CommercialCoverageMedium impact
11.01.06j, Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids
Independence Blue Cross·Audiology, ENT (Ear, Nose & Throat)·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Policy 11.01.06j regarding Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids became effective on 07/01/2025. This recent policy establishes coverage criteria and billing guidelines for these advanced hearing aid technologies. The billing team must review the full policy document to identify specific coverage requirements, prior authorization needs, and applicable billing codes.
Action Required
By 07/01/2025: Billing team must obtain and review the complete policy text from https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=07&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-11-01-06j to identify: (1) specific CPT/HCPCS codes for bone-anchored and implantable middle ear hearing aids, (2) prior authorization requirements, (3) medical necessity documentation requirements, and (4) coverage limitations. Update billing software, encounter forms, and provider education materials accordingly. Implement prior authorization workflow if required. Flag claims for these devices for compliance review until procedures are confirmed.