Hearing and Audiology Services Prior Authorization Notice
Date: 09/01/17
Heritage Health (Medicaid):
Nebraska Total Care is updating its prior authorization list with regards to codes for Hearing services. Based on the codes on the Nebraska Medicaid Practitioner Fee Schedule for "Hearing Aid" (July 1, 2017), effective 9/1/2017 the following codes will no longer require a prior authorization from Nebraska Total Care:
000V5014 | REPAIR MODIFICATION OF AID |
000V5160 | DISPENSING FEE, BINAURUAL |
000V5200 | DISPENSING FEE, CROS |
000V5240 | DISPENSING FEE BICROS |
000V5241 | DISPENSING FEE, MONAURAL HEARING AID, |
000V5242 | HEARING AID, ANALOG, MONAURAL, CIC (COMPLETELY IN THE EAR CANAL) |
000V5243 | HEARING AID, ANALOG, MONAURAL, ITC (IN THE CANAL) |
000V5248 | HEARING AID, ANALOG, BINAURAL, CIC |
000V5249 | HEARING AID, ANALOG, BINAURAL, ITC |
000V5264 | EAR MOLD/INSERT, NOT DISPOSABLE, ANY TYPE |
000V5264 | EAR MOLD/INSERT WITH RECIEVER IN THE EAR |
000V5267 | HEARING AID SUPPLIES / ACCESSORIES |
000V5275 | EAR IMPRESSION, REPLACEMENT ONLY |
The following codes have not and will continue to not require prior authorization:
000V5020 | CONFORMITY EVALUATION |
000V5266 | BATTERY FOR USE IN HEARING DEVICE |
000V5299 | HEARING SERVICE, MISCELLANEOUS |
The remainder of the covered codes on the Hearing Aid fee schedule will continue to require prior authorization.
In addition, based on changes in Nebraska Total Care's prior authorization requirements for Durable Medical Equipment (DME Fee Schedule), the following code will no longer require prior authorization:
000V5266 | BATTERY FOR USE IN HEARING DEVICE |
If you have any questions, please contact your Provider Relations Representative.