Surgery: Auditory System (Q&A) (January 2019)

January 2019 page 14c Surgery: Auditory System Question: The surgeon implanted a bone-conduction hearing system whereby sound vibrations are transferred by magnetic coupling from the external processor to the bone implant to the cochlea (inner ear). How should this be reported? Answer: Report code 69799, Unlisted procedure, middle ear. The work of placing an osseointegrated bone-conduction hearing system that uses magnetic connection and coupling is substantially different from the work of placing a percutaneous system. Although the service performed by the surgeon involves the placement of a screw into the skull, it does not involve the creation of a percutaneous...

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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 article is a brief CPT Assistant question-and-answer item focused on auditory system surgery coding. It explains the general reporting approach for a bone-conduction hearing system procedure and notes when supporting documentation may be needed for an unlisted procedure report. It is relevant to coders and billers working with ear, hearing, and implant-related surgical services.

Why This Topic Matters

Auditory implant procedures can be difficult to classify accurately, especially when the service does not match a standard listed CPT code. This article helps readers understand the coding topic, the specialty context, and the type of documentation considerations associated with an unlisted procedure report.

Article Sections

  1. January 2019 page 14c

    Introduces the Q&A item and frames the coding topic within the January 2019 CPT Assistant issue.

  2. Surgery: Auditory System

    Presents the coding question and the related discussion about an auditory implant procedure and its reporting context.

What You Will Learn

  • The article’s coding topic within auditory system surgery
  • How the discussion frames an implanted bone-conduction hearing system procedure
  • What kind of documentation may be associated with reporting an unlisted procedure service
  • The specialty and publication context of the guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physician documentation specialists
  • ENT and otology practice staff

Codes Discussed


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