icd 10 code for right cochlear implant that is a nucleus contour advance multi-channel device

by Tania Heidenreich 9 min read

Full Answer

What is the ICD 10 code for cochlear implant?

Cochlear implant status 1 Z96.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z96.21 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z96.21 - other international versions of ICD-10 Z96.21 may differ. More ...

What is the procedure for a right cochlear implant?

OPERATION: Right cochlear implant, Nucleus Contour Advance multi-channel device, right facial nerve monitor. SURGICAL PROCEDURE: The patient was brought to the operating room and placed in the supine position. A general endotracheal anesthetic was administered.

Does Cigna cover cochlear implants?

Cigna (search “cochlear implants”) covers unilateral or bilateral cochlear implants as medically necessary for individuals with bilateral sensorineural hearing loss when there is reasonable expectation that a significant benefit will be achieved from the device and when age-specific criteria are met.

What are the medical contraindications to cochlear implantation?

No medical contraindications to cochlear implantation. Assessment by an audiologist and an otolaryngologist experienced in this procedure indicating the likelihood of success with a cochlear implant. Enrollment in an educational program that supports listening and speaking with aided hearing.

What is the ICD 10 code for cochlear implant?

Z96.21ICD-10 code Z96. 21 for Cochlear implant status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is a multi channel cochlear implant?

The multiple-channel cochlear implant is the first sensori-neural prosthesis to effectively and safely bring electronic technology into a direct physiological relation with the central nervous system and human consciousness, and to give speech perception to severely-profoundly deaf people and spoken language to ...

What is the ICD 9 code for cochlear implant?

20.97ICD-9-CM Code Assignment Code 20.97 is for the implantation of a single-channel cochlear prosthetic device. Code 20.98 is for implantation of a multiple-channel cochlear prosthetic device.

How do you code a cochlear implant?

Diagnostic analysis and programming/reprogramming services related to cochlear implants are reported with CPT codes 92601 through 92604. Cochlear implant troubleshooting is reported using 92700 or L9900. Aural rehabilitation is reported using 92630 or 92633.

How many channels did the first cochlear implant have?

This implant originally had eight channels, which later evolved into a 12-channel device. In Paris, the speech-processing strategy originating at the University of Paris led to the development of a device with eight fixed filters.

What is a single channel cochlear implant?

A single channel cochlear implant system utilizes an electrode array with only one electrode contact. This single channel allows for timing and loudness cues, but does not provide frequency information. Most modern implants are multi-channel devices.

What are the Medicare guidelines for cochlear implants?

Does Medicare Cover Cochlear Implants? Medicare will pay 80% of the cost for cochlear implants and surgery for those who qualify. Eligibility is based on several factors, including the severity of your hearing loss. You may need to participate in a clinical trial to receive Medicare coverage for your cochlear implants.

Is CPT 92604 a bilateral code?

4. CPT codes 92601-92604, when billing this code range, if bilateral analysis, fitting, and adjustments of bilateral cochlear implants, CMS recommends that a -22 modifier (unusual procedural service) be added to the applicable code.

What is the ICD 10 code for hearing loss?

Unspecified hearing loss, unspecified ear H91. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H91. 90 became effective on October 1, 2021.

What is the HCPCS code for cochlear implant?

HCPCS code L8619 for Cochlear implant, external speech processor and controller, integrated system, replacement as maintained by CMS falls under Implantable Eye and Ear Prosthetics and Accessories .

What is the difference between CPT code 20670 and 20680?

20670 - is for the simple removal of hardware, usually in the office. If an incision is performed, it's very shallow. 20680 - requires an deep incision (usually through muscle) and visualization of the hardware by the surgeon. Only reported in the OR, never in the office.

What is CPT code for replacement of cochlear implant?

Group 1CodeDescriptionL8627COCHLEAR IMPLANT, EXTERNAL SPEECH PROCESSOR, COMPONENT, REPLACEMENTL8628COCHLEAR IMPLANT, EXTERNAL CONTROLLER COMPONENT, REPLACEMENTL8629TRANSMITTING COIL AND CABLE, INTEGRATED, FOR USE WITH COCHLEAR IMPLANT DEVICE, REPLACEMENT13 more rows

What is a cochlear implant?

Cochlear implants (CIs) are an ever-evolving issue for audiologists. Children are identified with hearing loss at younger ages and new approaches to treating hearing loss are emerging, giving rise to more questions about how health plans (public and private) cover cochlear implants and related services.

What are the requirements for cochlear implant?

Aetna’s follow-up services are remarkable for audiologists and speech-language pathologists. All of the following additional medical necessity criteria also must be met for uniaural or binaural cochlear implantation in adults and children: 1 No medical contraindications to cochlear implantation. 2 Assessment by an audiologist and an otolaryngologist experienced in this procedure indicating the likelihood of success with a cochlear implant. 3 Enrollment in an educational program that supports listening and speaking with aided hearing. 4 Arrangements for appropriate follow-up care including long-term speech-language treatment to take full advantage of this device.

Does Medicare cover cochlear implants?

Q: Does Medicare have a specific policy regarding cochlear implants? Yes. An article in MLN Matters, a publication of the Centers for Medicare and Medicaid Services’ (CMS) Medicare Learning Network, describes Medicare coverage for CI services that became effective April 4, 2005.

Does Cigna cover bilateral cochlear implants?

Cigna (search “cochlear implants”) covers unilateral or bilateral cochlear implants as medically necessary for individuals with bilateral sensorineural hearing loss when there is reasonable expectation that a significant benefit will be achieved from the device and when age-specific criteria are met.