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The procedure described by CPT® Code 69716 involves the implantation of an osseointegrated implant in the skull, specifically designed for individuals with hearing loss. This procedure utilizes a magnetic transcutaneous attachment that connects to an external speech processor, which amplifies sound for the patient. The osseointegrated implant is anchored to the skull, allowing sound vibrations to be transmitted through the bone directly to the cochlea, thereby facilitating improved auditory perception. The implantation is performed within the mastoid area, which is a part of the temporal bone located behind the ear. It is crucial that the mastoid is healthy and that the patient's hearing loss is not attributed to chronic infections, as these conditions could complicate the procedure and its outcomes. During the surgery, a specific area of less than 100 square millimeters of bone is removed, which is deep to the outer cranial cortex, to create a well for the implant. The surgical site is carefully planned to ensure optimal placement of the device, typically at a height that aligns with the top of the auricle, approximately 5.5 cm behind the ear canal. The procedure requires meticulous dissection and preparation of the site to accommodate the implant components, ensuring that the device can effectively merge with the living tissue over time. This integration process is essential for the long-term success of the implant, as it allows for stable attachment and effective sound transmission through the bone conduction system.
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The procedure described by CPT® Code 69716 is indicated for patients experiencing specific types of hearing loss that can benefit from bone conduction implants (BCI). The following conditions are explicitly mentioned as suitable for this procedure:
The procedure for the implantation of an osseointegrated implant involves several critical steps, each designed to ensure the successful placement of the device:
After the procedure, patients can expect a recovery period during which the implant integrates with the surrounding tissue. It is essential to monitor the surgical site for any signs of infection or complications. The external speech processor can be attached to the implant via the magnet, allowing for sound amplification. Patients should follow their healthcare provider's instructions regarding care of the surgical site and any restrictions on activities during the healing process. Regular follow-up appointments may be necessary to assess the integration of the implant and the effectiveness of the device in improving hearing.
| Short Descr | IMPL OI IMPLT SK TC ESP<100 | Medium Descr | IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100 | Long Descr | Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex | 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 | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2024-01-01 | Changed | Guideline added. |
| 2023-01-01 | Changed | Code description changed. |
| 2022-01-01 | Added | Code added |
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