Health Information Management

Q&A: Coding for cochlear implants

JustCoding News: Outpatient, June 27, 2012

Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Outpatient!

QUESTION: The vendor for our cochlear implants has stated it’s standard to provide our operating suite with the cochlear device and two external speech processors. Should we report HCPCS Level II code L8614 (cochlear device, includes all internal and external components) for the one device and two external speech processors even though one processor is sent home with the patient?   If so this means that we should charge the patient for the device and two processors as one price under revenue code 278.

ANSWER: If the cochlear implant standard package includes the internal device and two external components, then you should not report any of those components separately. The code description for HCPCS Level II code L8614 specifically states this.
Therefore, based on what you have written here, the one code (L8614) reports the entire package, the cochlear device and two external speech processors.
 
Editor’s note: Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CHA, of Safian Communications Services in Orlando, Fla., answered this question. She is a senior assistant professor who teaches medical billing and insurance coding at Herzing University Online in Milwaukee, Wis. Email her at ssafian@embarqmail.com.
 
This answer was provided based on limited information submitted to JustCoding. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.
 
Need expert coding advice? Submit your question to Senior Managing Editor Michelle Leppert, CPC-A, at mleppert@hcpro.com, and we’ll do our best to get an answer for you.



Want to receive articles like this one in your inbox? Subscribe to JustCoding News: Outpatient!

Most Popular