Original Effective Date:
08/01/1994
Current Effective Date:
01/01/2015
Indications for Testing
- Patient has or is suspected of having a hearing problem and an audiogram is not obtainable because of the patient’s age (up to 3 years of age) or handicap
- Clinical findings are equivocal, and confirmation is necessary.
- There is no response to treatment.
The following conditions or indications are not considered appropriate:
- Acute otitis media
- Eustachian salpingitis
- Impacted wax
- Otitis external
- Perforation of tympanic membrane (tympanic membrane retraction or thickened or bulging membrane)
Repeat Testing
When necessary, it should be done no less than 30 days from the initial test.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |