Air Conduction Hearing Aids - MEDICAID - SOUTH CAROLINA
HUMANA-AIR-CONDUCTION-HEARING-AIDS-SC-MEDICAID
This policy covers air-conduction hearing aids — specifically binaural contralateral routing system (CROS/BiCROS) configurations (HCPCS V5211–V5221) — for patients needing pediatric amplification or with adult/age-related, sudden, conductive, sensorineural, or mixed hearing loss, including unilateral severe-to-profound/unaidable ear cases. Coverage is limited to the listed HCPCS codes and requires specified diagnostic testing (pure-tone air and bone conduction, Weber/Rinne), a documented physical exam including pneumoscopy, audiogram thresholds (≥10 dB over 2–3 frequencies) and fulfillment of all eligibility criteria; auditory rehabilitation (CPT 92630/92633) is not covered.
"No covered indications, diagnoses, conditions, or clinical scenarios are specified in the provided document text. (The document includes a Table of Contents with 'Description' and 'Coverage Limitat..."