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CPT®
92640

CPT® Code 92640

Official Description

Diagnostic analysis with programming of auditory brainstem implant, per hour

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Diagnostic analysis and programming of an auditory brainstem implant is performed on a per hour basis, as indicated by CPT® Code 92640. An auditory brainstem implant is a specialized device designed to assist individuals who experience hearing loss due to damage to the auditory nerve, which is responsible for transmitting sound signals from the inner ear to the brain. This type of implant is particularly beneficial for patients who may not be suitable candidates for traditional cochlear implants. The procedure involves the use of an external device that the patient must wear, which serves as an interface with the implanted device. This external component requires regular calibration and programming to ensure optimal functionality and to adapt to the patient's specific auditory needs. The diagnostic analysis component of the procedure involves assessing the performance of the implant and making necessary adjustments to enhance the patient's hearing experience.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 92640 is indicated for patients who have experienced hearing loss due to damage to the auditory nerve. This condition may arise from various factors, including congenital issues, trauma, or disease processes that affect the nerve's ability to transmit sound impulses from the inner ear to the brain. The auditory brainstem implant is specifically designed for individuals who are not candidates for traditional cochlear implants, making it a critical option for those with significant auditory nerve impairment.

  • Hearing Loss Patients with hearing loss due to damage to the auditory nerve.
  • Non-Candidacy for Cochlear Implants Individuals who are not suitable candidates for traditional cochlear implants.

2. Procedure

The procedure for diagnostic analysis and programming of an auditory brainstem implant involves several key steps that are performed on a per hour basis. Each step is crucial for ensuring the proper functioning of the implant and optimizing the patient's hearing capabilities.

  • Step 1: Initial Assessment The procedure begins with an initial assessment of the patient's current hearing capabilities and the performance of the auditory brainstem implant. This assessment may include various tests to evaluate how well the implant is functioning and how effectively the patient is able to perceive sound.
  • Step 2: Calibration of External Device Following the assessment, the external device that interfaces with the implant is calibrated. This step is essential to ensure that the device is set to the appropriate settings for the individual patient's needs, allowing for optimal sound transmission and clarity.
  • Step 3: Programming Adjustments After calibration, programming adjustments are made to the auditory brainstem implant itself. This involves fine-tuning the settings based on the initial assessment and the patient's feedback, ensuring that the implant provides the best possible auditory experience.
  • Step 4: Follow-Up Evaluation Finally, a follow-up evaluation is conducted to monitor the effectiveness of the adjustments made during the session. This may involve additional testing and discussions with the patient to assess their satisfaction with the implant's performance and to determine if further modifications are necessary.

3. Post-Procedure

Post-procedure care for patients undergoing diagnostic analysis and programming of an auditory brainstem implant includes regular follow-up appointments to monitor the implant's performance and make any necessary adjustments. Patients are encouraged to provide feedback regarding their hearing experience, which is vital for ongoing programming and calibration. Additionally, patients may need to wear the external device consistently to ensure optimal functionality. Recovery from the programming session is typically quick, with patients often able to resume normal activities shortly after the procedure. Continuous support and education about the use of the external device are also important to maximize the benefits of the auditory brainstem implant.
Short Descr AUD BRAINSTEM IMPLT PROGRAMG
Medium Descr ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR
Long Descr Diagnostic analysis with programming of auditory brainstem implant, per hour
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 2 - 150% payment adjustment does NOT apply.
Physician Supervisions 05 - Physician supervision policy does not apply when procedure is furnished by a qualified audiologist...
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) 9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS) T2D - Other tests - other
MUE 1
CCS Clinical Classification 25 - Diagnostic procedures on ear
Date
Action
Notes
2007-01-01 Added First appearance in code book in 2007.
Code
Description
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