Reporting Transcutaneous Passive Implant Temporal-Bone Procedures (November 2021)

November 2021 pages 5-7 Reporting Transcutaneous Passive Implant Temporal-Bone Procedures For the Current Procedural Terminology (CPT®) 2022 code set, codes 69714 and 69717 have been revised and four new codes (69716, 69719, 69726, 69727) have been created to report the implantation of an osseointegrated implant into the skull to treat hearing loss. In addition, new introductory guidelines have been added, codes 69715 and 69718 and all related cross-references have been deleted, and two parenthetical notes have been added to guide users in the appropriate reporting of these services. These codes have been updated to reflect the development of...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant article explains the 2022 coding updates for osseointegrated implant procedures used to address hearing loss. It is intended for coding professionals, auditors, and clinicians who need to understand the scope of the revisions, the addition of transcutaneous device reporting options, and the related introductory and parenthetical guidance. The article also includes clinical examples and procedural descriptions that illustrate the types of services covered by the revised code family.

Why This Topic Matters

These changes affect how procedures involving osseointegrated hearing implants are reported in CPT 2022. Correct awareness of the updated code structure and related guidance helps support consistent reporting and reduces confusion when these devices are implanted, revised, replaced, or removed.

Article Sections

  1. Middle Ear

    Introduces the broader anatomic and procedural context for the article. It frames the discussion around osseointegrated implant services and related reporting considerations.

  2. Osseointegrated Implants

    Summarizes the code family and the general category of hearing-related implant procedures addressed in the article. It also notes surrounding procedure groups and cross-reference context.

  3. Other Procedures

    Lists additional nearby procedures and cross-referencing information within the same CPT neighborhood. This section helps place the revised implant codes in context.

  4. Clinical Example (69714) / Description of Procedure (69714)

    Provides a representative case and procedural narrative associated with one revised implant-reporting scenario. It illustrates the type of service discussed without serving as a full coding substitute.

  5. Clinical Example (69716) / Description of Procedure (69716)

    Provides a representative case and procedural narrative associated with one transcutaneous implant-reporting scenario. It shows the general clinical setting addressed by the article.

  6. Clinical Example (69717) / Description of Procedure (69717)

    Provides a representative case and procedural narrative associated with a revision or replacement scenario. It helps readers understand the article’s discussion of updated implant code categories.

  7. Clinical Example (69719) / Description of Procedure (69719)

    Provides a representative case and procedural narrative associated with another transcutaneous implant-reporting scenario. It supports understanding of the revised CPT code family.

  8. Clinical Example (69726) / Description of Procedure (69726)

    Provides a representative case and procedural narrative associated with implant removal. It is included as part of the article’s overview of the updated reporting structure.

  9. Clinical Example (69727) / Description of Procedure (69727)

    Provides a representative case and procedural narrative associated with removal of a transcutaneous implant system. It completes the article’s review of the new and revised code set.

What You Will Learn

  • What CPT 2022 changes were made to the osseointegrated implant code family
  • How the article frames transcutaneous and percutaneous implant reporting at a high level
  • Which sections of the code family were revised, added, or deleted
  • What kinds of clinical scenarios are used to illustrate the updated code set

Who Should Read This

  • Medical coders
  • Coding auditors
  • HIM professionals
  • ENT and otology billing staff
  • Clinical documentation specialists

Codes Discussed

Code Ranges Discussed


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