How To Use CPT Code 69714

CPT 69714 describes the implantation of an osseointegrated implant into the skull, with percutaneous attachment to an external speech processor. 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 69714?

CPT 69714 can be used to describe the surgical procedure in which an osseointegrated implant is implanted into the skull. This implant is designed to convert sound energy into signals that can be received by the inner ear. The implant is then percutaneously attached to an external speech processor, allowing the patient to improve their hearing.

2. Official Description

The official description of CPT code 69714 is: ‘Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. An incision is made behind the ear to allow for the placement of the osseointegrated implant.
3. A hole is drilled in the skull, and the implant is inserted directly into the bone.
4. A channel is created to expose a small abutment (connector) outside the skin.
5. A healing cap may be placed over the abutment.
6. An external speech processor is connected to the abutment, allowing sound signals to be transmitted to the implant.
7. The implant enables the inner ear, encased in bone, to receive the sound vibrations and improve the patient’s hearing.

4. Qualifying circumstances

CPT 69714 is performed on patients who require an osseointegrated implant for the treatment of hearing loss. The procedure is typically performed by a qualified healthcare professional who specializes in otolaryngology or audiology. The patient must meet specific criteria for the implantation, as determined by their healthcare provider.

5. When to use CPT code 69714

CPT code 69714 should be used when the provider performs the implantation of an osseointegrated implant into the skull, with percutaneous attachment to an external speech processor. This code is specific to this procedure and should not be used for other types of implantations or attachments.

6. Documentation requirements

To support a claim for CPT 69714, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for the osseointegrated implant
• Date of the procedure
• Details of the surgical technique used
• Specific location of the implant within the skull
• Connection of the implant to the external speech processor
• Any additional procedures performed during the same surgical session
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 69714, ensure that the procedure performed matches the description of the code. It is important to accurately report the attachment of the osseointegrated implant to the external speech processor. Additionally, follow any specific guidelines provided by the payer regarding documentation and billing for this procedure.

8. Historical information

CPT 69714 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with severe hearing loss undergoes the implantation of an osseointegrated implant into the skull, with percutaneous attachment to an external speech processor.
2. An individual who has experienced trauma resulting in hearing loss receives the implantation of an osseointegrated implant, allowing for improved hearing through the external speech processor.
3. A child born with congenital hearing loss undergoes the surgical procedure to implant an osseointegrated implant, enabling them to receive sound signals and improve their hearing.
4. A patient with a history of chronic ear infections and subsequent hearing loss undergoes the implantation of an osseointegrated implant, providing them with the ability to hear through the external speech processor.
5. An adult with progressive hearing loss due to age-related factors receives the implantation of an osseointegrated implant, allowing them to regain some level of hearing through the external speech processor.
6. A patient with conductive hearing loss undergoes the surgical procedure to implant an osseointegrated implant, improving their ability to hear and communicate with others.
7. An individual with a history of exposure to loud noise and subsequent hearing loss undergoes the implantation of an osseointegrated implant, enabling them to receive sound signals and improve their hearing.
8. A patient with a genetic condition resulting in hearing loss receives the surgical procedure to implant an osseointegrated implant, providing them with the ability to hear through the external speech processor.
9. An individual who has experienced sudden hearing loss undergoes the implantation of an osseointegrated implant, allowing for improved hearing through the external speech processor.
10. A patient with conductive hearing loss due to a structural abnormality in the ear undergoes the surgical procedure to implant an osseointegrated implant, improving their ability to hear and communicate with others.