Payer PolicyActive
SURG.00084 Implantable Middle Ear Hearing Aids
ANTHEM-SURG.00084
Anthem
Effective: July 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses semi-implantable and fully implantable middle ear hearing aids. Anthem considers these devices investigational and not medically necessary; they are not covered for any indication (claims may be denied under codes 69799, S2230, V5095). There are no covered exceptions or clinical criteria—noncoverage applies regardless of hearing loss type, laterality, or severity.
Coverage Criteria Preview
Key requirements from the full policy
"Semi-implantable and fully implantable middle ear hearing aids are consideredinvestigational and not medically necessaryfor all indications."
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