Nebraska Revised Statutes Chapter 38. Health Occupations and Professions § 38-1519. Hearing assessment; required; procedures; hearing instrument; components

(a) Completion of a patient history questionnaire;

(b) Otoscopic examination;

(c) Testing to determine the type and degree of hearing loss that includes (i) pure-tone air conduction testing at two hundred fifty hertz, five hundred hertz, one thousand hertz, two thousand hertz, four thousand hertz, and eight thousand hertz, (ii) bone conduction testing at five hundred hertz, one thousand hertz, two thousand hertz, and four thousand hertz, and (iii) appropriate inter-octave testing when needed if the octave to adjacent octave threshold difference is greater than fifteen decibels;

(d) Effective masking when indicated;

(e) Appropriate testing to determine speech reception thresholds, word recognition scores, most comfortable listening levels, uncomfortable loudness levels, frequency-specific loudness discomfort levels, ability to understand speech in noise, and the selection of the best fitting arrangement for maximum hearing instrument benefit when indicated; and

(f) Other speech tests commonly used to assess human hearing acuity for ordering the use and fitting of hearing instruments.