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Published Date: 2025-10-27

EPSDT Hearing Screening

Ensure early detection of hearing loss in children through Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Hearing Screening.

The Joint Committee on Infant Hearing recommends universal newborn and periodic hearing throughout childhood as an important means of identifying both congenital and acquired hearing loss. A 2005 study revealed that 10% of children failed hearing screenings, and yet over half were not rechecked or referred by pediatricians.

The goal of a hearing screening is to detect hearing loss to improve developmental and language outcomes. Hearing impairment in childhood has a detrimental impact on effective communication development and can also impact educational performance.

All newborns should receive an initial hearing screening before being discharged from the hospital as part of the universal newborn hearing screening. If the hearing screening is not completed in the hospital or was inconclusive, a hearing screening should be completed by 3 months of age.

Hearing screenings should be completed at the following ages:

Age 4	Age 10
Age 5	Ages 11-14
Age 6	Ages 15-17
Age 8	Ages 18-20

Billing

All EPSDT screening services must be reported with age-appropriate evaluation and management code along with the EP modifier.

12 month to 4 year EPSDT visit CPT Code is 99382 or 99392
5 year to 11 year EPSDT visit CPT Code is 99383 or 99393
12 year to 17 year EPSDT visit CPT Code is 99384 to 99394

Provider should choose most appropriate test:

The CPT code for Audio Screen 92551
- A Screening Test includes pure tone and air conduction. If the patient fails, they should be scheduled for the Threshold test or referred to an audiologist to determine the problem.
The CPT code for Pure Tone-air only 92552
- A Threshold test is used to define more specific diagnosis of the patient’s hearing problem and identifies the softest level a patient can hear.
The CPT code for Tympanometry 92567
- Tympanometry tests how well the eardrum moves.
The CPT for Acoustic reflex testing, threshold 92568
- Acoustic reflex testing includes sounds that move through a device in the ear to measure a reflex.

For questions regarding the EPSDT program, please contact EPSDTinfo@HighmarkWholecare.com.

These codes are not all encompassing and use does not guarantee payment. They are intended as a guide to provide education around appropriate screenings and coding as part of the EPSDT program.