CPT® Code 92622

Official Description

Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes

Common Language Description

The CPT® Code 92622 refers to the diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, which is a specialized device designed to enhance hearing for individuals with certain types of hearing loss. This procedure is crucial for ensuring that the auditory implant functions optimally for the patient. The process involves a comprehensive evaluation and adjustment of the device, which may take place during the initial activation of the implant or during subsequent reprogramming sessions. The qualified healthcare provider (QHP) conducts a thorough inspection of the skin condition at the implant site and may perform an otoscopic examination to assess the health of the ear canal and eardrum. During the procedure, the external sound processor is connected to the diagnostic computer software, allowing the QHP to verify the magnetic connection to the implant. A critical step in this process is the feedback calibration, where adjustments are made to prevent acoustic feedback, ensuring clear sound transmission. The QHP measures the patient's bone-conduction responses, which are essential for tailoring the device's programming to the individual's hearing needs. After programming, the settings are meticulously verified, and any necessary adjustments are made to achieve effective performance. Additionally, the QHP confirms the device's connectivity and functionality with hearing-assistive technology, ensuring that the patient can benefit from all available auditory enhancements. Once the optimal settings are established, they are exported to the external sound processor. The procedure concludes with the QHP providing instructions to the patient, family, or caregiver on how to properly use the device, including guidance on attaching the sound processor and orienting the microphone for best results. A written report detailing the programming and analysis services is prepared, documenting the entire process for future reference and continuity of care.

1. Indications

The procedure associated with CPT® Code 92622 is indicated for patients who require the programming and verification of an auditory osseointegrated sound processor. This may include individuals with the following conditions:

Hearing Loss Patients with conductive hearing loss or mixed hearing loss who may benefit from an osseointegrated device.
Initial Device Activation Individuals undergoing the initial activation of their auditory osseointegrated implant.
Reprogramming Needs Patients who require adjustments to their existing device settings for optimal performance.

2. Procedure

The procedure for CPT® Code 92622 involves several critical steps to ensure the auditory osseointegrated sound processor is functioning effectively.

Step 1: Inspection and Examination The qualified healthcare provider (QHP) begins by inspecting the skin condition at the implant site to ensure there are no complications. An otoscopic examination may also be performed to assess the ear canal and eardrum health.
Step 2: Connection Verification The external sound processor is then connected to the diagnostic computer software. The QHP verifies the magnetic connection between the external processor and the implant to ensure proper functionality.
Step 3: Feedback Calibration A feedback calibration is performed to adjust the settings and prevent acoustic feedback, which can interfere with sound quality. This step is crucial for optimizing the auditory experience.
Step 4: Bone-Conduction Response Measurement The QHP measures the patient’s bone-conduction responses, which are essential for tailoring the programming of the device to the individual’s hearing capabilities.
Step 5: Programming Adjustments Based on the measurements, the QHP carries out programming adjustments to optimize the device's performance. This may involve multiple iterations of testing and retesting to achieve the best settings.
Step 6: Connectivity Confirmation The QHP confirms the device's connectivity and function with any hearing-assistive technology that the patient may use, ensuring comprehensive auditory support.
Step 7: Final Settings Export Once the optimal settings are established, they are exported to the external sound processor, finalizing the programming process.
Step 8: Patient Instruction The QHP provides detailed instructions to the patient, family, or caregiver on how to use the device, including how to attach the sound processor and orient the microphone for effective use.
Step 9: Documentation Finally, the QHP prepares a written report documenting the programming and analysis services performed during the session.

3. Post-Procedure

After the procedure associated with CPT® Code 92622, the patient may experience a period of adjustment as they become accustomed to the newly programmed settings of their auditory osseointegrated sound processor. It is essential for the patient to follow the instructions provided by the QHP regarding the use and care of the device. Follow-up appointments may be scheduled to monitor the device's performance and make any necessary adjustments. The QHP may also recommend additional training sessions for the patient and caregivers to ensure they are comfortable with the device's operation and features. Continuous monitoring and support are vital for achieving optimal hearing outcomes.

Short Descr	DX ALY AUD OI SND PRCSR 1ST
Medium Descr	DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60
Long Descr	Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes
Status Code	Active Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	2 - 150% payment adjustment does NOT apply.
Physician Supervisions	09 - Concept does not apply.
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)	none
MUE	1

This is a primary code that can be used with these additional add-on codes.

92623

Add On Code MPFS Status: Active Code APC N Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure)

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).
AB	Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary
GA	Waiver of liability statement issued as required by payer policy, individual case
GW	Service not related to the hospice patient's terminal condition
GX	Notice of liability issued, voluntary under payer policy
GY	Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
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)