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

Independence Blue Cross·Audiology, ENT (Ear, Nose & Throat)·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Policy MA11.049g has been reissued effective 05/28/2025, addressing coverage and billing requirements for bone-anchored (osseointegrated) hearing aids and implantable middle ear hearing aids under Medicare Advantage plans. The billing team must review the full policy text to identify any changes to coverage criteria, prior authorization requirements, or affected billing codes compared to the previous version.

Action Required

Action needed
By 05/28/2025: Billing team must obtain and review the complete MA11.049g policy text from the provided URL to identify specific billing codes, prior authorization requirements, and coverage changes. Update the billing system, EMR templates, and prior authorization workflows to reflect any new or modified requirements for bone-anchored and implantable middle ear hearing aid procedures. Communicate changes to audiology providers and front desk staff. Claims submitted after the effective date without compliance to updated requirements may be denied.