Aetna considers automated audiometry that is either self-administered or administrated by nonaudiologists experimental and investigational because its effectiveness has not been adequately validated to be equivalent to audiometry performed by an audiologist.
A limited number of studies have compared computer-assisted audiometry that is self-administered or administered by nonaudiologists to audiometry administered by an audiologist.
Mahomed, et al. (2013) conducted a meta-analysis of studies reporting within-subject comparisons of manual and automated threshold audiometry. The authors found overall average differences between manual and automated air conduction audiometry to be comparable with test-retest differences for manual and automatedaudiometry. The authors found, however, limited data on automated audiometry in children and difficult-to-test populations, automated bone conduction audiometry, and data on the performance of automated audiometry in different types and degrees of hearing loss.
The American Speeh-Language Hearing Association recommends that hearing screening be conducted under the supervision of an audiologist holding the ASHA Certificate of Clinical Competence (CCC).
CPT Codes / HCPCS Codes / ICD-9 Codes
CPT codes not covered for indications listed in the CPB:
The above policy is based on the following references:
Mahomed F, Swanepoel DW, Eikelboom RH, Soer M. Validity of automated threshold audiometry: A systematic review and meta-analysis. Ear Hear. 2013 May 31. [Epub ahead of print].
Yu J, Ostevik A, Hodgetts B, Ho A. Automated hearing tests: Applying the otogram to patients who are difficult to test. J Otolaryngol Head Neck Surg. 2011;40(5):376-383.
Swanepoel de W, Mngemane S, Molemong S, et al. Hearing assessment-reliability, accuracy, and efficiency of automated audiometry. Telemed J E Health. 2010;16(5):557-563.
Margolis RH, Glasberg BR, Creeke S, Moore BC. AMTAS: Automated method for testing auditory sensitivity: Validation studies. Int J Audiol. 2010;49(3):185-194.
Ho AT, Hildreth AJ, Lindsey L. Computer-assisted audiometry versus manual audiometry. Otol Neurotol. 2009;30(7):876-883.
American Speech-Language-Hearing Association (ASHA). Hearing screening and testing. Information for the Public. Rockville, MD: ASHA; 2013.
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