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    v1.0.30
    OpenPayerBilling CodesProsthetic ProceduresHCPCS hcpcs-l8692-auditory-osseointegrated-external-sound-processor-body-worn
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    HCPCS L8692: Auditory Osseointegrated Body‑Worn External Sound Processor

    HCPCS Level II code L8692 describes an auditory osseointegrated device external sound processor used without osseointegration, specifically a body-worn external processor that includes a headband or other means of external attachment; service type: supply of a body-worn external auditory processor, typical site of service: outpatient clinic, audiology practice, or durable medical equipment supplier.

    For related coverage guidance, see recent payer policy updates: Speech Therapy for Autism Disorders - Medical Policy, Sensory Integration Therapy and Auditory Integration Training, Skilled Nursing and Skilled Rehabilitation Services (Outpatient).

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult with conductive or mixed hearing loss who is not a candidate for or declines surgical osseointegration and requires an external, body‑worn auditory osseointegrated sound processor attached via headband or other external means. The patient often presents to an otolaryngology or audiology clinic with a history of chronic otitis media, external auditory canal atresia, ossicular discontinuity, or persistent conductive hearing deficit after tympanoplasty. Initial evaluation includes history, physical exam, and diagnostic audiology (pure tone and speech audiometry). A trial with a non‑implantable bone conduction device or headband‑mounted processor is fitted by an audiologist to assess aided benefit. The device categorized by L8692 is dispensed by a durable medical equipment (DME) supplier or audiology clinic when the patient elects a non‑surgical, body‑worn solution.

    Typical clinical workflow:

    • Patient referred to otolaryngology or audiology for conductive/mixed hearing loss evaluation.

    • Audiometric testing confirms conductive or mixed pattern with air‑bone gap and measurable bone conduction thresholds.

    • Trial fitting of bone conduction processor on headband conducted in clinic to document functional benefit.

    • If benefit demonstrated and patient declines or is not a surgical candidate for osseointegration, order for L8692 is placed with appropriate clinical justification.

    • DME supplier or audiologist dispenses the body‑worn external sound processor, provides device orientation and fitting, and documents medical necessity, device model, and accessories (headband or attachment).

    • Follow‑up visits with audiology for verification, adjustments, and routine maintenance; replacement or repair services billed per payer policy.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92557Comprehensive audiometry threshold evaluation and speech recognition (children and adults)Performed before device trial or dispensing to document hearing thresholds and speech discrimination for medical necessity.
    92568Hearing aid check; monauralUsed for follow‑up fitting checks and verification of the external processor on one side.
    92590Hearing aid examination and selection; monauralUsed when selecting and fitting the body‑worn processor and accessories.
    92601Diagnostic analysis of cochlear and brainstem implant (auditory performance) — limited useRarely applicable; included only when advanced electrophysiologic measures are used in device evaluation.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    208G00000X
    231H00000X
    3336C0002X
    363L00000X
    207YX0901X
    364SP0811X
    247000000X
    163WC0200X

    Related Payer Policy Updates

    Specialty: Physical Medicine, Rehab & Therapies1 / 2

    10 rows

    PolicyPayerEffective Date
    Speech Therapy for Autism Disorders - Medical PolicyHealth-New-England2026-12-01
    Sensory Integration Therapy and Auditory Integration TrainingColorado Rocky Mountain Health Plans2026-11-01
    Skilled Nursing and Skilled Rehabilitation Services (Outpatient)Anthem2026-10-01
    Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) (for New Mexico Only)UnitedHealthcare2026-10-01
    Physical Therapy/Medicine Corporate Medical Policybcbsvermont2026-10-01
    Occupational Therapy Corporate Medical Policybcbsvermont2026-10-01
    Speech Language Pathology/Therapy Services Corporate Medical Policybcbsvermont2026-10-01
    Cognitive Rehabilitation Corporate Medical Policybcbsvermont2026-10-01
    Biomagnetic TherapyConnectiCare2026-09-11
    Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) (for Idaho Only)UnitedHealthcare2026-09-01

    Related Codes

    HCPCS-L5000-PARTIAL-FOOT-SHOE-INSERT-LONGITUDINAL-ARCH-TOE-FILLER

    HCPCS Level II L5000: Partial Foot Shoe Insert with Longitudinal Arch, Toe Filler

    HCPCS-L5010-PARTIAL-FOOT-MOLDED-SOCKET-ANKLE-HEIGHT-TOE-FILLER

    HCPCS L5010: Partial Foot Molded Socket, Ankle Height, With Toe Filler

    HCPCS-L5020-PARTIAL-FOOT-MOLDED-SOCKET-TIBIAL-TUBERCLE-TOE-FILLER

    HCPCS L5020: Partial Foot Molded Socket with Toe Filler

    HCPCS-L5050-ANKLE-SYMES-MOLDED-SOCKET-SACH-FOOT

    HCPCS L5050: Ankle/Symes Molded Socket with SACH Foot

    HCPCS-L5060-ANKLE-SYMES-METAL-FRAME-MOLDED-LEATHER-SOCKET-ARTICULATED-ANKLE-FOOT

    HCPCS L5060: Ankle/Symes Metal Frame with Molded Leather Socket

    HCPCS-L5100-BELOW-KNEE-MOLDED-SOCKET-SHIN-SACH-FOOT

    HCPCS Level II L5100: Below-Knee Molded Socket with Shin and SACH Foot

    HCPCS-L5105-BELOW-KNEE-PLASTIC-SOCKET-SACH-FOOT

    HCPCS L5105: Below-Knee Plastic Socket Prosthesis with SACH Foot

    HCPCS-L5150-KNEE-DISARTICULATION-MOLDED-SOCKET-EXTERNAL-KNEE-SACH-FOOT

    HCPCS L5150: Knee Disarticulation Molded Socket with External Knee and SACH Foot

    HCPCS-L5160-KNEE-DISARTICULATION-MOLDED-SOCKET-BENT-KNEE-SACH-FOOT

    HCPCS Level II L5160: Knee Disarticulation Molded Socket, Bent Knee Configuration

    HCPCS-L5200-ABOVE-KNEE-MOLDED-SOCKET-SINGLE-AXIS-KNEE-SACH-FOOT

    HCPCS Level II L5200: Above-knee Prosthesis with Molded Socket and Single-axis Knee

    Showing 1–10 of 472

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    99070
    Supplies and materials provided by the physician over and above those usually included with the office visit
    Used to bill non‑routine supplies or accessories provided at the time of device dispensing.