Summary
Treatment of tinnitus with tinnitus coping therapy, tinnitus maskers, customized sound therapy, combined psychological and sound therapy, transcranial magnetic stimulation, transcranial direct current stimulation, transcutaneous electrical stimulation of the ear, electromagnetic energy, transmeatal laser irradiation, or botulinum toxin type A injections is considered investigational. This policy does not address surgical treatments such as cochlear or brainstem implants, or pharmacologic treatments such as amitriptyline or other tricyclic antidepressants.
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What to do
Action · 4 steps
01REQUIREMENTS: Billing team: Before billing any tinnitus treatment, check the member's specific benefit plan language, because the coverage guidelines should not be used in place of that language.
02Billing team: Treatments listed as investigational in the policy are considered not medically necessary, so do not bill them as medically necessary under this policy.
03Billing team: Note that CPT 92700 and the ICD-10 procedure codes F0DZ05Z, F0DZ0ZZ, F15Z75Z, F15Z7ZZ, 095D0ZZ, 095E0ZZ, 095D8ZZ, and 095E8ZZ are listed as investigational codes in the policy.
04Billing team: For Federal Employee Program members, FDA-approved devices may be assessed only on the basis of their medical necessity.
Codes mentioned
92700F15Z75ZF15Z7ZZ
Original notice
Treatment of Tinnitus
bcbsms.com · Always check the source before changing claims.