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2025 CPT code 92623

Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor; each additional 15 minutes.

This is an add-on code and should be reported with code 92622 for the initial 60 minutes of service.Each unit of 92623 represents an additional 15 minutes.

Modifiers may be applicable depending on the circumstances of service. Consult your payer's guidelines for specific modifier rules.

Medical necessity is established by the need for adjustments or reprogramming of the bone-anchored hearing device to improve the patient's hearing function and address any reported problems. Documentation of the need for adjustments and results of the adjustments should justify the medical necessity.

The provider performs diagnostic analysis, programming (or reprogramming), and verification of an auditory osseointegrated sound processor. This involves assessing the processor attachment, calibrating and programming the device, and verifying processor performance. The device is surgically implanted and converts sound energy to be picked up by the inner ear.

IMPORTANT:Use with 92622. Do not use with 92626 or 92627. For cochlear implant analysis and programming, use codes 92601-92604. For auditory function evaluation related to implanted devices, use 92626. For aural rehabilitation following osseointegrated implant, use 92630, 92633.

In simple words: This code covers the extra time spent (each additional 15 minutes after the first hour) checking, adjusting, and programming a bone-anchored hearing device.

This CPT code reports the diagnostic analysis, programming, and verification of any type of auditory osseointegrated sound processor for each additional 15 minutes beyond the initial 60 minutes (reported using code 92622).The services include evaluating the processor's attachment, calibrating device feedback, programming the device, and verifying its performance.This is an add-on code and must be used in conjunction with 92622.

Example 1: A patient with a bone-anchored hearing aid requires adjustments to the sound processor's settings due to changes in their hearing. The audiologist spends 75 minutes performing analysis, programming, and verification. Codes 92622 and 92623 would be used., A patient reports feedback issues with their bone-anchored hearing aid.The audiologist spends an additional 30 minutes beyond the initial 60-minute programming session to diagnose and resolve the feedback, requiring one additional unit of 92623., A patient with a newly implanted bone-anchored hearing aid requires multiple programming sessions in the first month to optimize hearing. The first visit is 60 minutes (92622). The second visit is 45 minutes (92622 + 92623), and the third visit is 15 minutes (92623).

Detailed documentation should include the type of auditory osseointegrated sound processor, the specific adjustments made, the duration of each session, and the patient's response to the adjustments.Pre- and post-programming audiometric testing results should be documented.Specific details of the problem(s) being addressed should be noted.

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