Baha Billing Codes
PROFESSIONAL SERVICES
92506 Evaluation of speech, language, voice, communication, and/or auditory processing
92551 Screening test, pure tone, air only
92552 Pure tone audiometry (threshold); air only
92553 • air and bone
92555 Speech audiometry threshold
92556 Speech audiometry threshold; with speech recognition
92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 & 92556 combined)
92567 Tympanometry (impedance testing)
92568 Acoustic reflex testing; threshold
92569 • decay
92579 Visual reinforcement audiometry (VRA)
92582 Conditioning play audiometry
92583 Select picture audiometry
92585 Auditory evoked potentials for evoked response audiometry and/or testing of the
central nervous system; comprehensive
92586 • limited
92587 Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)
92626 Evaluation of auditory rehabilitation status; first hour (can be used pre-op or post-op)
92627 • each additional 15 minutes (list separately in addition to code for primary procedure)
92630 Auditory rehabilitation; pre-lingual hearing loss
92633 • post-lingual hearing loss
SURGICAL PROCEDURE TO IMPLANT THE AUDITORY OSSEOINTEGRATED SYSTEM
(These codes may be used by the physician, the hospital outpatient department and/or the ASC)
69399 Unlisted procedure, external ear (to be used in the event that a longer abutment is required)
NOTE: Requires submission of SPECIAL REPORT detailing procedure.
69714 Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech
processor/cochlear stimulator; without mastoidectomy
69715 • with mastoidectomy
69717 Replacement (including removal of existing device), osseointegrated implant, temporal bone, with
percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy
69718 • with mastoidectomy
Baha two-stage procedures
(-51) Multiple procedures
(-52) Reduced services
Modifier -52 (reduced services) should be used to identify reduced services when the intended procedure is
partially reduced or not performed.
(-58) Coding staged procedures
If the surgical procedure is staged, with one surgery performed to insert the titanium fixture and another
surgery to implant the abutment, the surgical procedure code must be modified with the -58 modifier to
indicate the two stages. Both surgical procedures should amend the appropriate CPT code with this modifier.
For example
Concurrent implantation
Stage 1 Acoustic neuroma removal, with mastoidectomy. . . . . . . . . . billed as usual
Concurrent placement of the Baha system implant . . . . . .69714-51, -52
Stage 2 Abutment is attached to the implant within the 90 day global period of the stage 1 surgery
(in the operating room) . . . . . . . . . . . . . . . . . . . . . . . .69714-58, -52
Or The Baha system abutment is placed outside of the 90 day global period of the stage 1 surgery . . . . . . 69714-52
Two stage Baha system implantation
Stage 1 Surgical placement of the Baha system implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69714-52 or 9715-52
Stage 2 The Baha system abutment is placed within 90 day global period of the stage 1 surgery . . . . . .69714-58, 52
Or The Baha system abutment is placed outside the 90 day global period of the stage 1 surgery . . . . . 69714-52
As always, prior to use, you should check with the patient’s health insurance plan, or your local Medicare carrier, for guidance regarding the use of these codes. These codes are intended to offer basic information regarding coding for professional services. By providing you this information, Cochlear Americas is not recommending or requiring the use of any particular code, which is a matter for you to determine consistent with your own medical judgment. Cochlear Americas does not accept any responsibility or liability for misinterpretations, misuse, errors and/or omissions. CPT Codes, descriptions and other data only are copyright, 2009 Current Procedural Terminology, American Medical Associate. All Rights Reserved. Applicable FARS/
DRARS Clauses apply.
AUDITORY OSSEOINTEGRATED IMPLANT DEVICE SYSTEM AND SUPPLIES
L8690 Auditory osseointegrated device, includes all internal and external components L8691 Auditory osseointegrated device, external sound processor, replacement 99070 Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)
NOTE: This code may be used to describe components of Auditory Osseointegrated Implant System provided separately from L8690 [i.e, BAHA softband]
L9900 Orthotic/prosthetic supply, accessory and/or service component of another HCPCS L code
NOTE: can be used to bill the abutment if the patient undergoes an abutment revision.
L7500 Repair of prosthetic device, hourly rate
L7510 Repair of prosthetic device, repair or replace minor parts
L7520 Repair of prosthetic device, labor component, per 15 minutes
POST OPERATIVE
92626 Evaluation of auditory rehabilitation status; first hour (can be used pre-op & post-op)
92627 • each additional 15 minutes (list separately in addition to code for primary procedure)
92700 Unlisted otorhinolaryngological service or procedure
Note: May be used to cover fitting of sound processor. Requires submission of SPECIAL REPORT detailing procedure
As always, prior to use, you should check with the patient’s health insurance plan, or your local Medicare carrier, for guidance regarding the use of these codes. These codes are intended to offer basic information regarding coding for professional services. By providing you this information, Cochlear Americas is not recommending or requiring the use of any particular code, which is a matter for you to determine consistent with your own medical judgment. Cochlear Americas does not accept any responsibility or liability for misinterpretations, misuse, errors and/or omissions. CPT Codes, descriptions and other data only are copyright, 2009 Current Procedural Terminology, American Medical Associate. All Rights Reserved. Applicable FARS/ DRARS Clauses apply.
