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An osseointegrated implant is a specialized device used to improve hearing in patients who experience hearing loss due to conditions affecting the middle ear and cochlea. The procedure described by CPT® Code 69718 involves the replacement of an existing osseointegrated implant in the temporal bone, which is a critical area of the skull that houses structures essential for hearing. This replacement procedure includes the removal of the current implant and the installation of a new one, which is then attached percutaneously to an external speech processor or cochlear stimulator. The process begins with careful measurement and marking of the skin over the implant site, followed by an incision to expose the mastoid complex. This exposure is crucial as it allows the surgeon to create skin and periosteal flaps, which facilitate access to the underlying bone. The existing implant is then removed after drilling out the surrounding bone, and the site is prepared to accommodate the new implant. The new implant is secured in place, and the skin flap is modified to allow for the attachment of the external device. This procedure is particularly significant for patients who have lost their hearing due to disease, as it aims to restore auditory function and improve quality of life.
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The procedure described by CPT® Code 69718 is indicated for patients who have experienced hearing loss due to diseases affecting the middle ear and cochlea. The specific conditions that may warrant this procedure include:
The procedure for CPT® Code 69718 involves several critical steps to ensure the successful replacement of the osseointegrated implant:
After the procedure, patients may require specific post-operative care to ensure proper healing and functionality of the new 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 are typically advised on activity restrictions to avoid undue stress on the implant site during the initial healing phase. Additionally, instructions regarding the care of the external speech processor or cochlear stimulator will be provided to ensure optimal use and maintenance of the device.
| Short Descr | REVISE TEMPLE BONE IMPLANT | Medium Descr | RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY | Long Descr | Replacement (including removal of existing device), 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 |
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