This guide aims to provide coding, billing, and coverage guidance for auditory osseointegrated device (AOD) assessment, service, and supply/item codes. For the purposes of this guidance, AODs are defined as both surgical and non-surgical bone conduction hearing devices.
Clinicians are strongly encouraged to reference payer-specific policies when determining appropriate code reporting and documentation requirements for services related to AODs. Further, Medicare local coverage determinations and other payer policies will address which ICD codes support medical necessity and subsequent reimbursement for services. It is advisable to review payer guidelines and policies prior to billing.
Relevant Procedure Codes
The following Level I HCPCS CPT codes are available for reporting AOD assessment and services.
| Code | Description |
|---|---|
| 92622 | Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes *(CPT Manual instructions: Do not report in conjunction with evaluation of auditory function for surgically implanted device candidacy of post-operative status of device [92626, 92627].) |
| 92623 | Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes *(CPT Manual instructions: Code First, 92622. Do not report in conjunction with evaluation of auditory function for surgically implanted device candidacy of post-operative status of device [92626, 92627].) |
| 92626 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour *(CPT Manual Instructions: Do not report in conjunction with cochlear implant programming codes [92601, 92602, 92603, 92604], auditory osseointegrated device programming codes [92622, 92623], or with Evaluation/Selection of Hearing Aid Codes [92590, 92591, 92592, 92593, 92594, and 92595].) |
| 92627 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes *(CPT Manual Instructions: Code First, 92626. Do not report in conjunction with cochlear implant programming codes [92601, 92602, 92603, 92604], auditory osseointegrated device programming codes [92622, 92623], or with Evaluation/Selection of Hearing Aid Codes [92590, 92591, 92592, 92593, 92594, and 92595].) |
| *Note: The CPT manual parentheticals presented here do not include Medicare’s National Correct Coding Initiative (NCCI) procedure to procedure edits. The full list of NCCI edits and other information related to same-day billing can be found here. For diagnostic analysis of cochlear implant, with programming or subsequent reprogramming, see 92601, 92602, 92603, 92604.For evaluation of auditory function for surgically implanted device[s] candidacy or postoperative status of a surgically implanted device[s], use 92626.For aural rehabilitation services following auditory osseointegrated implant, see 92630, 92633. | |
AOD Device, Item, and Supply Codes
The following Level II HCPCS codes are available for reporting AOD devices, items, and supplies.
| Code | Description |
|---|---|
| L7510 | Repair of prosthetic device, repair or replace minor parts |
| L7520 | Repair Prosthetic Device, labor component, per 15 minutes |
| L8614 | Cochlear device, includes all internal and external components Note: This is a bundled code and should not be separated/unbundled for billing purposes. |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each |
| L8625 | External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each** |
| L8690 | Auditory osseointegrated device, includes all internal and external components Note: This is a bundled code and should not be separated/unbundled for billing purposes. |
| L8691 | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each |
| L8692 | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment Note: This item is not covered by Medicare Part B. |
| L8693 | Auditory osseointegrated device abutment, any length, replacement only |
| L8694 | Auditory osseointegrated device, transducer/actuator, replacement only, each |
| L8699 | Prosthetic implant, not otherwise specified |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS “L” code |
Frequently Asked Questions
- What services are encompassed by these AOD service codes, 92622 and 92623?
- Are these codes applicable to both surgical and non-surgical AODs? Can they be used for both percutaneous and transcutaneous surgical AODs?
- Is a modifier required if fitting or programming a single AOD on one ear?
- Is there a minimum duration for services to report code 92622?
- What is the definition of ‘verification’ in these codes, 92622 and 92623?
- Are there additional documentation requirements for timed codes?
References
AMA CPT® 2024 Professional Edition. October 6, 2023. American Medical Association.
AMA CPT® Assistant. November 2023. American Medical Association.
Need more help?
Contact us at reimbursement@audiology.org.
*CPT codes, descriptions, and other data are Copyright 1966, 1970, 1973, 1977, 1981, 1983–2024 American Medical Association. All rights reserved. CPT© is a registered trademark of the American Medical Association.
Disclaimer
The purpose of the information provided by the American Academy of Audiology Coding and Reimbursement Committee is strictly for educational guidance to audiologists. Action taken with respect to the information provided is an individual choice. The American Academy of Audiology hereby disclaims any responsibility for the consequences of any action(s) taken by any individual(s) as a result of using the information provided, and reader agrees not to take action against, or seek to hold, or hold liable, the American Academy of Audiology for the reader’s use of the information provided. As used herein, the “American Academy of Audiology” shall be defined to include its directors, officers, employees, volunteers, members, and agents.
