CG-SURG-82 Bone-Anchored and Bone Conduction Hearing Aids

This policy addresses bone-anchored and bone conduction hearing aids, including fully or partially implantable systems and transcutaneously worn devices applied with a headband or adhesive adapter. Coverage is medically necessary for implantable devices in individuals age 5 or older (including as an alternative to air conduction aids) and for transcutaneous headband/adhesive devices at any age, when both audiologic and medical condition criteria are met; for bilateral implants, criteria include conductive or mixed hearing loss with symmetric bone-conduction thresholds. Devices and replacement parts/upgrades are not covered when these criteria are not met.

"The following devices are consideredmedically necessaryfor the age groups specified(criterion A) when the audiologic (criterion B) and medical condition (criterion C) criteria listed belowhave been..."

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