69717 Implant replacement Medicare reimbursement rates in Maryland

An otologic surgeon replaces an existing osseointegrated implant in the skull that uses a percutaneous connection to an external speech processor. This setup is used in bone-conduction hearing systems for patients with conductive or mixed hearing loss or single-sided deafness. The procedure addresses the implanted component and its connection through the skin; it is not a routine replacement of the external processor alone. Medicare services reported for this code are performed in a facility setting.

Select this code when the operative record supports replacement of the percutaneous skull implant, rather than initial implantation or a transcutaneous system. Document the device configuration, side or sides treated, reason for replacement, and the work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.