Otolaryngology Coding Alert

Reader Question:

Implant Unlisted Code Applicability For Cochlear Device Removal

Question: What CPT® code applies to cochlear device explants/implant surgery? I'm gearing towards 69717, but the word "replacement" in its descriptor makes me doubtful.

Maryland Subscriber

Answer: Bill an unlisted code (69949, Unlisted procedure, inner ear [removal of cochlear implant]) when you're just explanting without reimplanting at the same time. Otherwise, you should report 69930 (Cochlear device implantation, with or without mastoidectomy) because you have to remove the cochlear device to replace it.

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