V5273, Assistive listening device, for use with cochlear implant
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Key Coverage Criteria
- Non-hybrid cochlear implantation is medically necessary for adults (age 18+) with bilateral sensorineural hearing loss or single-sided/asymmetric SNHL, under certain circumstances per InterQual criteria (Cochlear Implantation).
- Non-hybrid cochlear implantation is proven and medically necessary for bilateral sensorineural and/or for single-sided or asymmetric sensorineural hearing loss in adults aged 18 years and older.
3 Active Policies
UHC-POL-cochlear-implants, Cochlear Implants
UMR-POL-UMR-cochlear-implants, Cochlear Implants
SUREST-POL-SUREST-cochlear-implants, Cochlear Implants
Related Codes
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