Cochlear Implant Candidacy Criteria and Clinical Evaluation

Flashcards covering manufacturer and insurance criteria, audiological thresholds, speech perception benchmarks, clinical case study details, and professional advocacy related to cochlear implantation.

MED-EL Pediatric Candidacy Age

≥ 7 months

MED-EL Pediatric Amplification Trial

1 to 3 month trial

MED-EL Pediatric Type and Degree Criteria

• 7 to <12 months

  • must be bilateral profound SNHL

• 1 to <6 years

  • must be bilateral moderately severe to profound SNHL

• 6 to <18 years

  • must be bilateral moderate to profound SNHL

MED-EL Pediatric Speech Criteria

• prelingual

  • no progression or plateaued progression on auditory skill development (LEQ or IT-MAIS) while appropriately aided

• postlingual

  • 1 to <6 years

    • best aided score of ≤40% on a developmentally appropriate test of word recognition or lack of progression on auditory skill development

  • 6 to <18 years

    • best aided score of ≤50% on CNC word test

MEDL-EL Adult Age Criteria

≥18 years

MED-EL Adult Amplification Trial

1 to 3 month trial recommended

MED-EL Adult Type and Degree Criteria

bilateral moderate to profound SNHL (low frequencies between 40 and 60 dB HL

MED-EL Adult Speech Criteria

best fit aided scores ≤50% correct in the ear to be implanted or ≤60% or less in the non-implant ear on recorded tests of monosyllabic word recognition (CNC)

Cochlear Pediatric Age Criteria

≥ 9 months

Cochlear Pediatric Amplification Trial

• no recommendation for bilateral

• SSD two weeks to one month with CROS or regular, best fit amplification

Cochlear Pediatric Type and Degree Criteria

• 9 to 24 months

  • profound sensorineural hearing loss bilaterally

• 2 to 17 years

  • severe to profound hearing loss bilaterally

• SSD, ≥5 years

  • severe to profound (> 80 dB PTA) SNHL In one ear and normal to mild SNHL in the other ear with no benefit from an appropriately fit unilateral hearing aid

Cochlear Pediatric Speech Criteria

• 2 to 17 years

  • MLNT or LNT best aided scores of ≤30%

• SSD, 5 to <18 years

  • best aided speech perception scores of ≤5% on developmentally appropriate monosyllabic word lists in the ear to be implanted alone

Cochlear Adult Age Criteria

≥ 18 years

Cochlear Adult Amplification Trial Criteria

recommended but no duration for bilateral

SSD requires two weeks to one month with CROS or regular amplification

Cochlear Adult Type and Degree Criteria

• bilateral moderate to profound SNHL

• SSD, 5 to <18 years

  • best aided speech perception scores of ≤5% on developmentally appropriate monosyllabic word lists in the ear to be implanted alone

Cochlear Adult Speech Criteria

• best fit aided score ≤50% sentence recognition in the ear to be implanted and 60% int he opposite ear or binaurally

• SSD/asymmetric, best aided speech perception scores of ≤5% on CNC

Advanced Bionics Pediatric Age Criteria

≥ 12 months

Advanced Bionics Pediatric Amplification Trial Criteria

recommended, no duration found

Advanced Bionics Pediatric Type and Degree Criteria

• bilateral severe-to-profound SNHL

• SSD, ages 5 to 17 years, thresholds in the poorer ear must be ≥ 90 dB HL with less than 30 dB HL in the better ear

• Asymmetric, requires ≥ 90 dB HL in the poorer ear and a PTA greater than 30 dB HL in the better ear with a 15 dB difference between ears

Advanced Bionics Pediatric Speech Criteria

• 1 to <4 years bilateral SNHL

  • lack of progression on auditory skill deelopment (MAIS, IT-MAIS)

  • ≤20% on MLNT

• 4 to <18 years bilateral SNHL

  • ≤12% on PBK

  • ≤30% on HINT-C

• SSD/asymmetrical

  • ≤5% on a developmentally appropriate monosyllabic word list

• ALL IN BEST AIDED

Advanced Bionics Adult Age Criteria

≥18 years

Advanced Bionics Adult Amplification Trial Criteria

recommended, no duration found

Advanced Bionics Adult Type and Degree Criteria

• bilateral severe-to-profound SNHL without hearing aids

• SSD

  • thresholds in the poorer ear must be ≥ 80 dB HL with less than 30 dB HL in the better ear

• Asymmetric,

  • requires ≥ 80 dB HL in the poorer ear and a PTA greater than 30 dB HL in the better ear with a 15 dB difference between ears

Advanced Bionics Adult Speech Criteria

• best fit aided scores of 50% on the AB word test

• for SSD/Asymmetric, ≤20% on CNC