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The Tinnitus Toolbox: 

An Audiologist’s Guide to Supporting the Patient Journey

  • Tinnitus facts
  • Hearing Assessment
  • Tinnitus Assessment
  • Tinnitus Management
  • Practical Considerations
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What's in your Toolbox?

Tinnitus Toolbox Webinar [Course: #27378]

Facilitated by Brianna Young, Au.D;

The Tinnitus Toolbox: 

The Audiologist's Guide to Support the Full Patient Journey 

Written by Brianna Young, Au.D, Maggie Boorazanes, Au.D and Clement Sanchez, Aud Msc.; Published in Hearing Review, May and June 2016.

[Part 1] Hearing care professionals need to be able to recognize which tools in their tinnitus toolbox to utilize on a patient-by-patient basis, and be aware of research to help make navigation of this an easier process for both the clinician and the patient. 

[Part 2] By creating a Tinnitus Toolbox based on best-practice solutions, hearing care professionals are better able to take their tinnitus evaluation results and tailor a management plan that best suits each and every patient with tinnitus.


Tinnitus Assessment: The key to successful tinnitus patient care

This whitepaper discusses methods to quantify subjective tinnitus symptoms. An audiologist meeting a patient complaining of tinnitus needs to identify and quantify the subjective symptom. This is necessary both to establish the clinical type of tinnitus and to recommend the correct instrumentation to manage the tinnitus. According to Richard Tyler, PhD, Professor of Otolaryngology at the University of Iowa, “the quantification of a symptom is fundamental to understanding its mechanisms and treatments.. 

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    October is Tinnitus Care Month
    NEW Infographic:

    Tinnitus Toolbox: An Audiologist’s Guide to Supporting the Patient Journey
    Get my copy
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    Madsen® Astera² includes a dedicated Tinnitus Module to help quantify subjective and objective symptoms
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    Engage patients with integrated reports, visuals and tools in Otosuite®
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    Aurical® Freefit with Probe Microphone Measurement (PMM) includes tinnitus markers and advanced features for objective verification
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Ask the Experts

Question #1: Is there an objective method to assess “ringing in the ears”?

Yes, a tinnitus evaluation can assist in this process, providing a valuable basis for communication between the examiner and the patient about the symptoms. Patient care can be enhanced by using tools such as psychoacoustic measurements and questionnaires. Having insight into the psychoacoustic elements of the tinnitus and the effect it has on the patient’s daily life is important when evaluating a patient with tinnitus symptoms. Another important component of the evaluation includes tinnitus questionnaires designed to assess the impact of the tinnitus on the patient’s daily life. The information can be used to guide treatment decisions and to monitor progress over time. Audiologists, Wendy Switalski and Clement Sanchez, discuss it in detail in our recent interview with Audiology Today, see: Methods to Quantify Subjective Tinnitus Symptoms.

Question #2: Can you describe the billing and reimbursement process for tinnitus assessment?

There is limited insurance reimbursement for many of the aspects of tinnitus care, such as consultation and treatments. However, there is a current procedural terminology (CPT) code for components of the tinnitus evaluation discussed above. The tinnitus assessment CPT code 92625 specifically includes the components of pitch matching, loudness matching, and masking, performed for both ears. If testing is only completed for one ear, or only partially completed, a modifier of -52 is recommended. Audiologists, Wendy Switalski and Clement Sanchez, discuss it in detail in our recent interview with AudiologyOnline, see: Evaluation and counseling: An essential part of tinnitus patient care

Question #3: How does tinnitus assessment with MADSEN Astera2 work?

You can read about on our Quick Guide or watch this 7-minute video to find out:

Question #4: How does the integrated tinnitus module work with AURICAL PMM and MADSEN Astera2?

Peter Kossek, product manager at GN Otometrics answers here:

Question #5: What is the best way to start for someone who becomes interested in tinnitus treatment?

Professionals interested in expanding their services have so many resources available. These include seminars, on-line training opportunities, textbooks and articles. Additionally, training from hearing instrument manufacturers and collaborating with colleagues can be valuable. Practices may begin by offering tinnitus assessment, patient questionnaires or surveys. They can also provide informational counseling, and supplement their fittings with hearing instruments that include features and options for tinnitus relief. The Hearing Review, takes a closer look at tinnitus treatment along with three audiologists, Clément Sanchez, Wendy Switalski, Au.D, and Clint Keifer, Au.D. in our article Tinnitus assessment – the key to successful tinnitus management. See: What is the best way to start for someone who becomes interested in tinnitus treatment?