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CPT 69719: Bone-Anchored Auditory Implant Replacement, Mastoid
CPT code 69719 covers replacement of a bone-anchored skull implant that magnetically couples to an external speech processor to transmit sound to the inner ear. This procedure addresses implants situated in the mastoid or small bony defects (<100 sq mm) and is performed where surgical implant work is done, such as hospital ORs or ambulatory surgical centers. The code matters nationally because bone-anchored auditory systems affect hearing rehabilitation options for patients with conductive or mixed hearing loss and for single-sided deafness; reimbursement and coverage policies for implantable hearing devices influence access to these advanced interventions.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical intent of the code, typical settings and service type, and what to expect in benchmarking and policy discussions where available. The publication covers claim-line considerations, common modifier usage (listed separately), and clinical context for when replacement of a transcutaneous magnetically coupled implant is coded. Data not available in the input is noted where specific payer policies, associated taxonomies, ICD-10 diagnoses, and related codes would normally appear.
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Billing Code Overview
CPT code 69719 describes replacement of a bone-anchored implant in the skull that converts sound energy for reception by the inner ear. The device is implanted in the mastoid and/or addresses a bony defect with surface area under 100 square millimeters. The implant type is magnetically coupled to a speech processor and is transcutaneous, functioning through closed skin.
Service type: Implantable auditory prosthesis replacement
Typical site of service: Hospital operating room or ambulatory surgical center, with the procedure focused on the mastoid portion of the skull adjacent to the ear.