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.