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BackTable / ENT / Article
2025 Cochlear Implantation CPT Code
Bryant Schmitz • Updated Jun 30, 2025 • 259 hits
Cochlear device implantation (CPT code 69930) is performed by otolaryngologists and neurotologists to surgically place a cochlear implant in patients with severe to profound sensorineural hearing loss. This procedure involves electrode array insertion into the cochlea and placement of the internal receiver-stimulator. This article clarifies proper use and billing of CPT code 69930.
Table of Contents
(1) CPT Code for Cochlear Implantation
(2) Detailed Description of CPT Code 69930
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Cochlear Implantation
CPT code 69930 covers the surgical insertion of a cochlear device, including all components necessary for functional implantation.
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Detailed Description of CPT Code 69930
CPT Code: 69930
• Code Description: Cochlear device implantation, with or without mastoidectomy
• Inclusions: Insertion of electrode array, placement of internal receiver-stimulator, any mastoidectomy or facial recess approach, fitting and testing of device during surgery
• Exclusions: External sound processor (billed separately), intraoperative neural telemetry beyond surgical fitting, follow-up programming sessions, revision/removal procedures
Coding & Billing Considerations
• Append modifier 51 when performed with additional unrelated procedures in the same operative session.
• Use modifier 59 if the cochlear implant surgery is distinct from another procedure on the same day.
• Report laterality with modifier RT or LT based on the side implanted.
• Document mastoidectomy or facial recess approach in the operative report.
• Bill external processor components separately under supply codes.
• Ensure prior authorization is obtained for device implantation and include audiologic documentation supporting candidacy.
Why Proper Coding Is Important
Correct coding for CPT code 69930 ensures accurate reimbursement and reduces risk of claim denials by clearly defining surgical components versus device hardware billing. It supports precise clinical documentation and coordination between surgical and audiology teams. Proper coding enhances compliance with payer regulations and ensures clarity in treatment reporting.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Cite This Podcast
BackTable, LLC (Producer). (2024, July 9). Ep. 180 – Aural Rehabilitation After Pediatric Cochlear Implantation: Expert Insight from Audiology [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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