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BETA v.3.0

2025 CPT code 92602

Reprogramming of a cochlear implant for a patient younger than 7 years of age.

Do not report 92602 in conjunction with 92601 (initial programming).

Modifiers may be applicable to clarify the services provided.For example, modifier 52 may be used to indicate reduced services.

Medical necessity for 92602 is established when the reprogramming of a cochlear implant is required to optimize the hearing and comfort of a patient younger than 7. This may be due to changes in the patient's hearing, discomfort with the device, or other clinical indications.

The physician assesses the patient's comfort and ensures proper device function. They adjust the implant settings, counsel the family on device use, and document the procedure.

In simple words: The doctor adjusts the settings on a child's cochlear implant (a device that helps them hear) to make sure it's working correctly. This includes checking the part worn outside the ear and the part inside, and showing the family how to use and care for the device.

This code describes the subsequent reprogramming of a previously placed cochlear implant in a patient younger than 7 years of age. It involves measuring and adjusting the external transmitter and reprogramming the internal stimulator.The service includes an assessment of the patient's experience with the current settings, verification of the implant's functionality, and counseling the family on proper device care.

Example 1: A 5-year-old patient with a cochlear implant returns for a follow-up appointment to adjust the device settings as their hearing needs evolve., A 3-year-old experiences discomfort with their cochlear implant. The physician checks the device and reprograms it to alleviate discomfort and optimize hearing., A 6-year-old requires reprogramming of their implant after experiencing changes in their hearing abilities following an illness.

Documentation should include the patient's age, details of the reprogramming performed (including adjustments to external and internal components), assessment of the patient’s experience with the implant, counseling provided to the family, and any relevant medical history.

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