Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure)
CPT4 code
Name of the Procedure:
Evaluation of Central Auditory Function, with Report; Each Additional 15 Minutes
Common Name(s): Central Auditory Processing Disorder (CAPD) Testing.
Summary
This is an assessment to evaluate the central auditory function, examining how the brain processes sounds. Each additional 15-minute block is billed separately from the primary evaluation procedure.
Purpose
The procedure aims to diagnose issues related to central auditory processing. It helps identify difficulties in how the brain interprets sounds, which can assist in developing effective treatment plans to improve auditory and cognitive abilities.
Indications
- Difficulty understanding speech in noisy environments.
- Frequent requests for repetition or misunderstanding conversations.
- Poor listening skills, especially in children and older adults.
- History of speech and language delays.
- Academic difficulties related to listening.
Preparation
- No specific fasting required.
- Patients should bring any hearing aids or auditory devices they commonly use.
- Relevant medical history and any previous auditory test results should be provided.
- Ensure a quiet environment free from distractions for accurate testing.
Procedure Description
- Initial Evaluation: A primary auditory function evaluation is performed.
- Additional Testing: If more time is needed, additional 15-minute segments are used.
- Tools Used: Specialized audiometric equipment, headphones, and soundproof rooms.
- Testing Methods: Various auditory tasks, such as listening to sentences in background noise or identifying different sounds, are utilized.
- Reporting: Detailed analysis and reports are generated regarding the auditory function.
Duration
Typically, each additional segment lasts 15 minutes, but the entire session can vary depending on the complexity of the case.
Setting
This procedure is conducted in a hospital, outpatient clinic, or specialized audiology office with a soundproof examination room.
Personnel
- Audiologists
- Audiology Technicians
- Occasionally, an otolaryngologist (ENT specialist) might be involved.
Risks and Complications
- Minimal risks involved.
- Some patients may feel anxious or fatigued.
- Rare complications include mild discomfort from headphones.
Benefits
- Accurate diagnosis of auditory processing disorders.
- Tailored treatment plans to improve listening and communication skills.
- Enhanced academic and social outcomes for patients facing auditory challenges.
Recovery
- Immediate resumption of daily activities post-procedure.
- Follow-ups may be scheduled to discuss results and implement treatment plans.
Alternatives
- Standard hearing tests to rule out peripheral hearing loss.
- Cognitive and speech-language therapy assessments.
- Online auditory training programs can offer some improvement but may not be as effective as tailored in-person evaluations.
Patient Experience
- Patients will wear headphones and respond to various sounds and spoken instructions.
- Comfort is maintained throughout, with breaks as needed to avoid fatigue.
- The procedure is generally painless, though concentration can be mentally tiring.