How To Use CPT Code 69727

CPT 69727 describes the removal of an osseointegrated implant from the skull, specifically involving a magnetic transcutaneous 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 69727?

CPT 69727 can be used to describe the removal of an osseointegrated implant from the skull. This procedure specifically involves a magnetic transcutaneous attachment to an external speech processor. The implant is located within the mastoid (bone behind the ear) and may also involve a bony defect of less than 100 sq mm surface area of bone.

2. Official Description

The official description of CPT code 69727 is: ‘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.’

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate anesthesia and prepping the surgical site.
2. An incision is made to access the osseointegrated implant in the skull.
3. The provider uses specialized tools, such as a screwdriver or drill, to remove the entire implant.
4. If necessary, the provider may also address any bony defects of less than 100 sq mm surface area of bone.
5. The wounds are closed, and appropriate post-operative care is provided.

4. Qualifying circumstances

CPT 69727 is performed on patients who have an osseointegrated implant in the skull with a magnetic transcutaneous attachment to an external speech processor. The procedure may also involve a bony defect of less than 100 sq mm surface area of bone. It is important to note that the implant must be located within the mastoid (bone behind the ear).

5. When to use CPT code 69727

CPT code 69727 should be used when a provider performs the complete removal of an osseointegrated implant from the skull. This code is specifically for cases where the implant has a magnetic transcutaneous attachment to an external speech processor and is located within the mastoid. It is important to ensure that the bony defect involved is less than 100 sq mm surface area of bone.

6. Documentation requirements

To support a claim for CPT code 69727, the provider must document the following information:

• Patient’s diagnosis and the need for implant removal
• Details of the osseointegrated implant, including the type and location
• Description of the magnetic transcutaneous attachment to the external speech processor
• Documentation of any bony defects involved, including their size
• Date and duration of the procedure
• Details of the surgical technique used
• Post-operative care provided
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 69727, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should report this code only for the complete removal of the osseointegrated implant with the specified attachment and location. It is also important to follow any additional guidelines provided by payers or coding authorities.

8. Historical information

CPT code 69727 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 an osseointegrated implant in the skull undergoes a complete removal procedure due to complications.
2. A provider performs the removal of an osseointegrated implant with a magnetic transcutaneous attachment to an external speech processor, located within the mastoid, for a patient who no longer requires the implant.
3. An individual with a bony defect of less than 100 sq mm surface area of bone undergoes the removal of an osseointegrated implant with a magnetic transcutaneous attachment to an external speech processor.
4. A provider performs the complete removal of an osseointegrated implant from the skull, which was previously used for improving the patient’s hearing.
5. A patient with an osseointegrated implant in the mastoid undergoes the removal procedure due to an infection.
6. An individual with a bony defect of less than 100 sq mm surface area of bone undergoes the removal of an osseointegrated implant with a magnetic transcutaneous attachment to an external speech processor, located within the skull.
7. A provider performs the complete removal of an osseointegrated implant from the mastoid, which was previously used for facilitating sound reception by the inner ear.
8. A patient with an osseointegrated implant in the skull undergoes the removal procedure as part of a treatment plan for their hearing loss.
9. An individual with a bony defect of less than 100 sq mm surface area of bone undergoes the removal of an osseointegrated implant with a magnetic transcutaneous attachment to an external speech processor, located within the cranial cortex.
10. A provider performs the complete removal of an osseointegrated implant from the skull, which was previously used for enhancing the patient’s ability to hear.