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CommercialCoverageMedium impact

Hearing Aid Submissions, New Prior Authorization Tool Coming in Fall

Blue Cross Blue Shield of Wyoming·WY · ENT (Ear, Nose & Throat)·Prior Authorization
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSWY now reimburses hearing aids at 100% of submitted invoices effective 7/1/2023, with professional services billed separately using specific codes. A new Prior Authorization tool with enhanced automation and reduced wait times is coming this fall.

Action Required

Action needed
Immediately: For BCBSWY hearing aid claims, bill device cost at 100% and separate professional services using V5011 (fitting), V5020 (evaluation), and V5160 (dispensing). Always include invoice with hearing aid billing submissions. Prepare for new Prior Authorization tool rollout this fall by monitoring BCBSWY communications for implementation dates.

Affected Billing Codes

V5011
V5020
V5160