CPT® Code 69717

Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor

The procedure described by CPT® Code 69717 involves the replacement of an osseointegrated implant in the skull, which includes the removal of an existing device and the installation of a new one. This type of implant is typically used in patients who require a bone conduction implant (BCI) for auditory purposes, particularly when traditional hearing aids are not suitable. The procedure is performed when there are complications such as trauma or chronic inflammation at the site of the existing implant abutment. The process begins with the preparation of the surgical site, which includes shaving the hair behind the ear and marking the new recipient site for the implant. The surgical team carefully measures and marks the location for the transducer, ensuring precise placement for optimal function. The procedure requires meticulous dissection to access the implant site, removal of the existing device, and careful drilling to prepare the new site for the implant. The final steps involve securing the new implant and ensuring that it is properly positioned to allow for the attachment of an external speech processor, which is essential for the device's functionality. This procedure is critical for restoring hearing capabilities in patients who have experienced complications with their previous implants.