How To Use CPT Code 92640

CPT 92640 describes the diagnostic analysis and programming of an auditory brainstem implant (ABI) by a healthcare provider. 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 92640?

CPT 92640 can be used to describe the diagnostic analysis and programming of an auditory brainstem implant (ABI) by a healthcare provider. This code is used when the provider fits, connects, programs, and tests the implant, and measures the levels necessary for the patient to acquire sensations of hearing. The provider carefully evaluates and selects the stimulation patterns, and develops a program to be stored in the speech processor.

2. Official Description

The official description of CPT code 92640 is: ‘Diagnostic analysis with programming of auditory brainstem implant, per hour.’

3. Procedure

  1. After the auditory brainstem implant (ABI) is implanted, the provider fits, connects, programs, and tests the implant.
  2. The provider hooks up the ABI to a computer to program the stimulator.
  3. Measurements are taken to determine the levels necessary for the patient to acquire sensations of hearing.
  4. The provider carefully evaluates and selects the stimulation patterns.
  5. The provider takes measurements and develops a program to be stored in the speech processor.

4. Qualifying circumstances

CPT 92640 is used for the diagnostic analysis and programming of an auditory brainstem implant (ABI). This procedure is performed after the implantation of the ABI and during an appropriate postoperative period. The provider must fit, connect, program, and test the implant, and carefully evaluate and select the stimulation patterns. The measurements taken during this process help determine the levels necessary for the patient to acquire sensations of hearing.

5. When to use CPT code 92640

CPT code 92640 should be used when a healthcare provider performs the diagnostic analysis and programming of an auditory brainstem implant (ABI). This code is reported for each hour of service provided. It is important to note that this code should not be reported for nonprogramming services, which should be reported separately.

6. Documentation requirements

To support a claim for CPT 92640, the healthcare provider must document the following information:

  • Implantation of the auditory brainstem implant (ABI)
  • Postoperative period
  • Fitting, connecting, programming, and testing of the implant
  • Measurements taken during the process
  • Evaluation and selection of stimulation patterns
  • Development of a program stored in the speech processor

7. Billing guidelines

When billing for CPT 92640, ensure that the healthcare provider performs the diagnostic analysis and programming of an auditory brainstem implant (ABI). Report this code for each hour of service provided. It is important to report nonprogramming services separately. Be aware of any specific guidelines or modifiers that may apply to accurately report this code.

8. Historical information

CPT 92640 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

  1. A healthcare provider performs diagnostic analysis and programming of an auditory brainstem implant (ABI) for a patient who has recently undergone implantation.
  2. During a programming session, a provider fits, connects, programs, and tests an auditory brainstem implant (ABI) for a patient, ensuring the levels necessary for hearing sensations are accurately determined.
  3. A healthcare provider evaluates and selects stimulation patterns for an auditory brainstem implant (ABI) during a programming session.
  4. Measurements are taken by a provider to determine the levels necessary for a patient to acquire sensations of hearing during the diagnostic analysis and programming of an auditory brainstem implant (ABI).
  5. A provider develops a program to be stored in the speech processor of an auditory brainstem implant (ABI) during a programming session.
  6. During a programming session, a healthcare provider carefully evaluates and selects stimulation patterns for an auditory brainstem implant (ABI).
  7. A provider performs diagnostic analysis and programming of an auditory brainstem implant (ABI) for a patient, ensuring the implant is fitted, connected, programmed, and tested.
  8. Measurements are taken by a healthcare provider to determine the levels necessary for a patient to acquire sensations of hearing during the diagnostic analysis and programming of an auditory brainstem implant (ABI).
  9. A provider hooks up an auditory brainstem implant (ABI) to a computer to program the stimulator during a programming session.
  10. During a programming session, a healthcare provider fits, connects, programs, and tests an auditory brainstem implant (ABI) for a patient.

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