Name of the Procedure:

Lithium Ion Battery for Use with Cochlear Implant Device Speech Processor, Other than Ear Level, Replacement, Each (HCPCS Code: L8623)

Summary

This procedure involves replacing the lithium-ion battery in a cochlear implant device's speech processor. Unlike ear-level processors, these are body-worn devices. Essentially, the speech processor helps convert sound to electrical signals, which the cochlear implant then uses to stimulate the auditory nerve.

Purpose

The purpose of this procedure is to ensure that the cochlear implant device continues to function effectively. This is crucial for individuals with profound hearing loss, allowing them to perceive sounds and improve their communication abilities. The goal is to provide continuous power to the speech processor to maintain auditory function.

Indications

• Depleted or malfunctioning lithium-ion battery in the cochlear implant speech processor
• Reduced battery performance leading to inconsistent device operation
• Preference or requirement for body-worn processors instead of ear-level devices

Preparation

• No special fasting or medication adjustments are needed.
• The patient or caregiver should bring the cochlear implant device to the appointment.
• Diagnostic tests to assess the battery level and device function may be conducted.

Procedure Description

1. The healthcare provider will inspect the cochlear implant device and the existing battery.
2. The depleted lithium-ion battery will be safely removed.
3. A new, fully charged lithium-ion battery will be installed in the speech processor.
4. The device will be tested to ensure it operates correctly with the new battery.

Duration

The procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a specialized audiology center.

Personnel

• Audiologist
• ENT specialist, if there are complexities involved
• Trained medical technician

Risks and Complications

• Minimal risks associated with battery replacement.
• Rare complications may include device malfunction or improper battery fitment, which can be managed by adjusting the device.

Benefits

• Restores full functionality to the cochlear implant device.
• Immediate improvement in auditory perception.
• Enhanced battery life leads to consistent performance of the speech processor.

Recovery

• The patient can resume normal activities immediately after the procedure.
• Instructions on caring for the new battery and the device will be provided.
• Follow-up appointments may be scheduled to assess device performance.

Alternatives

• Alternative power sources like rechargeable battery packs.
• Replacement of the entire speech processor, but this is more cost-intensive.
• Manual recharging of the existing battery, though less efficient.

Patient Experience

• The patient might feel a brief discomfort during the inspection of the device.
• Generally, the procedure is painless.
• Comfort measures include ensuring the device and battery operate correctly before the patient leaves.