Ask the Experts | Practice Management & Professional Issues | Cochlear Implants | CPT Codes for Cochlear Implant Repairs CPT Codes for Cochlear Implant Repairs Erik Tolsma September 14, 2009 Print Question Would it be appropriate to report CPT 92700 for troubleshooting a non-working speech processor for a cochlear implant? Answer The description of CPT code 92700 is Unlisted otorhinolaryngological service or procedure. Unlisted codes can be reported for a wide variety of services, and since sound processor troubleshooting doesn't have a code of its own 92700 could be appropriate to report. However, when reporting unlisted codes, the provider will typically need to provide supplemental explanations and/or documentation of the time and materials necessary to provide the service. This information is then reviewed by the insurance plan to determine coverage and payment. Additional codes to consider for a troubleshooting service may include the following HCPCS L codes: L7500, Repair of prosthetic device, hourly rate L7510, Repair of prosthetic device, repair or replace minor parts L7520, Repair prosthetic device, labor component, per 15 minutes These L codes often have restrictions on enrollment or provider type before these codes can be accepted, so check with your payer prior to reporting these codes. Erik Tolsma, CPC, is a Regional Reimbursement Manager for Cochlear Americas. Erik Tolsma Related Courses Presenters Donna L. Sorkin, MA Ashley Garber, MS, CCC-SLP, LSLS Cert AVT Show Me the Money: Therapy Reimbursement (Professionals, Parents, Adults) [Recorded Course] Course: #12945 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0 Cost: Free to View It is often assumed that there is limited or no Insurance coverage for therapy post cochlear implantation, particularly for adults. The reality is that most of the major insurance carriers recognize the importance of appropriate (re)habilitation to maximize outcomes and may even state that such services are medically necessary. This seminar will explore the variations in coverage and payment as well as how an individual therapist or recipient may pursue improved reimbursement. Course Details Presenter John McClanahan Insurance Basics on Cochlear Implantation and Baha: Helping Parents Negotiate the System (HOPE) [Recorded Course] Course: #8414 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0 Cost: Free to View This class will provide information to educational professionals and clinicians to aid them in their advisement of parents regarding the current health insurance environment for auditory osseointegrated implants (Baha) and cochlear implants. Information about the world of health insurance and how to work with payers to obtain coverage for professional services and equipment will be presented. An update on the subject of coverage for bilateral cochlear implants will also be included. Course Details Presenters Donna L. Sorkin, MA Linda Day Cell Phones: Not Just for Texting! (Adults, Teens, Parents, Professionals) [Recorded Course] Course: #19921 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; AG Bell - LSLS/1.0 Domain 1; AHIP/1.0; BAA/1.0; CAA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Many adults with progressive hearing loss have not used a voice telephone in a long time and may become accustomed to using captions for phone usage. Teenagers—whether or not they have a hearing loss—use text messaging as their primary method of exchanging information with friends and family members. This course will provide a hands-on review of wireless telephones from the perspective of usability by the hearing impaired listener. We will address telecommunications technology, legal requirements for access features and labeling, and linkage between the personal hearing technology and the phone. Among the specific topics to be discussed and demonstrated are telecoils, use of peripherals such as Bluetooth, building confidence and practice strategies. Although the emphasis will be on cochlear implant compatibility, much of the information will be equally relevant to hearing aid and Baha users. Course Details Presenter Amy Popp, AuD, CCC-A, FAAA Cochlear Implant Concepts for Non-programming Professionals [Recorded Course] Course: #19462 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; AG Bell - LSLS/1.0 Domain 1; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View When working with children who use cochlear implants, professionals are required to monitor a number of aspects of the child to increase the likelihood of success with the device. Among the many issues that must be monitored are consistent use of functional equipment, understanding of typical speech and language milestones and an understanding of the programming (a/k/a mapping) process. This presentation will review the typical techniques used to obtain an appropriate MAP for a young child as well as the methods used to verify the benefits delivered by that MAP. Discussions will include explanations of the typical settings used and the effect changes to these settings may have on a child's ability to hear with their cochlear implant. In addition, the collaborative nature of a mapping session will be reviewed and suggestions for information that parents, educators and speech-language pathologists can give the programming audiologist will also be provided. Case studies will provide additional examples of scenarios to elicit discussion surrounding appropriate referrals for follow up. Course Details Presenter Linda Daniel, MS, MA, CCC-A, FAAA, LSLS Cert. AVT Aural Rehabilitation in Bilateral Cochlear Implantation of Adults (Adults, Professionals) [Recorded Course] Course: #18724 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; BAA/1.0; CAA/1.0; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View This one hour seminar focuses on the role of the aural rehabilitation professional on a cochlear implant team when treating adults seeking bilateral implantation. The presenter will discuss via lecture, case presentations and videos key concepts pertinent to the evaluation process, candidate selection and follow up therapy. The role of each person on the cochlear implant team will be discussed to demonstrate the importance of the team approach. Course Details
