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The CPT® Code 92602 refers to the diagnostic analysis and subsequent reprogramming of a cochlear implant specifically for patients who are younger than 7 years of age. A cochlear implant is a sophisticated electronic device designed to provide a sense of sound to individuals with severe bilateral sensorineural hearing loss, which is a type of hearing loss caused by damage to the inner ear or the auditory nerve. The device operates by converting sound waves into electrical signals that stimulate the auditory nerve fibers, allowing the brain to perceive sound. The cochlear implant consists of two main components: an internal part that is surgically implanted within the cochlea and an external part that includes a microphone and a speech processor. The process of programming the cochlear implant is critical and involves creating a personalized map of sound perception for each patient. This mapping process establishes the threshold levels of electrical stimulation required for the patient to perceive sound (known as T-levels) and the maximum comfortable level of stimulation (referred to as M or C-levels). Following the initial surgery, which typically occurs about four weeks prior to the programming sessions, the external components are connected to the internal implant, and the device is evaluated and adjusted based on the patient's responses to the electrical stimuli. The periodic evaluations and reprogramming sessions, as indicated by CPT® Code 92602, are essential for optimizing the device's performance and ensuring that the patient receives the best possible auditory experience as they grow and their hearing needs change.
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The procedure associated with CPT® Code 92602 is indicated for patients who are younger than 7 years of age and have received a cochlear implant. The specific indications for this diagnostic analysis and reprogramming include:
The procedure for CPT® Code 92602 involves several critical steps to ensure the cochlear implant is functioning optimally for the patient. The steps include:
Post-procedure care for patients undergoing the diagnostic analysis and reprogramming of a cochlear implant includes regular follow-up appointments to monitor the effectiveness of the adjustments made during the procedure. It is essential to evaluate the patient's auditory responses and make any necessary changes to the programming to accommodate their developing hearing needs. Additionally, caregivers are encouraged to observe the patient's interactions and report any concerns regarding sound perception or device functionality. Continuous support and education for both the patient and their family are vital to maximize the benefits of the cochlear implant and ensure optimal auditory experiences.
| Short Descr | REPROGRAM COCHLEAR IMPLT <7 | Medium Descr | ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG | Long Descr | Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 02 - Procedure must be performed under the direct supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 220 - Ophthalmologic and otologic diagnosis and treatment |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| 2007-01-01 | Changed | Code description changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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