How To Use CPT Code 92627

CPT 92627 describes the evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s), with each additional 15 minutes of service after the first hour. 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 92627?

CPT 92627 can be used to describe the evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s). This code represents each additional 15 minutes of service after the first hour of evaluation.

2. Official Description

The official description of CPT code 92627 is: ‘Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to code for primary procedure).’ When reporting CPT 92626, 92627, use the face-to-face time with the patient or family. Do not report 92626, 92627 in conjunction with 92590, 92591, 92592, 92593, 92594, 92595 for hearing aid evaluation, fitting, follow-up, or selection.

3. Procedure

  1. The provider tests the auditory functional status of the patient, including sound perception, listening ability, orienting movements, and balancing.
  2. The provider assesses the patient’s sound awareness, ability to differentiate between varying sound types and intensities, and general hearing ability.
  3. The provider evaluates the patient’s listening abilities in a noisy environment.
  4. The provider determines the efficacy of a previously implanted hearing device or assesses the patient’s candidacy for a surgically implanted hearing device.
  5. Report CPT 92627 for each additional 15 minutes of evaluation after the first hour.

4. Qualifying circumstances

Patients who may require CPT 92627 services are those who need evaluation of their auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s). This code is used when the provider needs to assess the patient’s sound perception, listening ability, orienting movements, and balancing. It is important to note that CPT 92627 should not be reported in conjunction with 92590, 92591, 92592, 92593, 92594, or 92595 for hearing aid evaluation, fitting, follow-up, or selection.

5. When to use CPT code 92627

CPT code 92627 should be used when the provider needs to evaluate the auditory function of a patient for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s). This code represents each additional 15 minutes of service after the first hour of evaluation. It should not be reported in conjunction with codes for hearing aid evaluation, fitting, follow-up, or selection.

6. Documentation requirements

To support a claim for CPT 92627, the provider must document the following information:

  • Patient’s auditory functional status and the need for evaluation
  • Specific evaluation techniques used
  • Date, start and end time of the evaluation
  • Results of the evaluation, including the efficacy of a previously implanted hearing device or the patient’s candidacy for a surgically implanted device
  • Signature of the provider performing the evaluation

7. Billing guidelines

When billing for CPT 92627, ensure that the provider has performed the evaluation for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s). Report this code for each additional 15 minutes of evaluation after the first hour. Do not report CPT 92627 in conjunction with codes for hearing aid evaluation, fitting, follow-up, or selection.

8. Historical information

CPT 92627 was added to the Current Procedural Terminology system on January 1, 2006. On January 1, 2020, the code was changed to ‘Evaluation of auditory rehabilitation status; each additional 15 minutes (List separately in addition to code for primary procedure).’ There have been no other updates to the code since its addition.

9. Examples

  1. A provider evaluates the auditory function of a patient who has recently received a cochlear implant to assess the efficacy of the device. The evaluation lasts for an additional 30 minutes after the first hour.
  2. A provider assesses the auditory function of a patient who is being considered for a surgically implanted hearing device. The evaluation takes an additional 45 minutes after the first hour.
  3. A provider evaluates the postoperative status of a patient who has received a surgically implanted hearing device. The evaluation lasts for an additional 15 minutes after the first hour.
  4. A provider assesses the auditory function of a patient who is being considered for a second surgically implanted hearing device. The evaluation takes an additional 60 minutes after the first hour.
  5. A provider evaluates the postoperative status of a patient who has received bilateral surgically implanted hearing devices. The evaluation lasts for an additional 30 minutes after the first hour.
  6. A provider assesses the auditory function of a patient who is being considered for a surgically implanted bone-anchored hearing device. The evaluation takes an additional 20 minutes after the first hour.
  7. A provider evaluates the postoperative status of a patient who has received a surgically implanted middle ear device. The evaluation lasts for an additional 25 minutes after the first hour.
  8. A provider assesses the auditory function of a patient who is being considered for a surgically implanted brainstem device. The evaluation takes an additional 35 minutes after the first hour.
  9. A provider evaluates the postoperative status of a patient who has received a surgically implanted auditory brainstem device. The evaluation lasts for an additional 40 minutes after the first hour.

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