CPT® Code 92623

Official Description

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)

Common Language Description

The CPT® Code 92623 refers to the diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, which is a specialized device designed to improve 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 series of steps that include the initial activation of the device or subsequent reprogramming sessions as needed. During the procedure, the healthcare provider inspects the skin condition at the implant site and may perform an otoscopic examination to assess the health of the ear canal and eardrum. The external sound processor, which is the component that captures sound and transmits it to the implant, is connected to the diagnostic computer software. This connection allows the qualified healthcare provider (QHP) to conduct a feedback calibration, adjusting the device settings to minimize any acoustic feedback that could interfere with sound quality. The QHP then measures the patient's bone-conduction responses, which are critical for programming the device to meet the individual's hearing needs. Following the initial programming, the settings are verified, and any necessary adjustments are made to ensure effective performance. The procedure also includes confirming the device's connectivity and functionality with hearing-assistive technology, which may be used in conjunction with the auditory implant. Once the optimal settings are determined, they are exported to the external sound processor. Finally, the patient, along with family members or caregivers, receives instructions on how to properly use the device, including how to attach the sound processor and orient the microphone for best performance. A written report detailing the programming and analysis services is prepared by the QHP, ensuring comprehensive documentation of the procedure.

1. Indications

The procedure associated with CPT® Code 92623 is indicated for patients who have received an auditory osseointegrated sound processor and require diagnostic analysis, programming, and verification to ensure optimal device performance. This may include:

Initial Device Activation - The procedure is performed when the auditory implant is first activated to configure the device settings for the patient.
Subsequent Reprogramming - The procedure may also be indicated for patients who need adjustments to their device settings after the initial activation, due to changes in hearing needs or device performance.

2. Procedure

The procedure for CPT® Code 92623 involves several detailed steps to ensure the auditory osseointegrated sound processor is functioning correctly and tailored to the patient's needs. These steps include:

Step 1: Inspection and Examination - The qualified healthcare provider 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 of External Sound Processor - The external sound processor is connected to the diagnostic computer software, establishing a link that allows for programming and adjustments to be made.
Step 3: Feedback Calibration - The QHP conducts a feedback calibration to adjust the device settings, ensuring that acoustic feedback is minimized, which is essential for clear sound transmission.
Step 4: Measurement of Bone-Conduction Responses - The patient's bone-conduction responses are measured to gather data necessary for optimizing the device's performance based on the individual's hearing capabilities.
Step 5: Programming and Adjustments - Programming is carried out to optimize the device settings. The QHP verifies the settings and makes any additional adjustments as needed, retesting to ensure effective programming.
Step 6: Confirmation of Connectivity - The QHP confirms that the device is functioning properly with any hearing-assistive technology that the patient may use, ensuring comprehensive support for the patient's hearing needs.
Step 7: Exporting Final Settings - Once the optimal settings are determined, they are exported to the external sound processor, finalizing the programming process.
Step 8: Patient Instruction - The patient, along with family members or caregivers, is instructed on how to use the device effectively, including how to attach the sound processor and orient the microphone for optimal performance.
Step 9: Documentation - The QHP prepares a written report detailing the programming and analysis services provided during the procedure, ensuring proper documentation for future reference.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 92623, the patient may be monitored for any immediate reactions to the programming adjustments. It is essential for the patient to follow the instructions provided regarding the use of the auditory osseointegrated sound processor. The QHP may schedule follow-up appointments to assess the device's performance and make further adjustments if necessary. Patients are encouraged to report any issues or concerns regarding the device's functionality or comfort during their recovery and adaptation period.

Short Descr	DX ALY AUD OI SND PRCSR EACH
Medium Descr	DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL
Long Descr	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)
Status Code	Active Code
Global Days	ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC)	0 - Physician Service Code
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	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	Items and Services Packaged into APC Rates
Type of Service (TOS)	1 - Medical Care
Berenson-Eggers TOS (BETOS)	none
MUE	2

This is an add-on code that must be used in conjunction with one of these primary codes.

92622

MPFS Status: Active Code APC S Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes

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