Billing code
G441A — Pure tone and speech audiometry – technical component
Hearing and speech test, technical
Bill G441 for performing pure tone audiometry plus speech reception threshold or speech discrimination testing; interpretation is G526.
Watch for: Pays nil unless done by a qualified physician or eligible delegate, with written records of qualifications kept.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $20.80 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G441A
- Description
- Pure tone and speech audiometry – technical component
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Technical component of pure tone threshold audiometry (with or without bone conduction) plus speech reception threshold and/or speech discrimination.
What it covers
G441 is the technical component of pure tone threshold audiometry, with or without bone conduction, together with speech reception threshold and/or speech discrimination scores (J99). It is a basic diagnostic hearing test (J99).
The professional component (interpretation) is G526. Pure tone audiometry without speech testing is G440/G525 (J99).
Billing rules
- Basic hearing tests pay nil unless the technical component is done by a qualified physician, or delegated to the physician's qualified employee or to a CASLPO audiologist employed by a public hospital (J98).
- Delegated technical work must meet the General Preamble delegation rules (GP62, J98).
- Keep written records of your qualifications and those of staff you delegate to; without them the test pays nil (J98).
- Technical component in hospital is paid at 86.10% of the listed fee, and is never payable for in-patients (GP11).
- Fixed-level screening audiometry, and tests requested or arranged by third parties (school boards, employers, WSIB), are not insured (J98).
- Sound field audiometry (G448/G450) pays nil if G525, G441 or G526 is claimed for the patient the same day (J99).
Often billed with
- G526 professional component (J99).
- G442/G529 impedance audiometry (J99).
Related codes: G526, G440, G525, G442, G529, G448
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Otolaryngology, page J99; diagnostic hearing test rules J98.
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