CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Office & outpatient evaluation
92551 — Pure-tone hearing screening, air only
Basic hearing screening test. ACA preventive coverage applies for many adults.
- Typical setting: Doctor's office or audiology
- National avg charge (illustrative): Insurance allowed $15-$40; cash $25-$80.
- Most-disputed reason: Cost-share applied to ACA-covered preventive screening.
What it means
What 92551 actually means
CPT 92551 is a basic pure-tone hearing screening, air conduction only. It's the entry-level audiometric test.
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- Charged a copay when ACA preventive coverage applies.
- Billed as full audiometry (92557) when only screening was performed.
- Coded with diagnostic ICD instead of preventive screening code.
If you see 92551 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 92551 often also see these adjacent codes on the same bill.
CPT
90472 — Immunization admin; each additional vaccine
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90651 — Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90670 — Pneumococcal conjugate vaccine, 13 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90671 — Pneumococcal conjugate vaccine, 15 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90677 — Pneumococcal conjugate vaccine, 20 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
Related BillBusted guides
Plain-English reads if you see 92551 on a bill.
92551 FAQ
Plain-English answers.
Don't pay 92551 blindly.
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