2025 CPT code 92601
(Active) Effective Date: N/A Evaluation and Management Services - Special Otorhinolaryngologic Services and Procedures Medicine Feed
Diagnostic analysis of cochlear implant, patient under 7 years of age; with programming.
Modifiers may be applicable in certain situations. For bilateral procedures, modifier 50 may be used. Modifiers RT and LT can be used to specify the side if the procedure is unilateral.
Medical necessity must be established for the cochlear implant and its programming. This typically involves documentation of hearing loss and the expected benefit from the device.
The physician places the external transmitter, connects the speech processor, and programs the implant.They verify the function of the stimulator and electrodes. Patient comfort is assessed, and the family receives instruction on device use and maintenance.
In simple words: This procedure involves the initial setup and adjustment of a hearing implant for a child under 7. The doctor analyzes the implant, programs it for optimal hearing, and teaches the family how to care for the device.
This code describes the initial programming of a cochlear implant for a patient younger than 7 years old. It includes analysis of the implant function, programming the device, and counseling the patient and family on proper care.
Example 1: A 5-year-old child receives their first cochlear implant and undergoes initial programming and family counseling., A 6-year-old with a recent cochlear implant requires diagnostic analysis and programming to optimize hearing., A child under 7 who has had a cochlear implant for some time needs reprogramming due to changes in their hearing.
Documentation should include details of the implant analysis, programming parameters, patient's response, family counseling provided, and any complications.
- Revenue Code: T2D
- Specialties:Otolaryngology, Audiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center