Anthem Blue Cross and Blue Shield Virginia policy
SURG.00084 Implantable Middle Ear Hearing Aids
SURG.00084 Implantable Middle Ear Hearing Aids is a public Anthem Blue Cross and Blue Shield Virginia policy (policy SURG.00084). It lists 8 CPT or HCPCS codes, 7 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- SURG.00084
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 0951T | On the list | Totally implantable active middle ear hearing implant; initial placement, including mastoidectomy, placement of and attachment to sound processor | Policies naming 0951T |
| 0952T | On the list | Totally implantable active middle ear hearing implant; revision or replacement, with mastoidectomy and replacement of sound processor | Policies naming 0952T |
| 0953T | On the list | Totally implantable active middle ear hearing implant; revision or replacement, without mastoidectomy and replacement of sound processor | Policies naming 0953T |
| 0954T | On the list | Totally implantable active middle ear hearing implant; replacement of sound processor only, with attachment to existing transducers | Policies naming 0954T |
| 0955T | On the list | Totally implantable active middle ear hearing implant; removal, including removal of sound processor and all implant components | Policies naming 0955T |
| 69799 | Not listed | Policies naming 69799 | |
| S2230 | On the list | Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear | Policies naming S2230 |
| V5095 | On the list | Semi-Implantable Middle Ear Hearing Prosthesis | Policies naming V5095 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list