January 2020
Balance billing allowed for nonstandard hearing aids
Effective Jan. 1, 2020, new hearing procedure codes were added to the nonstandard hearing aids list. The approved amount for standard hearing aids is payment in full, meaning you can’t bill the member for any amounts in excess of applicable copayments and deductibles.
If a member chooses a nonstandard hearing aid, you may bill for the difference between our approved amount for a standard hearing aid and the actual cost of the nonstandard hearing aid. Inform your patients that they’ll be required to pay the difference between what Blue Cross Blue Shield Michigan pays and what the nonstandard hearing aid costs.
The new nonstandard hearing aids procedure codes are:
- V5171
- V5172
- V5181
- V5211
- V5212
- V5213
- V5214
- V5215
- V5221
Note: These codes are in addition to the list of hearing aid codes currently allowed for balance billing. |