How To Use CPT Code 69710

CPT 69710 describes the implantation or replacement of an electromagnetic bone conduction hearing device in the temporal bone. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 69710?

CPT 69710 can be used to describe the implantation or replacement of an electromagnetic bone conduction hearing device in the temporal bone. This code is used when a provider surgically places or replaces a device that uses an electric current to stimulate the vibratory structures of the middle ear, such as the tympanic membrane, ossicles, or round window, to treat conductive hearing loss.

2. Official Description

The official description of CPT code 69710 is: ‘Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone (replacement procedure includes removal of old device).’ This code is used when a provider surgically implants or replaces an electromagnetic bone conduction hearing device in the temporal bone, and it includes the removal of the old device if applicable.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made behind the ear (postauricular) to access the temporal bone.
3. The provider creates a circular depression in the outer skull cortex behind the mastoid cavity.
4. The internal coil of the electromagnetic bone conduction hearing device is placed in the depression and secured to the skull using titanium screws.
5. If necessary, the provider thins the subcutaneous tissue overlying the coil.
6. The area is irrigated, and the incision is closed with sutures.
7. A dressing is applied to protect the surgical site.

4. Qualifying circumstances

CPT 69710 is used for patients who require the implantation or replacement of an electromagnetic bone conduction hearing device in the temporal bone to treat conductive hearing loss. The procedure is performed by a qualified provider and may involve the removal of an old device if applicable.

5. When to use CPT code 69710

CPT code 69710 should be used when a provider performs the implantation or replacement of an electromagnetic bone conduction hearing device in the temporal bone. It is important to ensure that the procedure meets the specific criteria outlined in the code description, including the use of an electromagnetic device and the involvement of the temporal bone.

6. Documentation requirements

To support a claim for CPT 69710, the provider must document the following information:

• Indication for the implantation or replacement of the electromagnetic bone conduction hearing device
• Details of the surgical procedure, including the specific steps performed
• Documentation of any complications or additional procedures, such as the removal of an old device
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 69710, ensure that the procedure meets the criteria outlined in the code description. It is important to accurately document the specific steps performed during the surgery and any additional procedures, such as the removal of an old device. Modifier 52, Reduced services, may be appended if the provider does not perform all the components described in the code. It is also important to follow any specific billing guidelines provided by payers.

8. Historical information

CPT 69710 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider performs the implantation of an electromagnetic bone conduction hearing device in the temporal bone for a patient with conductive hearing loss.
2. A patient undergoes the replacement of an old electromagnetic bone conduction hearing device in the temporal bone with a new device.
3. A provider performs the implantation of an electromagnetic bone conduction hearing device in the temporal bone for a child with congenital conductive hearing loss.
4. A patient requires the replacement of a malfunctioning electromagnetic bone conduction hearing device in the temporal bone.
5. A provider performs the implantation of an electromagnetic bone conduction hearing device in the temporal bone for a patient who has experienced trauma resulting in conductive hearing loss.
6. A patient undergoes the replacement of an electromagnetic bone conduction hearing device in the temporal bone due to a change in their hearing needs.
7. A provider performs the implantation of an electromagnetic bone conduction hearing device in the temporal bone for a patient with a history of chronic ear infections.
8. A patient requires the replacement of an electromagnetic bone conduction hearing device in the temporal bone due to device failure.
9. A provider performs the implantation of an electromagnetic bone conduction hearing device in the temporal bone for a patient with a congenital abnormality affecting their middle ear.
10. A patient undergoes the replacement of an old electromagnetic bone conduction hearing device in the temporal bone to improve their hearing capabilities.