CPT Coding for Osseointegrated Implants

 

 

 

This edition of “Spotlight on CPT” will present information on the CPT changes related to osseointegrated implants which took place this year.  Osseointegrated implants are devices used to treat hearing loss.  A device or abutment is placed into the skull and allows acoustic energy to be transduced which improves hearing.

Source: https://www.wmchealthaps.com/hearing-solutions-and-treatments

The first major change is that CPT codes 69715 & 69718 have been deleted.  These codes had incorporated mastoidectomy procedures with the osseointegrated implants procedures.  Now, a new CPT note directs coders to assign additional codes from 69501-69676 in addition to these osseointegrated implant procedures when mastoidectomy procedures are also performed. 

Next, references to the temporal bone were removed and the term replaced with the word “skull”.  Also removed were the references to a cochlear stimulator.  If the phrase, without mastoidectomy had previously been part of the code definition, it was also removed.

Codes now are broken down into the implant attachment methodology, namely percutaneous or with magnets.  This is true for the insertion, revision/replacement, or removal as noted below.

69714      Implantation, osseointegrated implant, skull; with percutaneous attachment to external     

                speech processor

69716      with magnetic transcutaneous attachment to external speech processor

69717      Revision or replacement (including removal of existing device), osseointegrated implant, 

                skull; with percutaneous attachment to external speech processor

69719      with magnetic transcutaneous attachment to external speech processor

69726      Removal, osseointegrated implant, skull; with percutaneous attachment to external speech 

                processor

69727      with magnetic transcutaneous attachment to external speech processor

 

Now, light has been shed on CPT coding for osseointegrated implants.

 

 

 

 

About the Author 

Dianna Foley, RHIA, CHPS, CCS, CDIP  is OHIMA's Coding Education Coordinator. Dianna has been an HIM professional for 20 years. She progressed through the ranks of coder, department supervisor, and department director, to her current role as a coding consultant. 

She recently served as the program director for Medical Coding and HIT at Eastern Gateway Community College. Dianna earned her bachelor's degree from the University of Cincinnati subsequently achieving her RHIA, CHPS, and CCS certifications. She is an AHIMA Approved ICD-10-CM/PCS Trainer and a a presenter at regional HIM meetings and the OHIMA Annual Meeting.