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.
No material changes
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.
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