This guide aims to provide coding, billing, and coverage guidance for auditory osseointegrated device (AOD) assessment, service, and supply/item codes. For the purposes of this guidance, AODs are defined as both surgical and non-surgical bone conduction hearing devices.
Clinicians are encouraged to reference their CPT manual for correct code use and to review payer-specific policies when determining appropriate code reporting and documentation requirements for services. Many payer clinical policies will provide criteria for Medical Necessity and will also include procedure and diagnosis codes that will support medical necessity and policies for subsequent reimbursement for services. It is advisable to review payer guidelines and policies prior to billing.
Relevant Procedure Codes
The following Level I HCPCS CPT codes are available for reporting AOD assessment and services.
| Code | Description |
|---|---|
| 92622 | Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes Do not report 92622, 92623 in conjunction with 92626, 92627 For diagnostic analysis of cochlear implant, with programming or subsequent reprogramming, see 92601,92602, 92603, 92604 For evaluation of auditory function for surgically implanted device[s] candidacy or postoperative status of a surgically implanted device[s], use 92626 For aural rehabilitation services following auditory osseointegrated implant, see 92630, 92633 |
| 92623 | Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes Use 92623 only in conjunction with 92622 Do not report 92622, 92623 in conjunction with 92626, 92627 For diagnostic analysis of cochlear implant, with programming or subsequent reprogramming, see 92601,92602, 92603, 92604 For evaluation of auditory function for surgically implanted device[s] candidacy or postoperative status of a surgically implanted device[s], use 92626 For aural rehabilitation services following auditory osseointegrated implant, see 92630, 92633 |
| 92626 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour When reporting 92626, 92627, use the face-to-face time with the patient or family Do not report 92626, 92627 in conjunction with 92590, 92591, 92592, 92593, 92594, 92595 for hearing aid evaluation, fitting, follow-up, or selection Do not report 92626, 92627 in conjunction with 92622, 92623 For diagnostic analysis of cochlear implant, with programming or subsequent reprogramming, see 92601, 92602, 92603, 92604 For diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, use 92622 |
| 92627 | Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes Use 92627 only in conjunction with 92626 When reporting 92626, 92627, use the face-to-face time with the patient or family Do not report 92626, 92627 in conjunction with 92590, 92591, 92592, 92593, 92594, 92595 for hearing aid evaluation, fitting, follow-up, or selection Do not report 92626, 92627 in conjunction with 92622, 92623 For diagnostic analysis of cochlear implant, with programming or subsequent reprogramming, see 92601, 92602, 92603, 92604 For diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, use 92622 |
AOD Device, Item, and Supply Codes
The following Level II HCPCS codes are available for reporting AOD devices, items, and supplies.
| Code | Description |
|---|---|
| L7510 | Repair of prosthetic device, repair or replace minor parts |
| L7520 | Repair Prosthetic Device, labor component, per 15 minutes |
| L8614 | Cochlear device, includes all internal and external components |
| L8618 | Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement |
| L8621 | Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each |
| L8624 | Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each |
| L8625 | External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each |
| L8690 | Auditory osseointegrated device, includes all internal and external components |
| L8691 | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each |
| L8692 | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment |
| L8693 | Auditory osseointegrated device abutment, any length, replacement only |
| L8694 | Auditory osseointegrated device, transducer/actuator, replacement only, each |
| L8699 | Prosthetic implant, not otherwise specified |
| L9900 | Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS “L” code |
Frequently Asked Questions
- What services are encompassed by these AOD service codes, 92622 and 92623?
- Are these codes applicable to both surgical and non-surgical AODs? Can they be used for both percutaneous and transcutaneous surgical AODs?
- Are 92622 and 92623 unilateral or bilateral codes?
- Is there a minimum duration for services to report code 92622?
- What is the definition of ‘verification’ in these codes, 92622 and 92623?
- Are there additional documentation requirements for timed codes?
References
AMA CPT® 2025 Professional Edition. October 6, 2023. American Medical Association.
AMA CPT® Assistant. November 2023. American Medical Association.
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*CPT codes, descriptions, and other data are Copyright 1966, 1970, 1973, 1977, 1981, 1983–2025 American Medical Association. All rights reserved. CPT© is a registered trademark of the American Medical Association.
Disclaimer
The purpose of the information provided by the American Academy of Audiology Coding and Reimbursement Committee is strictly for educational guidance to audiologists. Action taken with respect to the information provided is an individual choice. The American Academy of Audiology hereby disclaims any responsibility for the consequences of any action(s) taken by any individual(s) as a result of using the information provided, and reader agrees not to take action against, or seek to hold, or hold liable, the American Academy of Audiology for the reader’s use of the information provided. As used herein, the “American Academy of Audiology” shall be defined to include its directors, officers, employees, volunteers, members, and agents.
