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Medicare AdvantageBilling CodesLow impact

MA11.049h, Bone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids

Independence Blue Cross·Audiology, ENT (Ear, Nose & Throat)·Medical Policy
Effective date
May 27, 2026
We identified it
Jun 19, 2026
Days to comply
—

Summary

Independence Blue Cross reissued MA11.049h effective 05/27/2026 with a code update adding five new CPT codes (0951T-0955T) to the Experimental/Investigational section for bone-anchored and implantable middle ear hearing aids. This is a minor administrative reissuance clarifying the Company's continuing coverage position; no changes to covered/non-covered services occurred.

Action Required

Action needed
By May 27, 2026: Billing team must update billing software and claim denial logic to recognize CPT codes 0951T, 0952T, 0953T, 0954T, and 0955T as Experimental/Investigational for bone-anchored and implantable middle ear hearing aids under Independence Blue Cross Medicare Advantage plans. Any claims submitted with these codes should be denied as experimental/investigational unless the member has specific coverage under their plan's investigational benefit. No immediate action required; this is a future-dated reissuance. Verify current coverage criteria remain unchanged (CPT 69714, 69716, 69717 and HCPCS L8618, L8624, L8625, L8690 remain medically necessary when medical necessity criteria are met).

Affected Billing Codes

69714
69716
69717
L8618
L8624
L8625
L8690
H90.0
H90.11
H90.12
H90.2
H90.41
H90.42