CurrentBlue Cross Blue Shield - Rhode IslandPolicy N/A

Audiology Services Policy

Defines coverage and medical necessity for audiology diagnostic services and lists covered, specialized, obsolete, and not-covered audiometric test CPT codes for BlueCHiP for Medicare and Commercial products. Notes benefits vary by contract and that audiology studies must be ordered by a physician or mid-level practitioner.

Policy Summary

PayerBlue Cross Blue Shield - Rhode Island

PolicyAudiology Services Policy

Policy CodePolicy N/A

Change TypeNo material changes

Effective Date

Next Review Date

Key ActionAudiology studies performed by independently licensed audiologists must be ordered by a physician or mid-level practitioner for coverage.

SourceLink

POLICY UPDATE CHANGES

No material changes

23CPT codes listed (total)

19Covered or conditionally covered CPT codes

4Not covered / obsolete CPT codes explicitly listed

Coverage Summary

Defines coverage and medical necessity for audiology diagnostic services for BlueCHiP for Medicare and Commercial products. Coverage stance: mixed. Benefits may vary between groups/contracts and member-specific benefits should be verified against the applicable Benefit Booklet, Evidence of Coverage, or Subscriber Agreement. Audiology studies performed by independently licensed audiologists are covered diagnostic services when ordered by a physician or a mid-level practitioner.