How To Use CPT Code 69716

CPT 69716 describes the implantation of a device into the skull to treat hearing loss. 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 69716?

CPT 69716 involves the implantation of a device into the skull to improve hearing. The procedure may include the attachment of a magnetic transcutaneous device to an external speech processor. This code is used when the implantation occurs in the mastoid and/or results in the removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex.

2. Official Description

The official description of CPT code 69716 is: ‘Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made to allow for the placement of the device in the skull.
3. A pocket may be created under the connective tissue for certain components of the implant.
4. A well is created in the skull bone using a drill or other tools for the transducer.
5. The device components are positioned and may be fixed to the skull using a fixation screw.
6. The implantation occurs in the mastoid and/or results in the removal of less than 100 sq mm surface area of bone.
7. The incision is closed, ensuring the proper thickness of the flap for transcutaneous coupling to the speech processor.
8. The external speech processor magnet is typically not fitted during this session and is done at a later time after healing.
9. Once in place, the external processor captures sound and transmits the signals as sound vibrations to the implant, improving the patient’s hearing.

4. Qualifying circumstances

CPT 69716 is used for patients who require the implantation of a device to treat hearing loss. The procedure is performed by a provider and may involve the attachment of a magnetic transcutaneous device to an external speech processor. The implantation occurs within the mastoid and/or results in the removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex.

5. When to use CPT code 69716

CPT code 69716 should be used when a provider performs the implantation of a device into the skull for the treatment of hearing loss. The procedure may involve the attachment of a magnetic transcutaneous device to an external speech processor. It is important to ensure that the implantation occurs within the mastoid and/or results in the removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex.

6. Documentation requirements

To support a claim for CPT code 69716, the provider must document the following information:

• Patient’s diagnosis and the need for the implantation procedure
• Specific details of the implantation procedure, including the attachment of a magnetic transcutaneous device to an external speech processor
• Date of the procedure
• Details of the surgical steps performed, such as creating an incision, making a pocket, creating a well in the skull bone, positioning the device components, and closing the incision
• Confirmation that the implantation occurred within the mastoid and/or resulted in the removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 69716, ensure that the procedure meets the criteria outlined in the official description. The implantation should occur within the mastoid and/or result in the removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex. It is important to follow the specific guidelines for reporting this code and any associated codes. Consider the use of modifiers if necessary.

8. Historical information

CPT code 69716 was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with hearing loss undergoes the implantation of a device into the skull, resulting in improved hearing.
2. A provider performs the implantation procedure, attaching a magnetic transcutaneous device to an external speech processor, to treat a patient’s hearing loss.
3. The implantation of a device into the skull is performed on a patient with a diagnosis of hearing loss, resulting in the restoration of their ability to hear.
4. A provider performs the implantation procedure within the mastoid, attaching a magnetic transcutaneous device to an external speech processor, to improve a patient’s hearing.
5. A patient with hearing loss undergoes the implantation of a device into the skull, resulting in enhanced auditory function.
6. A provider performs the implantation procedure, attaching a magnetic transcutaneous device to an external speech processor, to restore a patient’s hearing capabilities.
7. The implantation of a device into the skull is performed on a patient with a diagnosis of hearing loss, resulting in improved quality of life.
8. A provider performs the implantation procedure within the mastoid, attaching a magnetic transcutaneous device to an external speech processor, to alleviate a patient’s hearing impairment.
9. A patient with hearing loss undergoes the implantation of a device into the skull, resulting in increased auditory perception.