Covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Key Coverage Criteria
Binaural testing shows improved speech recognition using bilateral devices.
Binaural air conduction hearing aids are consideredmedically necessarywhenBOTHof the following criteria are met (A and B):
Both ears meet the criteria listed above in A and B;and
Air conduction hearing aid devices are consideredmedically necessaryfor the treatment of hearing loss whenALLof the following criteria are met (A and B):
The hearing loss is due to one of the following etiologies:Sensorineural hearing loss;orMixed hearing loss;orConductive hearing loss, which has been:unresponsive to medical interventions;andunresponsive to surgical interventions or not amenable to surgical correction;and