Who is affected by this change?

This affects Maryland Medicaid ENT (Ear, Nose & Throat), Audiology providers in MD on Medicaid plans.

When does this change take effect?

This change is effective Jul 1, 2018.

Which billing codes are affected?

The following codes are affected: L8614, L8690.

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MedicaidPrior AuthMedium impact

Billing for Cochlear Implant and Auditory Osseointegrated Device Surgeries

Maryland Medicaid·MD · ENT (Ear, Nose & Throat), Audiology·Provider Transmittal

Effective date

Jul 1, 2018

We identified it

Jun 20, 2026

Days to comply

—

Summary

Effective July 1, 2018, Maryland Medicaid now covers cochlear implant and auditory osseointegrated device surgeries for participants of all ages. Hospitals must obtain preauthorization from Telligen before performing these surgeries and bill using specific revenue codes (047x series) and HCPCS codes (L8614, L8690) on outpatient UB04 forms.

Action Required

Action needed

Immediately: Billing team must ensure preauthorization is obtained from Telligen through Qualitrac before scheduling cochlear implant or auditory osseointegrated device surgeries. Update billing system to use revenue codes 0470, 0471, 0472, or 0479 for audiology services and include HCPCS codes L8614 (cochlear implant) or L8690 (auditory osseointegrated device) in Form Locator 44 on outpatient UB04 claims. Failure to obtain preauthorization may result in fund recoupment by the Department.

Affected Billing Codes

L8614

L8690

Related policy hubs

Maryland Medicaid policies MD policy changes ENT (Ear, Nose & Throat)Audiology Code L8614 Code L8690