□       Describe the type and severity of the loss.

□       What is interaural attenuation (IA), and what is the minimal interaural attenuation  for bone.

□       Was the bone IA that amount in each case?

□       Other than to bill for the CPT code 92557 without worrying about a “reduced services” modifier, was there any reason to test bone in each ear?  (You might want to search on common procedural terminology codes and modifier 52.)

□       The patient has some decrease in hearing in the high frequencies in each ear.  Do you think the amount of loss is expected for her age?  What type of site of lesion does one start to be concerned about if the loss is asymmetrical and high frequency?

Spanish word list testing

□      The word recognition score is 100% in each ear. Does that rule out retrocochlear pathology?

□       Are the spondee thresholds in agreement with the three-frequency pure tone averages?