MedicaidCoverageMedium impact
Procedure Code 69200 Covered Under Audiology Contract
Arkansas Medicaid·AR · Audiology, ENT (Ear, Nose & Throat)·Coding
Effective date
Sep 1, 2026
We identified it
Aug 29, 2026
Summary
Effective September 1, 2026, Arkansas Medicaid (DHS) expands coverage for procedure code 69200 (CLEAR OUTER EAR CANAL) to be payable under the Audiology (AUDHA) contract. Billing teams must ensure this code is routed to audiology providers and billed under the correct contract for Arkansas Medicaid claims.
Action Required
By August 31, 2026: Billing team must update billing system configuration to route CPT code 69200 (CLEAR OUTER EAR CANAL) to the Audiology (AUDHA) contract for all Arkansas Medicaid claims. Verify that claims for this procedure are submitted to audiology providers rather than other provider types. Update any internal billing rules or claim routing logic to reflect this change. Test billing workflows before September 1, 2026 to ensure correct processing. Claims submitted under incorrect contracts may be denied or require manual adjustment.