12/18/2023 0 Comments Auditory brainstem implantMember has limited benefit from appropriately fitted binaural hearing aids.Member has bilateral severe to profound sensorineural hearing loss determined by an air conduction pure tone average of 70 dB or greater at 500 Hz, 1000 Hz, and 2000 Hz and.This Clinical Policy Bulletin addresses cochlear implants and auditory brainstem implants.Īetna considers an auditory brainstem implant (ABI) medically necessary in members 12 years of age or older who have lost both auditory nerves due to disease (e.g., neurofibromatosis or von Recklinghausen's disease) or bilateral surgical removal of auditory nerve tumors is planned and is expected to result in complete bilateral deafness.Īetna considers uniaural (monaural) or binaural (bilateral) cochlear implantation a medically necessary prosthetic for adults aged 18 years and older with bilateral, pre- or post-linguistic, sensorineural, moderate-to-profound hearing impairment who meet both of the following criteria: Culicchia is chair of Neurosurgery at LSU Health New Orleans.Number: 0013 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Arriaga is director of the Otology / Neurotology program at LSU Health New Orleans and Dr. It represents a significant surgical first for Louisiana, LCMC West Jefferson Medical Center, CNC Hearing and Balance Center and Culicchia Neurological,” said Moises Arriaga, MD, “but most importantly it means there is greater hope that fewer patients will live in a silent world.”ĭr. “The Auditory Brainstem Implant requires a precise combination of brain and neurotologic surgery to locate the exact point in the brainstem for the electrodes to initiate the hearing process. In approximately 6 weeks, the processor will be activated by an audiologist at CNC Hearing and Balance Center and the patient will begin acclimating to hearing sounds. A decoding chip was placed under the skin to receive sound signals from a mircrophone and transmit that sound to the electrodes in the brainstem. It is also an option to restore hearing to patients suffering from neurofibromatosis type 2, a rare condition that causes tumors to grow on the hearing nerves.ĭuring the 7 hour surgery, surgeons implanted electrodes in the brain stem that will allow the patient to receive sound, and hear. ![]() ![]() The complex surgery provides hearing to patients unable to benefit from a traditional hearing aid or cochlear implant due to an absent hearing nerve. The surgical team implanted the device directly into the brainstem, bypassing the ear and auditory nerve to stimulate hearing. Neurotologist Moises Arriaga and Neurosurgeon Frank Culicchia performed Louisiana’s first Auditory Brainstem Implant at LCMC West Jefferson Medical Center. CNC HEARING AND BALANCE CENTER SURGEONS PERFORM FIRST AUDITORY BRAINSTEM IMPLANT TO RESTORE HEARINGĪ team of surgeons from CNC Hearing and Balance Center and Culicchia Neurological in New Orleans performed a complex surgery involving the brainstem, hearing and facial nerves to restore hearing to a patient with profound hearing loss.
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