The number and type of connections involving different levels of orthographic and phonological representations differentiate between several models of spoken and visual word recognition. At the sublexical level of processing, Borowsky, Owen, and Fonos (1999) demonstrated evidence for direct processing connections from grapheme representations to phoneme representations (i.e., a sensitivity effect) over and above any bias effects, but not in the reverse direction. Neural network models of visual word recognition implement an orthography to phonology processing route that involves the same connections for processing sublexical and lexical information, and thus a similar pattern of cross-modal effects for lexical stimuli are expected by models that implement this single type of connection (i.e., orthographic lexical processing should directly affect phonological lexical processing, but not in the reverse direction). Furthermore, several models of spoken word perception predict that there should be no direct connections between orthographic representations and phonological representations, regardless of whether the connections are sublexical or lexical. The present experiments examined these predictions by measuring the influence of a cross-modal word context on word target discrimination. The results provide constraints on the types of connections that can exist between orthographic lexical representations and phonological lexical representations.