AudiologyOnline Phone: 800-753-2160
Cochlear Kanso - December 2017

CPT Codes for Cochlear Implant Repairs

Erik Tolsma

September 14, 2009

Share:

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

Insurance Basics on Cochlear Implantation and Baha: Helping Parents Negotiate the System (HOPE)
Presented by John McClanahan
Recorded Webinar
Cochlear Americas

Presenter

John McClanahan
Course: #2781 Hour
  'It helped to provide guidance to my families who are trying 1'   Read Reviews
No CEUs/Hours Offered
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.

**FOR A GENERAL CERTIFICATE OF PARTICIPATION (No CEUs) PLEASE DOWNLOAD THE "COCHLEAR CERTIFICATE HANDOUT" AFTER REGISTRATION**

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Foundations of Cochlear Implants: Billing and Coding for a Successful Clinic
Presented by Joan Sunderland, MBA, Susan Hupp
Recorded Webinar
Cochlear Americas

Presenters

Joan Sunderland, MBASusan Hupp
Course: #296311 Hour
  'provides clarification on billing'   Read Reviews
This foundational-level course is designed to provide audiologists who are new to cochlear implants information on how and what to bill for services related to Cochlear’s implantable hearing solutions. Information will include a discussion of insurance terminology used by insurers, an overview of coverage and payment for implanted hearing devices, as well as a discussion of medical policies that affect a patient’s access to implanted hearing devices. This course is designed to provide a foundation to begin to understand the complex and often changing environment of coverage and payment within the current healthcare system.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Auditory Neuropathy and Cochlear Implantation in Children (HOPE) - recorded event
Presented by Jon K. Shallop, PhD, Alyce Breneman, MA, CCC-A
Recorded Webinar
Cochlear Americas

Presenters

Jon K. Shallop, PhDAlyce Breneman, MA, CCC-A
Course: #45821 Hour
  'Useful information'   Read Reviews
No CEUs/Hours Offered
The diagnosis of Auditory Neuropathy/Dys-synchrony in a child with a sensorineural hearing loss will quickly raise the possibility of cochlear implantation in some of these children. Our experience to date has resulted in providing cochlear implants to 35 children with this diagnosis. This presentation will review our diagnostic procedures, medical/surgical considerations and the outcomes that we have documented in this population of pediatric patients.

**FOR A GENERAL CERTIFICATE OF PARTICIPATION (No CEUs) PLEASE DOWNLOAD THE "COCHLEAR CERTIFICATE HANDOUT" AFTER REGISTRATION**

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Gearing Up My Classroom: Strategies to Support a Student with a Cochlear Implant (HOPE recording)
Presented by Cheryl DeConde Johnson, EdD
Recorded Webinar
Cochlear Americas

Presenter

Cheryl DeConde Johnson, EdD
Course: #47701 Hour
  'Good insight to help with educators'   Read Reviews
No CEUs/Hours Offered
This class will consider factors that influence student performance and success with specific reference to cochlear implantation. Factors include identifying an appropriate classroom setting, communication between the implant center and school, supports and resources for school personnel and accountability measures to monitor performance. Participants will receive the protocols discussed in the class for their use.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Benchmarks of Performance for Children with Cochlear Implants (HOPE recording)
Presented by Mary Ellen Nevins, EdD, Ashley Garber, MS, CCC-SLP, LSLS Cert AVT
Recorded Webinar
Cochlear Americas

Presenters

Mary Ellen Nevins, EdDAshley Garber, MS, CCC-SLP, LSLS Cert AVT
Course: #47741 Hour
  'It was straightforward and concise'   Read Reviews
No CEUs/Hours Offered
This presentation describes general guidelines that may be used to set performance expectations for children receiving cochlear implants. Rationale for adapting these general benchmarks to individual implant users will be discussed. Case Examples will reinforce the principles described.

**FOR A GENERAL CERTIFICATE OF PARTICIPATION (No CEUs) PLEASE DOWNLOAD THE "COCHLEAR CERTIFICATE HANDOUT" AFTER REGISTRATION**

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More