How To Use CPT Code 92602

CPT 92602 describes the diagnostic analysis and subsequent reprogramming of a cochlear implant in a patient younger than 7 years of age. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92602?

CPT 92602 can be used to describe the diagnostic analysis and subsequent reprogramming of a cochlear implant in a patient younger than 7 years of age. This code is used when a healthcare provider checks the functionality of a previously placed cochlear implant, adjusts the settings, and provides counseling to the patient and their family on proper care and usage of the device.

2. Official Description

The official description of CPT code 92602 is: ‘Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming.’

3. Procedure

1. The healthcare provider checks the previously placed cochlear implant in a patient younger than 7 years of age.
2. They measure and adjust the external transmitter and reprogram the internal stimulator.
3. The provider reviews the patient’s experiences with the current settings and ensures their comfort.
4. They confirm that the magnet isn’t causing any issues at the implant site.
5. The provider places the speech processor under computer control for programming.
6. They ensure that the stimulator system is working properly and that all electrodes in the cochlea are properly positioned.
7. The provider adjusts the implant settings, such as volume and stimulator, according to the patient’s specific needs.
8. They activate the electrodes in succession while assessing the patient’s comfort level.
9. The provider counsels the family on how to use the external speech processor controls, position the microphone and transmitter, insert the batteries, and recharge the system.
10. They instruct the family to keep a daily record of the patient’s experiences with the implant for future reprogramming.
11. The provider compiles and records the data.

4. Qualifying circumstances

CPT 92602 is applicable when a healthcare provider performs diagnostic analysis and subsequent reprogramming of a cochlear implant in a patient younger than 7 years of age. The patient must have a previously placed cochlear implant, and the provider must ensure that the implant is functioning properly and adjust the settings as needed. The counseling provided to the patient and their family on proper care and usage of the device is also included in this code.

5. When to use CPT code 92602

CPT code 92602 should be used when a healthcare provider performs diagnostic analysis and subsequent reprogramming of a cochlear implant in a patient younger than 7 years of age. It should not be reported in addition to CPT code 92601, which is used for the initial programming of a single implant in a patient younger than 7 years of age. For patients 7 years and older, CPT codes 92603-92604 should be used.

6. Documentation requirements

To support a claim for CPT code 92602, the healthcare provider must document the following information:

• Patient’s age and diagnosis
• Details of the diagnostic analysis and subsequent reprogramming performed
• Date and duration of the procedure
• Specific adjustments made to the cochlear implant settings
• Counseling provided to the patient and their family
• Instructions given to the family for daily record-keeping
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 92602, ensure that the procedure is performed on a patient younger than 7 years of age and involves the diagnostic analysis and subsequent reprogramming of a cochlear implant. It should not be reported in addition to CPT code 92601. Review the specific guidelines provided by the payer to ensure accurate billing.

8. Historical information

CPT code 92602 was added to the Current Procedural Terminology system on January 1, 2003. There was a code change on January 1, 2007, which updated the description of the code.

9. Examples

1. A healthcare provider performs diagnostic analysis and subsequent reprogramming of a cochlear implant in a 5-year-old patient.
2. A child with a previously placed cochlear implant undergoes a follow-up procedure for adjustments and counseling on proper care.
3. A provider checks the functionality of a cochlear implant in a 6-year-old patient and makes necessary programming changes.
4. A family brings their 4-year-old child for a reprogramming session of their cochlear implant, ensuring optimal performance.
5. A healthcare provider performs diagnostic analysis and subsequent reprogramming of a cochlear implant in a 3-year-old patient, addressing any issues and providing guidance to the family.
6. A 2-year-old patient with a cochlear implant receives a comprehensive evaluation and reprogramming to enhance their hearing experience.
7. A provider conducts a diagnostic analysis and subsequent reprogramming of a cochlear implant in a 1-year-old patient, fine-tuning the settings for optimal hearing.
8. A family brings their 6-year-old child for a follow-up session to assess the functionality of their cochlear implant and make any necessary adjustments.
9. A healthcare provider performs diagnostic analysis and subsequent reprogramming of a cochlear implant in a 7-year-old patient, ensuring the device is functioning properly.
10. A 5-year-old patient with a cochlear implant undergoes a reprogramming session to optimize their hearing capabilities.