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Changes in Audiology Visits at an Academic Audiology Practice Following the Food and Drug Administration Over-the-Counter Hearing Aid Ruling.

H. N. Weinstein,Lauren H Tucker,Karla Fernandez,Jessica A Galatioto,Justin S. Golub

Published 2025 in American Journal of Audiology

ABSTRACT

PURPOSE In 2022, the Food and Drug Administration (FDA) permitted the sale of over-the-counter (OTC) hearing aids nationwide. The impact on audiology practice has not been well characterized. The purpose of this study is to determine if there was a change in the volume of hearing aid evaluations (HAEs) and comprehensive audiologic exams (CAEs) at an academic tertiary care audiology practice following the ruling. METHOD Data were collected from the billing records of patients ≥ 18 years old. HAE and CAE visits, defined by Current Procedural Terminology and Healthcare Common Procedure Coding System codes, were included. The number of visits was totaled for equal time periods (534 days) before and after October 17, 2022, when OTC hearing aid sales began. Sensitivity analysis (365 days before and after the ruling) accounted for seasonality. Change in visits per day over the entire period was calculated from the slope of the line of best fit. RESULTS The mean (SD) age was 60.5 (18.3) years. There were 20,300 combined HAE and CAE visits. Compared to before the ruling, over the entire study period (534 days), HAE visits increased by 12.0% (n = 57), CAE visits increased by 7.3% (n = 685), and combined visits (HAE and CAE) increased by 7.6% (n = 744) after the ruling. Over the entire study period (534 days), HAE had an increase of 0.084 visits/day, CAE had an increase of 4.56 visits/day, and combined visits (HAE and CAE) had an increase of 4.95 visits/day. CONCLUSIONS The FDA OTC hearing aid ruling did not have a meaningful impact on the volume of HAEs and CAEs at an academic audiology practice. We found a small trend toward increased volume. Future studies should investigate visit patterns in other practice models to understand the full impact of the ruling on clinical audiology practice volumes.

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