CG-DME-37 Air Conduction Hearing Aids

This policy addresses air conduction hearing aid devices. Coverage is medically necessary for hearing loss that is sensorineural or mixed, or for conductive hearing loss that has not responded to medical and surgical treatments or is not amenable to surgical correction. Not covered when these criteria are not met, for advanced technology/features used solely for convenience or cosmetic reasons, or for replacing a functional device still under warranty solely to upgrade unless the new device provides a significant functional advantage.

"Air conduction hearing aid devices are consideredmedically necessaryfor the treatment of hearing loss whenALLof the following criteria are met (A and B):"

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