CurrentBlue Cross Blue Shield - Rhode IslandPolicy N/A
sa
Defines coverage stance for semi-implantable and fully implantable middle ear hearing aids for Medicare Advantage and commercial products, summarizes clinical background, and lists non-covered / not medically necessary procedure codes.
Policy Summary
PayerBlue Cross Blue Shield - Rhode Island
Policysa
Policy CodePolicy N/A
Change TypeClarified: new CPT codes added (0951T-0954T) designated not covered/not medically necessary
Effective DateOct 1, 2015
Next Review DateN/A
Key ActionClaims for semi-implantable and fully implantable middle ear hearing aids (including listed CPT/HCPCS codes) will be denied/not covered for Medicare Advantage members and considered not medically necessary for commercial members.
SourceLink
POLICY UPDATE CHANGES
New CPT codes 0951T-0954T noted with effective date 7/1/2025 as not covered / not medically necessary.
6Listed non-covered / not medically necessary codes
2Coverage categories
2015-10-01Policy effective date
Coverage Summary
Overview: This policy addresses semi- and fully implantable middle ear hearing aids (middle ear implants) for adults. FDA-approved devices mentioned in the policy include the Vibrant Soundbridge, the Maxum System, and the Esteem Implantable Hearing System.