Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
An osseointegrated implant is a specialized device that is surgically placed in the temporal bone of the skull. This procedure involves the attachment of the implant to an external speech processor or cochlear stimulator through a percutaneous method, which means that the attachment occurs through the skin. The primary purpose of this type of implant is to restore hearing in individuals who experience hearing loss due to conditions affecting the middle ear and cochlea. The procedure begins with careful measurement and marking of the skin over the intended implantation site to ensure optimal placement of the implant. Following this, an incision is made in the skin to expose the mastoid complex, which is the area of bone located behind the ear. During the surgery, skin and periosteal flaps are created to provide access to the bone. A pilot hole is then drilled into the temporal bone, which is gradually enlarged to accommodate the implant. Once the site is prepared, the implant is securely placed into the bone. The skin flap is then perforated to facilitate the connection to the external speech processor or cochlear stimulator. After the implant is in place, the surrounding soft tissues are reduced in thickness to ensure a proper fit before the wound is closed. It is important to note that this specific procedure, identified by CPT® Code 69715, includes a mastoidectomy, which involves the removal of infected and diseased air cells from the mastoid area, allowing for better exposure of non-aerated segments of the mastoid prior to the implantation of the device. This distinguishes it from similar procedures, such as CPT® Code 69714, where the mastoidectomy is not performed.
© Copyright 2026 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 69715 is indicated for patients who have experienced hearing loss due to specific conditions affecting the middle ear and cochlea. The following are the explicit indications for performing this procedure:
The procedure for CPT® Code 69715 involves several critical steps that ensure the successful implantation of the osseointegrated device. Each step is detailed as follows:
After the completion of the procedure, patients may require specific post-operative care to ensure proper healing and functionality of the implant. This includes monitoring for any signs of infection at the surgical site, managing pain, and following up with audiological assessments to evaluate the effectiveness of the implant. Patients may also need to adhere to specific guidelines regarding activity restrictions and care of the surgical area to promote optimal recovery. Regular follow-up appointments will be necessary to assess the integration of the implant and the performance of the external speech processor or cochlear stimulator.
| Short Descr | TEMPLE BNE IMPLNT W/STIMULAT | Medium Descr | IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID | Long Descr | Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with mastoidectomy | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 26 - Other therapeutic ear procedures |
Get instant expert-level medical coding assistance.