CPT® Code 69661

Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out

A stapedectomy or stapedotomy is a surgical procedure aimed at treating conductive hearing loss caused by the fixation of the stapes bone, often due to a condition known as otosclerosis. In a healthy ear, the stapes bone vibrates freely, allowing sound to be transmitted effectively into the inner ear. However, when abnormal bone growth occurs around the stapes, it can become immobile, leading to hearing impairment. The procedure involves making an incision in the posterior wall of the ear canal to create a tympanomeatal flap, which is then elevated to expose the ossicles of the middle ear for inspection. Depending on the severity and location of the otosclerosis, the surgeon may perform a stapedectomy, where part or all of the stapes is excised, or a stapedotomy, where the stapes is drilled to create an opening. In the case of CPT® Code 69661, the procedure includes a footplate drillout, which involves removing the upper portion of the stapes while leaving the fixed footplate in place. A small hole is then created in the footplate using a laser or drill, allowing for the placement of a prosthetic rod that connects the incus to the inner ear. This procedure aims to restore the transmission of sound vibrations, thereby improving hearing. After the surgical steps are completed, the tympanomeatal flap is repositioned, and the incision is closed with sutures, ensuring proper healing and recovery.