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The procedure described by CPT® Code 69727 involves the complete removal of an entire osseointegrated implant from the skull, specifically one that is equipped with a magnetic transcutaneous attachment to an external speech processor. This type of implant, known as a bone conduction implant (BCI), is designed to amplify and conduct sound vibrations through the bone directly to the cochlea, thereby assisting individuals with hearing loss. The external speech processor is magnetically attached to the implant, which is situated beneath a thin layer of skin, allowing for a seamless integration into the patient's anatomy. Removal of the implant may be necessitated by various factors, including pain, infection, instability of the implant, trauma, or failure of the implant to properly osseointegrate with the surrounding bone. The procedure typically takes place in the mastoid region, which is located behind the ear, and may involve a bony defect that is less than 100 square millimeters in surface area, deep to the outer cranial cortex. This detailed understanding of the procedure is crucial for medical coders and billers to ensure accurate coding and billing practices.
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The procedure described by CPT® Code 69727 is indicated for the complete removal of an osseointegrated implant in cases where the following conditions may be present:
The procedure for the removal of the osseointegrated implant involves several critical steps to ensure a safe and effective outcome:
Post-procedure care following the removal of the osseointegrated implant is crucial for optimal recovery. Patients may be monitored for any signs of infection or complications at the surgical site. Pain management strategies will be implemented as needed, and patients may be advised on activity restrictions to promote healing. Follow-up appointments will be necessary to assess the healing process and determine if any further interventions are required. Additionally, patients should be educated on signs of complications that warrant immediate medical attention.
| Short Descr | RMV NTR OI IMP SK TC ESP<100 | Medium Descr | REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP<100 | Long Descr | Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect 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 | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 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). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, 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) | SG | Ambulatory surgical center (asc) facility service |
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| 2023-01-01 | Changed | Code description changed. |
| 2022-01-01 | Added | Code added |
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