) programs
    • State Vocational Rehabilitation programs
    • State and federal Workers’ Compensation programs
    • VA Community Care

Who May Be Least Impacted by the New Codes

Providers likely to see less impact include the following:

  • Out-of-network providers for all payers except traditional Medicare.
  • Providers who never used 92590–92595 or billed services under 92700.
    • These providers rely only on HCPCS V-codes (e.g., V5010, V5011, V5020).

Note: If this has been your process, there may have been billing situations where potential revenue was left on the table.

What Remains Uncertain

  • How payers, hearing benefit/care plans, and third-party administrators will update their professional fees, billing policies, and allowances in response to these codes.
  • Finalized CPT code numbers, which are expected in the next 6–8 weeks. (Resources currently use placeholder “X” codes.)

The CPT Changes booklet—detailing the new codes and their appropriate use—should be available in November/December 2025. ADA resources will continue to expand as updates are released.

 

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Sunday, September 28, 2025 | 8:00 AM – 12:00 PM EST
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ADA Resources (as of August 2025) on the Members’ only 2026 CPT Code Resource Page.

Resources include the following:

  • 2026 Hearing Aid Service CPT Code List
    Describes new codes, descriptors, current equivalents, and recommended modifiers.
  • 2026 Hearing Aid Services Code Update (FAQ)
    Explains how the new codes may impact audiology practice.
  • Steps to Operationalizing and Monetizing the Codes
    A guide for in-network providers to analyze allowable rates.
  • Questions Answered
    ADA subject matter experts address unanswered questions originally posed to code-creating organizations.
  • Documentation Templates
    Templates for candidacy, selection, fitting, and follow-up procedures to help meet documentation requirements. (Providers may adapt to state/payer specifics.)

Additional Support for ADA Members
For questions, comments, or concerns, please contact: Kim Cavitt, Au.D.. (Available exclusively to ADA members as a value-added benefit.)

Acknowledgment
ADA thanks Dr. Cavitt and the Hearing Aid Service Code Task Force for their leadership, review, and contributions to this important work. Background Information

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